Phase 2
N=91
Nilotinib and Combination Chemotherapy in Treating Patients With Newly Diagnosed Acute Lymphoblastic Leukemia
Leukemia
Bottom Line
View on ClinicalTrials.gov: NCT00844298 ↗Enrolled (actual)
91
Serious AEs
19.8%
Results posted
Sep 2015
Primary outcome: Primary: Proportion of Patients Achieving Hematologic and Molecular Complete Remission (CR) After Induction Therapy — 91 percentage of analyzable subjects
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Nilotinib+mVPD (Drug)
- Age
- Pediatric, Adult, Older Adult · 15+ yrs
- Sex
- All
- Sponsor
- Asan Medical Center
- Primary completion
- Jun 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Patients Achieving Hematologic and Molecular Complete Remission (CR) After Induction Therapy |
91 | — |
| SECONDARY Disease(Relapse)-Free Survival |
— | — |
| SECONDARY Overall Survival |
— | — |
Summary
RATIONALE: Nilotinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving nilotinib together with combination chemotherapy may kill more cancer cells.
PURPOSE: This phase II trial is studying how well giving nilotinib together with combination chemotherapy works in treating patients with newly diagnosed acute lymphoblastic leukemia.
Eligibility Criteria
DISEASE CHARACTERISTICS:
- Newly diagnosed acute lymphoblastic leukemia or acute mixed lineage leukemia
- Positive for Bcr-Abl fusion transcript (Philadelphia chromosome-positive disease) by RT-PCR
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Total bilirubin 450 msec on baseline ECG (using the QTcF formula)
- Myocardial infarction within the past 12 months
- Other clinically significant heart disease, including any of the following:
- Unstable angina
- Congestive heart failure
- Uncontrolled hypertension
- Uncontrolled arrhythmias
- No other primary malignant disease requiring systemic treatment
- No acute or chronic liver, pancreatic, or severe renal disease
- No other severe and/or life-threatening medical disease
- No history of significant congenital or acquired bleeding disorder unrelated to cancer
- No impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug
- No history of non-compliance
PRIOR CONCURRENT THERAPY:
- More than 30 days since prior investigational agents
- No concurrent medications that have the potential to prolong the QTc interval
- No concurrent strong CYP3A4 inhibitors
- No concurrent therapeutic coumarin derivatives
Data sourced from ClinicalTrials.gov (NCT00844298). 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.