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Phase 3 Completed 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

Source: ClinicalTrials.gov NCT02130557 ↗
Enrolled (actual)
536
Serious AEs
31.1%
Results posted
Nov 2018
Primary outcomePrimary: Percentage of Participants With Major Molecular Response (MMR) at Month 12 — 47.2; 36.9 percentage of participants — p=0.0100
◆ Published Evidence
Highly cited
495citations · ~62 / year
Bosutinib Versus Imatinib for Newly Diagnosed Chronic Myeloid Leukemia: Results From the Randomized BFORE Trial.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018 · Open access · Likely link

Summary

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

Linked Publications (5)

  • Bosutinib Versus Imatinib for Newly Diagnosed Chronic Myeloid Leukemia: Results From the Randomized BFORE Trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018 · 495 citations · Open access · Likely link
  • Bosutinib versus imatinib for newly diagnosed chronic phase chronic myeloid leukemia: final results from the BFORE trial.
    Leukemia · 2022 · 142 citations · Open access · Likely link
  • Efficacy and safety of bosutinib versus imatinib for newly diagnosed chronic myeloid leukemia in the Asian subpopulation of the phase 3 BFORE trial.
    International journal of hematology · 2021 · 13 citations · Likely link
  • Safety profile of bosutinib in Japanese versus non-Japanese patients with chronic myeloid leukemia: a pooled analysis.
    International journal of hematology · 2022 · 8 citations · Likely link
  • Population modeling of bosutinib exposure-response in patients with newly diagnosed chronic phase chronic myeloid leukemia.
    Cancer medicine · 2023 · 7 citations · Open access · Likely link

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

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) and the linked publication. 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. Informational only — not medical advice.

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