Phase 2 Dasatinib Combo With Smoothened (SMO) Antagonist (BMS-833923)
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Purpose
The purpose of the study is to compare response rates in newly diagnosed Chronic Phase (CP) CML subjects treated with dasatinib plus BMS-833923 versus dasatinib alone.
| Condition | Intervention | Phase |
|---|---|---|
|
Leukemia |
Drug: Dasatinib Drug: BMS-833923 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label, Randomized, Multicenter Phase 2 Trial of Dasatinib (SPRYCEL®) vs. Dasatinib Plus Smoothened Antagonist (BMS-833923) in the Treatment of Subjects With Newly Diagnosed Chronic Phase Philadelphia Chromosome Positive Chronic Myeloid Leukemia (CML). |
- To compare Major Molecular Response (MMR) rates for dasatinib alone versus dasatinib combined with SMO-antagonist in newly diagnosed Chronic Phase (CP) CML subjects (who did not achieve MMR within 1 year of treatment with dasatinib alone). [ Time Frame: Within 18 months from start of treatment ] [ Designated as safety issue: No ]
- Complete molecular response at any time [ Time Frame: Approximately 5 years ] [ Designated as safety issue: No ]
- Progression-free survival, measured by the time from start of treatment to progression or death [ Time Frame: Approximately 5 years ] [ Designated as safety issue: No ]
- Event-free survival, measured by the time from start of treatment to progression, death or treatment discontinuation [ Time Frame: Approximately 5 years ] [ Designated as safety issue: No ]
- Transformation-free survival measured by the time from start of treatment to criteria for accelerated or blast phase CML are met and death [ Time Frame: Approximately 5 years ] [ Designated as safety issue: No ]
- Safety of combination, measured by incidence of Serious Adverse Events and Adverse Events, deaths, laboratory values, and results of Electrocardiogram (ECG) will be assessed [ Time Frame: Approximately 5 years ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 271 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | May 2017 |
| Estimated Primary Completion Date: | May 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Arm 1: Dasatinib |
Drug: Dasatinib
Tablets, Oral, 100 mg, Once daily, approximately 5 years depending on response
Other Name: Sprycel®
|
|
Experimental: Arm2: Dasatinib + BMS-833923
Dasatinib for 1 year followed by dasatinib plus BMS-833923 for 2 years followed by dasatinib alone for approximately 2 years; depending on response
|
Drug: Dasatinib
Tablets, Oral, 100 mg, Once daily, approximately 5 years depending on response
Other Name: Sprycel®
Drug: BMS-833923
Capsules, Oral, dose to be determined, Once daily, approximately 2 years depending on response
|
Detailed Description:
Design:
Study Design and Duration as current described are no longer applicable since enrollment was prematurely concluded due to a decision by the sponsor. Subjects currently enrolled in the trial will continue to receive dasatinib alone at a starting dose of 100 mg QD for:
- a maximum of 5 years after entry into the study
- until progression by Investigators determination/judgment
- intolerance to Dasatinib
- the study is terminated due to safety concerns or
- other administrative reasons as communicated by the sponsor
- Research Hypothesis :
The research hypothesis and primary objective of this study as originally designed are no longer applicable as subjects enrolment has been terminated due to administrative reasons by the sponsor. The objective of the altered design of this study is to describe the safety profile and tolerability of dasatinib
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects ≥ 18 years of age who have signed informed consent
- Philadelphia positive Chronic Myeloid Leukemia (CML) in chronic phase
- Previously untreated chronic phase CML, except for Anagrelide or Hydroxyurea.
- Eastern Co-Operative Group (ECOG) Performance Status (PS) Score 0 - 2
Exclusion Criteria:
- Known Abl-kinase T315I or T315A mutation
- Serious or uncontrolled medical disorder (including infection or cardiovascular disease) or dementia or other serious psychiatric condition
- Prior chemotherapy.
- Women who are pregnant or breastfeeding or Women of Child Bearing Potential (WOCBP) who are unwilling or unable to use an acceptable method to avoid pregnancy during the entire study period.
Contacts and Locations
Show 31 Study Locations| Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
More Information
Additional Information:
No publications provided
| Responsible Party: | Bristol-Myers Squibb |
| ClinicalTrials.gov Identifier: | NCT01357655 History of Changes |
| Other Study ID Numbers: | CA180-363, 2011-000083-10 |
| Study First Received: | May 18, 2011 |
| Last Updated: | March 28, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Bristol-Myers Squibb:
|
Myelogenous Chronic BCR-ABL Positive |
Additional relevant MeSH terms:
|
Leukemia Philadelphia Chromosome Neoplasms by Histologic Type Neoplasms Translocation, Genetic Chromosome Aberrations |
Pathologic Processes Dasatinib Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013