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Study of Nilotinib in Ph+ CML-CP Patients With Low Imatinib Trough Plasma Concentrations (MACS1148)

This study has been terminated.
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals ) Identifier:
First received: May 25, 2010
Last updated: October 6, 2015
Last verified: October 2015
This study is to determine the number of European Leukemia Network (ELN)guideline defined treatment failure events from time of study entry in CML-CP patients with low imatinib trough concentrations treated with nilotinib.

Condition Intervention Phase
Philadelphia Chromosome Positive (Ph+)
Chronic Myelogenous Leukemia Chronic Phase(CML-CP) Patients With Low Imatinib Trough Levels
Drug: nilotinib
Phase 4

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multi-center, Single Arm Study of Nilotinib in Philadelphia Chromosome Positive (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) Patients With Low Imatinib Trough Plasma Concentrations

Resource links provided by NLM:

Further study details as provided by Novartis ( Novartis Pharmaceuticals ):

Primary Outcome Measures:
  • To determine the number of ELN-guideline defined treatment failure events from time of study entry in CML-CP patients with low imatinib trough concentrations (<850 ng/mL) treated with nilotinib. [ Time Frame: up to 2 years ]

Secondary Outcome Measures:
  • To determine the proportion of ELN-defined optimal responses on nilotinib. [ Time Frame: up to 2 years ]
  • To determine the rate and time to loss of CCyR, MMR and CMR on nilotinib. [ Time Frame: up to 2 years ]
  • To determine the time to and duration of the CCyR, MMR and CMR achieved on nilotinib. [ Time Frame: up to 2 years ]
  • To determine EFS, PFS and OS with up to 2 years of nilotinib treatment and overall safety profile [ Time Frame: up to 2 years ]

Enrollment: 3
Study Start Date: October 2010
Study Completion Date: August 2011
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Nilotinib Drug: nilotinib
All patients will receive nilotinib 300mg bid po daily. Nilotinib dose is taken every 12 hours
Other Names:
  • AMN107
  • Tasigna


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Ph+ CML-CP within 12 months of diagnosis
  • Imatinib 400 mg qd for up to 12 months
  • Imatinib trough plasma concentration <850 ng/mL
  • Patient that have met response milestones including:

    1. CHR and at least minor CyR (Ph+ ≤65%) at 3 months from diagnosis
    2. At least pCyR at 6 months from diagnosis (Ph+ ≤35%)
    3. CCyR at 12 months from diagnosis

Exclusion Criteria:

  • Prior documented failure events including:
  • Loss of CHR or CCyR
  • Less than CHR (stable disease or disease progression) at 3 months after diagnosis
  • No CyR at 6 months after diagnosis
  • Less than PCyR at 12 months after diagnosis
  • Prior accelerated phase or blast phase CML
  • Previously documented T315I mutation
  • Previous treatment with any other tyrosine kinase inhibitor except for imatinib.
  • Patients who had any other treatment for CML (transplant) except imatinib, hydroxyurea and/or anagrelide
  • Impaired cardiac function (refer to Section 5.2 for details)
  • Patients receiving therapy with strong inhibitors of CYP3A4 or medications that prolong the QT interval and cannot be either discontinued or switched to a different medication prior to starting study drug.
  • Any other malignancy that is clinically significant or requires active intervention.
  • Major surgery within 4 weeks prior to Day 1 of study or who have not recovered from prior surgery.
  • Treatment with other investigational agents within 30 days of Day 1.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01131325

United States, Nevada
Comprehensive Cancer Centers of Nevada CCC of Nevada (1)
Las Vegas, Nevada, United States, 89109
United States, Texas
Cancer Center of the High Plains
Amarillo, Texas, United States, 79106
Baylor Health Care System/Sammons Cancer Center Dept. of Sammons Cancer (2)
Dallas, Texas, United States, 75246
Sponsors and Collaborators
Novartis Pharmaceuticals
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Responsible Party: Novartis Pharmaceuticals Identifier: NCT01131325     History of Changes
Other Study ID Numbers: CAMN107AUS20
Study First Received: May 25, 2010
Last Updated: October 6, 2015

Keywords provided by Novartis ( Novartis Pharmaceuticals ):
Philadelphia chromosome positive
chronic myelogenous leukemia chronic phase
low imatinib trough levels

Additional relevant MeSH terms:
Leukemia, Myeloid
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Philadelphia Chromosome
Neoplasms by Histologic Type
Myeloproliferative Disorders
Bone Marrow Diseases
Hematologic Diseases
Translocation, Genetic
Chromosome Aberrations
Pathologic Processes
Imatinib Mesylate
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action processed this record on May 25, 2017