Real-world Study of Scemblix in the Treatment of Chronic Myeloid Leukemia in China (ASC4CN)

March 27, 2026 updated by: Novartis Pharmaceuticals

Explore the Effectiveness and Safety of Scemblix (Asciminib) for Newly Diagnosed CML-CP Patients in China Real World Setting (ASC4CN)

This is a multicenter, non-interventional real-world study designed to assess the efficacy and safety of asciminib in patients with newly diagnosed CML.The study uses a prospective data collection design to gather baseline, pre- and post-treatment, and long-term follow-up data, enabling a comprehensive assessment of asciminib's clinical benefits.

Study Overview

Status

Recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

200

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

  • Name: Novartis Pharmaceuticals

Study Locations

    • Hubei
      • Wuhan, Hubei, China, 430022
        • Recruiting
        • Novartis Investigative Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

patients newly diagnosed with CML-CP and confirmed with Ph+ CML in medical records

Description

Inclusion Criteria:

Patients eligible for inclusion in this study must meet all the following criteria:

  1. 18 years or older at the time of ICF signing;
  2. Newly diagnosed with Ph+ CML-CP within 3 months before enrollment;

    - The diagnosis documentation must include the type and quantitative level of the BCR-ABL1 transcript.

  3. Prior treatment with a maximum of 2 weeks of TKIs;
  4. Prior treatment with non-TKI regimens, including interferon and hydroxyurea, is allowed;
  5. Patients scheduled to initiate treatment with asciminib;

    - Patients beginning asciminib treatment must receive the first dose within 14 days of signing the ICF;

  6. Signed ICF.

Exclusion Criteria:

Patients meeting any of the following criteria are not eligible for inclusion in this study:

  1. Previous diagnosis of CML-accelerated phase or blast crisis;
  2. Currently participating in an interventional clinical study for CML;
  3. Having rare, atypical transcript types that cannot be standardised internationally;
  4. Women who are pregnant, lactating or planning to become pregnant during the study;
  5. Concurrent other malignancies (refer to the International ICD-11 diagnosis codes, with diagnostic text including carcinoma, malignant neoplasm, etc.);
  6. Other conditions that are considered not suitable for the study by the investigator.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Study Group
Asciminib treatment

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cumulative rate of MMR
Time Frame: Month 12
Cumulative rate of major molecular response (MMR) (BCR-ABL1 transcript level ≤ 0.1%) in patients receiving asciminib for 12 months
Month 12

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cumulative rate of MMR
Time Frame: Month 3, Month 6, Month 9, Month 18 and Month 24
The cumulative MMR is defined as at least one BCR::ABL1 transcript level ≤ 0.1% during the follow-up period
Month 3, Month 6, Month 9, Month 18 and Month 24
Cumulative rate of deep molecular response (DMR): MR4 and MR4.5
Time Frame: Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24
Cumulative rate of MR4 is defined as at least one BCR::ABL1 transcript level ≤ 0.01% during the follow-up period; Cumulative MR4.5 is defined as at least one BCR::ABL1 transcript level ≤0.0032% during the follow-up period
Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24
Cumulative rate of complete cytogenetic response (CCyR)
Time Frame: Month 3, Month 6, and Month 12
Cumulative CCyR is defined as at least one cytogenetic examination showing 0 Ph+ cells during the follow-up period
Month 3, Month 6, and Month 12
Time to first MMR
Time Frame: 24 month follow up period
Time to first MMR is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.1% during the follow-up period
24 month follow up period
Time to first MR4 and MR4.5
Time Frame: 24 month follow up period

Time to first MR4 is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.01% during the follow-up period.

