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Phase 3 N=536 Randomized Treatment

A Multicenter Phase 3, Open-Label Study of Bosutinib Versus Imatinib in Adult Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia

Leukemia, Myelogenous, Chronic, Breakpoint Cluster Region-Abelson Proto-oncogene (BCR-ABL) Positive

Enrolled (actual)
536
Serious AEs
31.1%
Results posted
Nov 2018
Primary outcome: Primary: Percentage of Participants With Major Molecular Response (MMR) at Month 12 — 47.2; 36.9 percentage of participants — p=0.0100

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Bosutinib (Drug); Imatinib (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer
Primary completion
Aug 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Major Molecular Response (MMR) at Month 12
47.2; 36.9 0.0100 sig
SECONDARY
Percentage of Participants With Major Molecular Response (MMR) Up to Month 18
61.0; 52.7 0.0303 sig
SECONDARY
Kaplan-Meier Estimate of Probability of Retaining Major Molecular Response (MMR) at Month 48
92.2; 92.0
SECONDARY
Percentage of Participants With Complete Cytogenetic Response (CCyR) Up to Month 12
77.2; 66.4 0.0037 sig
SECONDARY
Kaplan-Meier Estimate of Probability of Retaining Complete Cytogenetic Response (CCyR) at Month 48
97.4; 93.7
SECONDARY
Cumulative Incidence of Event Free Survival (EFS) Events
6.9; 10.4 0.0749
SECONDARY
Overall Survival (OS) Rate
94.9; 94.0 0.2827

Summary

Phase 3, 2-arm, randomized, open label trial. Patients will be randomized to receive bosutinib or imatinib for the duration of the study.

Eligibility Criteria

Inclusion Criteria

  • Molecular diagnosis of CP CML of ≤ 6 months (from initial diagnosis).
  • Adequate hepatic, renal and pancreatic function.
  • Age ≥ 18 years.

Exclusion Criteria

  • Any prior medical treatment for CML, including tyrosine kinase inhibitors (TKIs), with the exception of hydroxyurea and/or anagrelide treatment, which are permitted for up to 6 months prior to study entry (signature of ICF) if suitably approved for use in the subject's region.
  • Any past or current Central Nervous System (CNS) involvement, including leptomeningeal leukemia.
  • Extramedullary disease only.
  • Major surgery or radiotherapy within 14 days of randomization.
  • History of clinically significant or uncontrolled cardiac disease.
  • Known seropositivity to human immunodeficiency virus (HIV), current acute or chronic hepatitis B (hepatitis B surface-antigen positive), hepatitis C, cirrhosis or evidence of decompensated liver disease. Patients with resolved Hepatitis B can be included.
  • Recent or ongoing clinically significant GI disorder, e.g. Crohn's Disease, Ulcerative Colitis, or prior total or partial gastrectomy.
  • History of another malignancy within 5 years with the exception of basal cell carcinoma or cervical carcinoma in situ or stage 1 or 2 cancer that is considered adequately treated and currently in complete remission for at least l2 months.
  • Current, or recent (within 30 days, or 5 half-lives of investigational product) participation in other clinical trials of investigational agents and/or containing interventional procedures deemed contrary to the objectives and conduct of this trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02130557). 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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