Studie zur Bestimmung der Wirksamkeit und Sicherheit von Asciminib bei pädiatrischen Patienten mit Ph+ CML-CP
Eine Phase-II-, multizentrische, offene, einarmige Studie zur Bewertung der Sicherheit und Wirksamkeit von Asciminib bei pädiatrischen Teilnehmern, die neu diagnostiziert oder zuvor behandelt wurden mit Philadelphia-positiver chronischer myeloischer Leukämie in chronischer Phase (Ph+ CML-CP) mit oder ohne bekannte T315I-Mutation
The aim of this study is to support development of asciminib in the pediatric population (1 to < 18 years) with Ph+ CML-CP. The study will evaluate the efficacy and safety of asciminib in pediatric formulation (weigh-based dose, fed state) or adult formulation (fasted) in newly diagnosed and resistant or intolerant Ph+ CML-CP with or without T315I mutation.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This is a multi-center, open-label, single arm study of asciminib in pediatric participants aged
1 to <18 years old with Ph+ CML-CP newly diagnosed and previously treated with TKI treatment, with or without T315I mutation.
The study population will consist of three cohorts of Ph+ CML-CP pediatric participants:
- Newly-diagnosed Ph+ CML-CP participants without known T315I mutation
- Ph+ CML-CP participants resistant or intolerant to previous TKI without known T315I mutation
- Ph+ CML-CP participants with known T315I mutation irrespective of prior TKI treatment
There is no fixed duration of study treatment for the participants. The study will end 5 years (240 weeks) after the last enrolled participants received their first dose of treatment in the study. The objective is to have enough follow up for safety, including growth and development and efficacy.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
Erweiterter Zugriff
Erweiterter Zugriff
Verfügbar
- Verfügbar: Für diese Prüfbehandlung ist derzeit ein erweiterter Zugang verfügbar, und Patienten, die nicht an der klinischen Studie teilnehmen, können möglicherweise Zugang zu dem Medikament, Biologikum oder Medizinprodukt erhalten wird untersucht.
- Nicht mehr verfügbar: Erweiterter Zugriff war früher für diese Intervention verfügbar, ist aber derzeit nicht verfügbar und wird auch in Zukunft nicht verfügbar sein.
- Vorübergehend nicht verfügbar: Erweiterter Zugang ist derzeit für diese Intervention nicht verfügbar, wird aber voraussichtlich in Zukunft verfügbar sein.
- Zur Vermarktung zugelassen: Die Intervention wurde von der U.S. Food and Drug Administration für die Verwendung durch die Öffentlichkeit zugelassen.
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Novartis Pharmaceuticals
- Telefonnummer: 1-888-669-6682
- E-Mail: novartis.email@novartis.com
Studieren Sie die Kontaktsicherung
- Name: Novartis Pharmaceuticals
- Telefonnummer: +41613241111
Studienorte
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Queensland
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Brisbane, Queensland, Australien, 4101
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- Novartis Investigative Site
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South Australia
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North Adelaide, South Australia, Australien, 5066
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- Novartis Investigative Site
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Rio de Janeiro
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Rio de Janeiro, Rio de Janeiro, Brasilien, 20211-030
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- Novartis Investigative Site
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São Paulo
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Barretos, São Paulo, Brasilien, 14784-400
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- Novartis Investigative Site
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São Paulo, São Paulo, Brasilien, 04829-310
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Tianjin, China, 300020
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Henan
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Zhengzhou, Henan, China, 450003
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Erlangen, Deutschland, 91054
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Hamburg, Deutschland, 20246
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Hesse
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Frankfurt am Main, Hesse, Deutschland, 60590
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Marseille, Frankreich, 13885
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Paris, Frankreich, 75019
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Poitiers, Frankreich, 86021
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Strasbourg, Frankreich, 67000
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PD
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Padova, PD, Italien, 35128
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- Novartis Investigative Site
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RM
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Roma, RM, Italien, 00165
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- Novartis Investigative Site
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Fukuoka, Japan, 8128582
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- Novartis Investigative Site
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Saitama, Japan, 3308777
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- Novartis Investigative Site
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Kanagawa
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Yokohama, Kanagawa, Japan, 2328555
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- Novartis Investigative Site
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Alberta
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Edmonton, Alberta, Kanada, T6G 1C9
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Quebec
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Montreal, Quebec, Kanada, H3T 1C5
