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Phase 2 N=174 Treatment

Study of Dasatinib (BMS-354825) in Patients With Accelerated Phase Chronic Myeloid Leukemia

Chronic Myelogenous Leukemia

Enrolled (actual)
174
Serious AEs
71.8%
Results posted
Mar 2010
Primary outcome: Primary: Major and Overall Hematologic Response (MaHR and OHR) — 9; 103; 112; 12 participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Dasatinib (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Bristol-Myers Squibb
Primary completion
Aug 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Major and Overall Hematologic Response (MaHR and OHR)
9; 103; 112; 12; 127; 139
SECONDARY
Percentage of Participants Who Achieved MaHR and Did Not Progress at 12 Months (Based on the Kaplan-Meier Estimate of the Duration of Response)
85.7; 78.3; 79.0
SECONDARY
Percentage of Participants Who Achieved MaHR and Did Not Progress at 24 Months in the Imatinib-Resistant Group (Based on the Kaplan-Meier Estimate of the Duration of Response)
60.9; 59.6
SECONDARY
Percentage of Participants Who Achieved OHR and Did Not Progress at 12 Months and 24 Months
69.8; 69.7; 69.8; 34.9; 51.2; 50.0
SECONDARY
Median Time in Days From First Dosing Date to Date of MaHR
84; 63; 65
SECONDARY
Time to OHR
34; 30; 30
SECONDARY
Best Cytogenetic Response
5; 53; 58; 0; 12; 12
SECONDARY
Best Confirmed Hematologic Response
7; 80; 87; 2; 23; 25
SECONDARY
Number of Participants Who Achieved a Major Molecular Response (MMR) During Treatment Period
2; 17; 19; 0; 11; 1
SECONDARY
MaHR and MCyR Among Participants With Baseline BCR-ABL Point Mutations
73; 40; 69; 31; 73; 53
SECONDARY
Minimal Clinically Significant Change From Baseline in Functional Assessment of Cancer Therapy-General (FACT-G)
5; 76; 81; 4; 85; 89
SECONDARY
Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, Hematologic Toxicities, and Toxicities Leading to Discontinuation
13; 160; 12; 116; 13; 155
SECONDARY
Pharmacokinetics (PK) of Dasatinib and Its Metabolite BMS-582691 - Maximum Observed Plasma Concentration (Cmax)
69.31; 89.18; 2.81; 4.52
SECONDARY
Pharmacokinetics (PK) of Dasatinib and Its Metabolite BMS-582691 - Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Time Point Within the Dosing Interval of 12 Hours (AUC[0-T])
207.76; 265.02; 9.51; 18.67
SECONDARY
Pharmacokinetics (PK) of Dasatinib and Its Metabolite BMS-582691 - Time to Maximum Observed Plasma Concentration (Tmax)
1.26; 1.13; 1.86; 1.75
SECONDARY
Pharmacokinetics (PK) of Dasatinib and Its Metabolite BMS-582691 - Plasma Half-life (T-HALF)
3.15; 5.18; 3.30; 5.70
SECONDARY
Population PK of Dasatinib

Summary

The purpose of this clinical research study is to learn if BMS-354825 will have activity, defined by hematologic response, in subjects who have accelerated phase chronic myeloid leukemia (CML) who are resistant to or intolerant to imatinib mesylate. The safety of this treatment will also be studied.

Eligibility Criteria

Inclusion Criteria

  • Subjects with Philadelphia chromosome positive (PH+) or the fused gene BCR/ABL positive (BCR/ABL+) accelerated phase chronic myeloid leukemia (CML) whose disease has primary or acquired hematologic resistance to imatinib mesylate or who are intolerant of imatinib mesylate.
  • Subjects must have had prior exposure to imatinib. However, imatinib mesylate does not need to be their most recent CML treatment prior to coming on this study.
  • Men and women, 18 years of age or older.
  • Adequate hepatic function.
  • Adequate renal function.
  • Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study and for a period of least 1 month before and at least 3 months after the study in such a manner that the risk of pregnancy is minimized.

Exclusion Criteria

  • Women who are pregnant or breastfeeding.
  • Subjects who are eligible and willing to undergo transplantation during the screening period.
  • A serious uncontrolled medical disorder or active infection that would impair the ability of the subjects to receive protocol therapy.
  • Uncontrolled or significant cardiovascular disease.
  • Medications that increase bleeding risk.
  • Medications that change heart rhythms.
  • Dementia or altered mental status that would prohibit the understanding or rendering of informed consent.
  • History of significant bleeding disorder unrelated to CML.
  • Concurrent incurable malignancy other than CML.
  • Evidence of organ dysfunction or digestive dysfunction that would prevent administration of study therapy.
  • Prior therapy with dasatinib (BMS-354825).
  • Prisoners or subjects who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (e.g., infectious disease) illness must not be enrolled into this study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00101647). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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