Effect of Imatinib Mesylate and the Pharmacokinetics of Acetaminophen/Paracetamol in Patients With Newly Diagnosed, Previously Untreated Chronic Myeloid Leukemia in Chronic Phase (CML-CP)
A Non-randomized, Open-label Study to Investigate the Effects of Imatinib Mesylate on the Pharmacokinetics of Acetaminophen/Paracetamol in Patients With Newly Diagnosed, Previously Untreated Chronic Myeloid Leukemia in Chronic Phase (CML-CP)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Seoul, Korea, Republic of
- Novartis Investigative Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Ability to provide written informed consent prior to participation to the study.
- Male or female patients ≥ 18 and ≤ 75 years of age
- Patients with CML-CP within 6 months of diagnosis (date of initial diagnosis is the date of first cytogenetic analysis). FISH analysis will not be accepted.
- Diagnosis of CML in chronic phase with cytogenetic confirmation of Philadelphia chromosome of (9;22) translocations and presence of Bcr-Abl
- Documented chronic phase CML as defined by:
- < 15% blasts in peripheral blood and bone marrow
- < 30% blasts plus promyelocytes in peripheral blood and bone marrow
- < 20% basophils in the peripheral blood
- ≥ 100 x 109/L (≥ 100,000 /mm3) platelets
- No evidence of extramedullary leukemic involvement, with the exception of hepatosplenomegaly
- Adequate end organ function as defined by:
- total bilirubin < 1.5 x ULN
- SGOT and SGPT < 2.5 x UNL
- creatinine < 1.5 x ULN
- Female patients of childbearing potential must have a negative serum pregnancy test within 7 days before initiation of study drug
Exclusion criteria:
- Patients in late chronic phase, accelerated phase, or blastic phase are excluded
- Patients who have received other investigational agents
- Patients who received imatinib for any duration prior to study entry
- Patient received any treatment for CML prior to study entry for longer than 2 weeks with the exception of hydroxyurea and/or anagrelide
- Patients with another primary malignancy except if the other primary malignancy is neither currently clinically significant or requiring active intervention
- Patients who are:
- pregnant
- breast feeding
- of childbearing potential without a negative pregnancy test prior to baseline
- male or female of childbearing potential unwilling to use barrier contraceptive precautions throughout the trial
- Post-menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential
- Patient with a severe or uncontrolled medical condition (i.e., uncontrolled diabetes, chronic renal disease)
- Patient previously received radiotherapy to ≥ 25% of the bone marrow
- Patient had major surgery within 4 weeks prior to study entry, or who have not recovered from prior major surgery
- Patients with an ECOG Performance Status Score ≥ 3
- Patients with International normalized ratio (INR) or partial thromboplastin time (PTT) > 1.5 x IULN, with the exception of patients on treatment with oral anticoagulant
- Patients with known positivity for human immunodeficiency virus (HIV)
- baseline testing for HIV is not required
- Patients with any significant history of non-compliance to medical regimens or with inability to grant a reliable informed consent
- Patients with identified sibling donors where allogeneic bone marrow transplant is elected as first line treatment
- Patients who are chronic users of acetaminophen or medications containing acetaminophen.
- Patients who received acetaminophen or medications containing acetaminophen within 72 hours prior to study entry.
Other protocol-defined inclusion/exclusion criteria may apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Drug-Drug interaction
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To investigate the effects of the co-administration of imatinib on the pharmacokinetics of acetaminophen / paracetamol
Time Frame: Day 1, day 2 -7, Day 8
|
Day 1, day 2 -7, Day 8
|
|
To investigate the pharmacokinetic characteristics of imatinib at steady state in CML-CP patients following 400 mg dosing co-administered with acetaminophen
Time Frame: Day 1, Day 2-7, Day 8
|
Day 1, Day 2-7, Day 8
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Bone Marrow Diseases
- Hematologic Diseases
- Myeloproliferative Disorders
- Leukemia
- Leukemia, Myeloid
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Analgesics, Non-Narcotic
- Antipyretics
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Acetaminophen
- Imatinib Mesylate
Other Study ID Numbers
Other Study ID Numbers
- CSTI571A2107
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