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Utrecht, Niederlande, 3584 CS
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Gdansk, Polen, 80-214
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Wroclaw, Polen, 50-556
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Singapore, Singapur, 229899
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- Novartis Investigative Site
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Barcelona, Spanien, 08035
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Madrid, Spanien, 28046
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Madrid, Spanien, 28009
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Seoul, Südkorea, 03080
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Seoul, Südkorea, 06591
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- Novartis Investigative Site
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Bangkok, Thailand, 10330
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- Novartis Investigative Site
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Bangkok, Thailand, 10700
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- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Ungarn, 4032
- Rekrutierung
- Novartis Investigative Site
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60611
- Rekrutierung
- Ann and Robert H Lurie Childs Hosp
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Hauptermittler:
- Sara Zarnegar-Lumley
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Kontakt:
- Laura Arthur
- Telefonnummer: 312-227-4811
- E-Mail: larthur@luriechildrens.org
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New Jersey
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New Brunswick, New Jersey, Vereinigte Staaten, 08901
- Rekrutierung
- Rutgers Cancer Institute of New Jersey
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Hauptermittler:
- Richard DRACHTMAN
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Kontakt:
- Beverly Poscablo
- E-Mail: bp646@cinj.rutgers.edu
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New York
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New York, New York, Vereinigte Staaten, 10032
- Rekrutierung
- Columbia University Medical Center New York Presbyterian
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Hauptermittler:
- Nobuko Hijiya
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Kontakt:
- Karishma Sookraj
- Telefonnummer: 212-305-6953
- E-Mail: kss2158@cumc.columbia.edu
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45229-3039
- Rekrutierung
- Cinn Children Hosp Medical Center
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Hauptermittler:
- Benjamin Mizukawa
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Kontakt:
- Lori Backus
- E-Mail: lori.backus@cchmc.org
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Washington
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Seattle, Washington, Vereinigte Staaten, 98105
- Rekrutierung
- Seattle Childrens Hospital
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Kontakt:
- Angela Bleeker
- Telefonnummer: 206-884-1071
- E-Mail: Angela.Bleeker@seattlechildrens.org
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Hauptermittler:
- Todd Cooper
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Hanoi, Vietnam, 100000
- Rekrutierung
- Novartis Investigative Site
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Key Inclusion Criteria:
Participants eligible for inclusion in this study must meet all of the following criteria:
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Signed informed consent must be obtained prior to participation in the study.
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Male or female participants 1 and < 18 years of age at study enrollment
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Diagnosis of CML-CP (Apperley et al 2025) with cytogenetic confirmation of Philadelphia positive (Ph+) chromosome
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For participants with CML-CP newly diagnosed within 3 months of screening OR 5 For participants with CML - CP with high risk of developing resistance or intolerance to previous TKI:
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Unfavourable response to TKI is defined following the Apperley et al 2025 guidelines as:
- At three months after the initiation of therapy: BCR::ABL1 ratio > 10% IS (if confirmed within 1-3 months)
- At six months after the initiation of therapy: BCR::ABL1 ratio > 10% IS
- At twelve months after initiation of therapy: BCR::ABL1 ratio > 1% IS
- At any time loss of previous response
- At any time emergent resistant BCR::ABL1 mutations or high-risk ACA from prior TKI treatment as per local test results
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Intolerance to TKI is defined as:
- Non-hematologic intolerance: participants with grade 3 or 4 toxicity while on therapy (in which case the patient is eligible whether or not there was a dose reduction); or with persistent grade 2 toxicity unresponsive to optimal management including dose adjustments (unless dose reduction is not considered in the best interest of the patient if response is already suboptimal)
- Hematologic intolerance: participants with grade 3 or 4 toxicity (absolute neutrophil count [ANC] or platelets) while on therapy that is recurrent after dose reduction to the lowest doses of the TKI
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6. Evidence of typical BCR::ABL1 transcript [e14a2 and/or e13a2] at the time of screening which are amenable to standardized RQ-PCR quantification.
7. Performance status: Karnofsky ≥ 50% for participants ≥ 16 years of age, and Lansky ≥ 50 for participants < 16 years of age at the time of screening.
Key Exclusion Criteria:
- Known second chronic phase (CP) of CML after previous progression to Accelerated Phase (AP)/Blast Phase (BP).
- Previous treatment with a hematopoietic stem-cell transplantation.
