Phase 3
N=536
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
Bottom Line
View on ClinicalTrials.gov: NCT02130557 ↗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
| Outcome | Result | p-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.
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.