CClinicalTrials.gg
CompletedNCT05476562Updated Nov 8, 2022

Study Conducted Among Patients With CML

An observational study in Chronic Myeloid Leukemia, sponsored by Novartis Pharmaceuticals. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-11-08.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
3,234
Ages
18 Years to 85 Years
Sex
All
01

Study summary

Retrospective, non-interventional observational cohort study conducted among patients with CML.

Read the detailed description

A retrospective, non-interventional cohort study was used to address the study objectives. A cohort of adult patients with CML who were treated with TKIs were identified using the IBM® MarketScan® Commercial and Medicare Supplemental databases (commercial claims; the MarketScan database) to have a better understanding of real-world treatment patterns, HRU and healthcare costs among patients with CML treated with later lines of therapy (i.e., third line or later).

For Phase I, the IBM® MarketScan® Commercial Claims and Encounters and Medicare Supplemental Databases were used (commercial claims). The commercial claims covered the period from 01/01/2001 to 06/30/2019.

The study consisted of the following periods:

  • The baseline period was defined as the 6-month period before the first line therapy initiation for CML.
  • The observation period was defined as the period of at least 12 months from the first CML diagnosis to the end of data availability or end of health plan coverage, whichever occurs first; the observation period varied by patient.
02

Conditions studied

  • Chronic Myeloid Leukemia

Keywords

  • Chronic myeloid leukemia,
  • tyrosine kinase inhibitors,
  • treatment patterns,
  • HRU,
  • costs
03

In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 3,234 is above the median of 120 across 744 observational studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study was conducted among patients with CML.

Inclusion criteria

Patients were selected for the analysis of later lines of therapy in commercial claims (i.e., were previously treated with TKIs, who are relapsed/refractory to/intolerant of TKIs) if they met the following criteria:

  • Had at least one diagnosis for CML, with first CML diagnosis observed in claims on or after May 10, 2001, the date of FDA approval for imatinib
  • Were at least 18 years of age as of the first CML diagnosis
  • Started a first line therapy for CML with imatinib, dasatinib, nilotinib, or bosutinib (conditional on FDA-approval dates)
  • Initiated first line therapy within a maximum of 1 month prior to the first diagnosis for CML or a maximum 3 months following the first diagnosis for CML
  • Had continuous health plan enrollment (pharmacy and medical benefits) from the washout period to at least 12 months following the first CML diagnosis

Exclusion criteria

Exclusion Criteria:

  • Patients had a diagnosis for CML remission or relapse anytime prior to first line therapy
  • Patients had a medical claim associated with a clinical trial during the washout period up to the end of the observation period
  • Patients had an HSCT during the washout period up to the first line therapy initiation
  • Patients had chemotherapy treatment (except hydroxyurea) during the washout period up to the first line therapy initiation
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
3,234 participants (actual)
Patient registry
No

Groups and cohorts

  • First-line Therapy

    A cohort of adult patients with CML who were treated with TKIs were identified using the IBM® MarketScan® Commercial and Medicare Supplemental databases (commercial claims; the MarketScan database)

    Other: Tyrosine Kinase Inhibitors (TKIs)

  • Second-line Therapy

    A cohort of adult patients with CML who were treated with TKIs were identified using the IBM® MarketScan® Commercial and Medicare Supplemental databases (commercial claims; the MarketScan database)

    Other: Tyrosine Kinase Inhibitors (TKIs)

  • Third-line Therapy

    A cohort of adult patients with CML who were treated with TKIs were identified using the IBM® MarketScan® Commercial and Medicare Supplemental databases (commercial claims; the MarketScan database)

    Other: Tyrosine Kinase Inhibitors (TKIs)

  • Fourth-line Therapy

    A cohort of adult patients with CML who were treated with TKIs were identified using the IBM® MarketScan® Commercial and Medicare Supplemental databases (commercial claims; the MarketScan database)

    Other: Tyrosine Kinase Inhibitors (TKIs)

Interventions

  • OtherTyrosine Kinase Inhibitors (TKIs)

    The study included patients with CML who were previously treated with TKIs, who are relapsed/refractory to/intolerant of TKIs on third or later lines of therapy in the US.

06

What researchers measure

Primary outcomes

  1. Number of patients across all lines of therapy

    Number of patients across all lines of therapy were reported to evaluate treatment sequences among the patients.

    Time frame: throughout the study, approximately 20 years

  2. Number of patients with the use of pre-treatment hydroxyurea

    Number of patients with the use of pre-treatment hydroxyurea were reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  3. Number of patients Treatment received and initial dose at each line

    Number of patients Treatment received and initial dose at each line were reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  4. Number of patients as per the calendar year of line of therapy initiation

    Number of patients as per the calendar year of line of therapy initiation were reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  5. Duration of the line of therapy

    Duration of the line of therapy was reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  6. Treatment-free period among those with an observed subsequent line of therapy

    Treatment-free period among those with an observed subsequent line of therapy was reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  7. Number of patients who discontinued treatment

    Number of patients who discontinued treatment were reported to evaluate treatment patterns in patients.

    Time frame: throughout the study, approximately 20 years

  8. Number of patients: All cause Health Resource Utilization among patients with three lines of therapy or more

    Number of patients: All cause Health Resource Utilization were reported to estimate HRU among patients with three lines of therapy or more.

    Time frame: throughout the study, approximately 20 years

  9. Healthcare costs among patients with three lines of therapy or more

    Healthcare costs among patients with three lines of therapy or more were reported.

    Time frame: throughout the study, approximately 20 years

Secondary outcomes

  1. Prevalence of second and third or later lines of therapy

    Prevalence was defined as the number of cases alive per year of patients with CML who were currently or previously treated on later lines of therapy (third line or later), by calendar year from 2006 to 2018

    Time frame: Calendar year 2006 to 2018, approximately 12 years

  2. Healthcare costs among patients with earlier lines of therapy

    Healthcare costs among patients with earlier lines of therapy were reported.

    Time frame: throughout the study, approximately 20 years

  3. Number of patients: All cause Health Resource Utilization among patients with earlier lines of therapy

    Number of patients: All cause Health Resource Utilization among patients with earlier lines of therapy were reported.

    Time frame: throughout the study, approximately 20 years

07

Study locations

1 site
  • Novartis Investigative Site
    East Hanover, New Jersey 07936-1080, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05476562
Responsible party
Sponsor
First posted
Jul 27, 2022
Start date
Mar 8, 2021
Primary completion
Oct 15, 2021
Completion
Oct 15, 2021
Last update
Nov 8, 2022

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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