- Patient planned to undergo allogeneic hematopoietic stem cell transplantation
- Known presence of a BCR::ABL1 mutation with known resistance to study treatment in accordance with the most recent public version of international CML clinical guidelines (e.g. NCCN CML treatment guidelines v 1.2026 and Apperley et al 2025) any time prior to study entry
Other inclusion/exclusion criteria may apply.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Single arm study
This study will enroll pediatric patients (≥ 1 and < 18 years of age) with newly diagnosed or previously treated with Philadelphia positive Chronic Myelogenous Leukemia in Chronic Phase (Ph+ CML-CP) with or without known T315I mutation |
Asciminib (labelled as ABL001) administered as 40 mg tablet (adult formulation) or as 1 mg film-coated granules mini-tablets (pediatric formulation)
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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MMR at Week 48
Zeitfenster: 48 weeks
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MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR. |
48 weeks
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Zeit bis zur Krankheitsprogression
Zeitfenster: 5 Jahre
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5 Jahre
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MMR at Week 96
Zeitfenster: 96 weeks
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MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR. |
96 weeks
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MMR at and by scheduled timepoints
Zeitfenster: Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96
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MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR. |
Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96
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Hematologic response at and by scheduled timepoints
Zeitfenster: Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96
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Complete hematologic response (CHR) is defined as all of the following present for ≥ 4 weeks (which means present at least at 2 visits 4-week apart, with no intermediate visit showing no CHR):
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Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96
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Cytogenetic response at and by scheduled timepoints
Zeitfenster: 5 years
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Cytogenetic response is defined as follows:
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5 years
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Time to response
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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Time to the first response is defined as: date of the first documented occurrence of the response or time from first study drug intake to first response - date of the first study treatment intake + 1. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Duration of response (limited to the binary response endpoints)
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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Duration of response is defined as the time between the date of the first documented occurrence of the response and the earliest date of confirmed loss of the response, progression to accelerated phase/blast crisis (AP/BC) or CML-related death for participants in the respective Responder Set. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Time to treatment failure (TTF)
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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TTF is defined as the time from the first study drug intake to the first/earliest documented date of any of the following events: unfavorable response to treatment, confirmed loss of MMR at any time while on study treatment and discontinuation from study treatment due to any reason. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Event-free survival (EFS)
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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EFS is defined as the time from the first study drug intake to the earliest occurrence of the following events: unfavorable response to treatment, confirmed loss of MMR at any time while on study treatment, discontinuation from the study treatment due to an adverse event (AE) and death due to any cause. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Overall survival (OS)
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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OS is defined as the time from the first study drug intake to the date of death from any cause during the study (including death observed during the survival follow-up period after discontinuation of study treatment). |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Growth: Height/length, weight, bone age measured by X-Ray
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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To assess growth and sexual maturation. An X-ray of the left hand and wrist to assess bone age will be performed at screening and every 48 weeks until end of treatment (EOT). This assessment will no longer be required for participants once bone maturity in post-puberty stage is confirmed by the last X-ray. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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Sexual maturation: Height/length, weight, bone age measured by Tanner staging
Zeitfenster: 240 weeks after the last participant enrolled in the study received the first dose of treatment
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To assess growth and sexual maturation. Tanner staging will be based on external genitalia, breast and pubic hair examination. Tanner staging will be assessed for all study participants at screening. Participants who do not have a baseline Tanner Stage of 5 will continue to be assessed every 24 weeks until achievement of Tanner Stage 5 on both secondary sexual characteristics or EOT, whichever comes first. Once a participant reaches stage 5, examinations do not need to be conducted anymore. For all male participants, Tanner Stage 5 will be achieved once the participant has demonstrated both stage 5 genitalia development and stage 5 pubic hair development. For all female participants, Tanner Stage 5 will be achieved once the participant has demonstrated both stage 5 breast development and stage 5 pubic hair development. |
240 weeks after the last participant enrolled in the study received the first dose of treatment
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PK parameters of asciminib: AUClast
Zeitfenster: Week 2, Day 1 at 1, 3 and 6 hours post dose
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AUClast: The AUC from time zero to the last measurable concentration sampling time. |
Week 2, Day 1 at 1, 3 and 6 hours post dose
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PK parameters of asciminib: AUCtau
Zeitfenster: Week 2, Day 1: pre dose (0 hour), Week 2: Day 1 at 1, 2, 3, and 6 hours post-dose
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AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state. |
Week 2, Day 1: pre dose (0 hour), Week 2: Day 1 at 1, 2, 3, and 6 hours post-dose
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PK parameter of asciminib: Cmax
Zeitfenster: Week 2, Day 1 at 1, 3, and 6 hours post dose
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Cmax is the maximum (peak) observed plasma drug concentration after single dose administration. |
Week 2, Day 1 at 1, 3, and 6 hours post dose
|
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PK parameter of asciminib: Tmax
Zeitfenster: Week 2, Day 1 at 1, 3, and 6 hours post dose
|
Tmax is the time to reach maximum (peak) plasma drug concentration (h) after administration. |
Week 2, Day 1 at 1, 3, and 6 hours post dose
|
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PK parameter of asciminib: Ctrough
Zeitfenster: Week 2, Day 1: pre-dose (0 hr), Week 24: pre-dose (0 hr), Week 48: Pre-dose (0 hr)
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Ctrough refers to the lowest concentration a drug reaches in the bloodstream immediately before the next dose is administered. |
Week 2, Day 1: pre-dose (0 hr), Week 24: pre-dose (0 hr), Week 48: Pre-dose (0 hr)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Lungenentzündung organisieren
- Pathologische Prozesse
- Neubildungen
- Chronische Erkrankung
- Krankheitsattribute
- