- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04769947
Italian Treatment Free Remission Registry
Observational Study in Adult Patient With Chronic Myeloid Leukemia Who Discontinue Tyrosine Kinase Inhibitors in Italy
Study Overview
Status
Conditions
Detailed Description
This is an observational, retrospective and prospective study of CP-CML patients who discontinue TKIs in Italy. The study will not imply additional costs for the participating centers. Data already present in the clinical charts will be collected.
The patients, answering to inclusion/exclusion criteria will be enrolled in one of the follow cohorts
- Cohort 1 retrospective/prospective study: 293 patients enrolled and reported in Fava et al 2019 with at least 1 year of follow up at the end of the study (February 2017) and 107 patients enrolled but not reported in Fava et al 2019 since their follow-up was shorter than 1 year. The data for these patients will be collected since the end of previous study.
- Cohort 2 retrospective/prospective study: patient not enrolled in the previous study (Fava et al 2019). The data for these patients will be collected since patient diagnosis to the end of the study.
- Cohort 3 prospective study: patients who have discontinued TKI therapy after the study approval in each center. These patients will also participate in the validation process of Phase 2 of a questionnaire developed by an expert panel of eight CML patients with the purpose of capturing the experiences of people along all phases of the TFR.
Patients participating in the study will not be subjected to any procedure that falls outside the clinical practice; in the same way, clinical variables that will be collected for the study are those that are commonly collected by physician in daily clinical practice.
Any decision about drug administration or suspension is made by the physician based on his clinical judgment in the context of clinical practice, independently from decision to include the patient in this study.
Registration of enrolled patients will be done on-line on a key restricted accessible web-database.
Primary objective and endpoint To assess the TFR rate at 1 year from discontinuation of TKIs. Secondary objectives and endpoints
To further describe the observed population of patients in terms of:
- treatment-free duration; o survival in MR4.5;
- survival in MR3;
- event-free survival;
- progression-free survival;
- deaths after treatment discontinuation;
- rate of achievement of MMR and DMR after treatment re-initiation
- To identify clinical and biological prognostic factors affecting the persistence of off-therapy remission.
To identify optimal timing and modalities of molecular monitoring of BCR-ABL1 transcript
- Evaluation of the safe minimum monitoring during and after treatment discontinuation
- Evaluation of the maximum MRD positivity level acceptable to safely stay off-treatment
- Evaluation of short-term adverse events (withdrawal syndrome: fever, arthralgia, myalgia, bone pain, weight loss) after treatment discontinuation
- Evaluation of long-term adverse events (i.e. cardiovascular adverse events, second neoplasia) after treatment discontinuation
- Validation of the Italian version of the "Phase 2" of a questionnaire developed by an expert panel of eight CML patients to capture the experiences of people along all phases of the TFR
- Evaluation of patient-reported outcomes describing quality of life of patients off therapy and after resumption of TKIs
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Carmen Fava, MD, PhD
- Phone Number: +39 0115085523
- Email: carmen.fava@unito.it
Study Contact Backup
- Name: Giulia Piraccini, MA
- Phone Number: +39 0115085523
- Email: giulia.piraccini1@gmail.com
Study Locations
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-
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Turin, Italy, 10128
- Recruiting
- Division of Hematology-AO Mauriziano Hospital, University of Turin
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Contact:
- Carmen Fava, MD, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with CP-CML, treated with TKI monotherapy or TKI in association with other drugs (such as interferon, BCR-ABL1 peptidic vaccine and others)
- Treatment with TKI discontinued for any reason
- Deep Molecular Response (DMR), defined as MR4 (BCR-ABL1 ratio ≤ 0.01% with at least 10,000 ABL1 copies), or MR4.5 (BCR-ABL1 ratio ≤ 0.0032% with at least 32,000 ABL1 copies), or MR5 (BCR-ABL1 ratio ≤ 0.001% with at least 100,000 ABL1 copies), confirmed at least three times before TKI discontinuation. In patients who discontinued TKIs before the establishment of molecular standardization, DMR will be defined as a level of BCR-ABL1 transcript undetectable by qPCR or by qualitative PCR, confirmed in at least two controls.
- Participant is willing and able to give informed consent for participation in the study Data regarding patients discontinuing in less than DMR (as defined above) will be collected and analysed separately.
Exclusion Criteria:
- Patients who were diagnosed with accelerated or blastic phase CML will be excluded
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
---|
Cohort 1
Cohort 1 retrospective/prospective study: 293 patients enrolled and reported in Fava et al 2019 (1) with at least 1 year of follow up at the end of the study (February 2017) and 107 patients enrolled but not reported in Fava et al 2019 since their follow-up was shorter than 1 year.
The data for these patients will be collected since the end of previous study.
|
Cohort 2
Cohort 2 retrospective/prospective study: patient not enrolled in the previous study (Fava et al 2019).
The data for these patients will be collected since patient diagnosis to the end of the study.
|
Cohort 3
Cohort 3 prospective study: patients who have discontinued TKI therapy after the study approval in each center.
These patients will also participate in the validation process of Phase 2 of a questionnaire developed by an expert panel of eight CML patients with the purpose of capturing the experiences of people along all phases of the TFR.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
TFR rate at 1 year from discontinuation of TKIs
Time Frame: 1 year
|
To assess the TFR rate at 1 year from discontinuation of TKIs
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1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Secondary objectives
Time Frame: 10 years
|
treatment-free duration (months); survival in MR4.5 (%); survival in MR3 (%); event-free survival (%); progression-free survival (%); deaths after treatment discontinuation (%); rate of achievement of MMR and DMR after treatment re-initiation (%)
|
10 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ITALY-TFR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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