Time to first MR4 is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.0032% during the follow-up period

24 month follow up period
Time to first complete cytogenetic response (CCyR)
Time Frame: 24 month follow up period
Time to first CCyR is defined as the time interval from baseline to the first occurrence of CCyRduring the follow-up period
24 month follow up period
Early molecular response (EMR) rate at 3 months
Time Frame: Month 3
Proportion of patients achieving BCR::ABL1 transcript level ≤10% at M3
Month 3
Complete hematologic response (CHR) rate
Time Frame: Month 1, Month 2, and Month 3
the proportion of patients achieving white blood cell count < 10 × 109/L, platelet count < 450 × 109/L, no immature myeloid cells in peripheral blood, peripheral blood basophil percentage < 5%, absence of symptoms/signs of extramedullary involvement, and non-palpable spleen at M1, M2, and M3
Month 1, Month 2, and Month 3
Rate of decline in BCR::ABL1 transcript levels
Time Frame: Baseline, Month 1, Month 2, Month 3, Month 6, Month 9 and Month 12
indirectly calculated from BCR::ABL1 transcript levels at baseline, M1, M2, M3, M6, M9, and M12; determined by BCR::ABL1 halving time
Baseline, Month 1, Month 2, Month 3, Month 6, Month 9 and Month 12
Duration of MMR
Time Frame: 24 month follow up period
Definition of duration: Duration = sum of "intervals"; Interval calculation method: the first visit at which a response is achieved (and previously unmeasured) within the interval is taken as the starting point, then evaluated sequentially in time order; the calculation stops upon encountering a visit that fails to meet the criterion; The duration is calculated as the time interval between the first and last visit at which the response was achieved; Missing visit data points during this period will be defaulted as achieving the response.
24 month follow up period
Duration of MR4 and MR4.5
Time Frame: 24 month follow-up period
24 month follow-up period
Event-Free survival (EFS) rate
Time Frame: Month 12 and Month 24

Lack of efficacy:

  • Failure to achieve expected molecular response: failure to reach the molecular response milestones recommended by the ELN guidelines at prespecified time points;
  • Loss of molecular response: loss of confirmed MMR following achievement of MMR, or loss of CCyR.

Disease progression: progression from the chronic phase to the accelerated phase or blast crisis.

Death: fatal outcome due to any cause during the treatment period. Treatment discontinuation due to adverse events: permanent discontinuation caused by intolerable toxicity, serious adverse events, or other safety-related reasons associated with the study drug.

Month 12 and Month 24
Progression-free survival (PFS) rate
Time Frame: Month 12 and Month 24
Month 12 and Month 24
Overall survival (OS) rate
Time Frame: Month 12 and Month 24
Month 12 and Month 24
Adverse events (AEs) and serious adverse events (SAEs) occurring during asciminib treatment
Time Frame: 24 month follow-up period
24 month follow-up period
Asciminib persistence rates
Time Frame: Month 6, Month 12, and Month 24
Month 6, Month 12, and Month 24
Rates of asciminib treatment interruption/dose reduction and discontinuation due to AEs
Time Frame: 24 month follow-up period
24 month follow-up period
Proportion of patients requiring concomitant medications due to AEs
Time Frame: 24 month follow-up period
24 month follow-up period
Change in the simplified CML quality of life questionnaire from baseline
Time Frame: Baseline, Month 12 and Month 24
Baseline, Month 12 and Month 24
Compliance following asciminib treatment
Time Frame: 24 month follow-up period
Medication possession ratio
24 month follow-up period
Concomitant medication use associated with AEs related to asciminib
Time Frame: 24 month follow-up period
24 month follow-up period
Hospitalization rate, outpatient visit rate, emergency department visit rate, and ICU admission rate related to CML treatment
Time Frame: 24 month follow-up period
24 month follow-up period
Gene mutation rate associated with asciminib treatment
Time Frame: 24 month follow-up period
Gene mutation rate associated with asciminib treatment; types and proportions of positive gene mutations identified via genetic testing.
24 month follow-up period

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 12, 2026

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2028

Study Registration Dates

First Submitted

January 21, 2026

First Submitted That Met QC Criteria

January 21, 2026

First Posted (Actual)

January 29, 2026

Study Record Updates

Last Update Posted (Actual)

April 1, 2026

Last Update Submitted That Met QC Criteria

March 27, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • CABL001J1CN01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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