Phase 2
N=174
Study of Dasatinib (BMS-354825) in Patients With Accelerated Phase Chronic Myeloid Leukemia
Chronic Myelogenous Leukemia
Bottom Line
View on ClinicalTrials.gov: NCT00101647 ↗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
| Outcome | Result | p-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.
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.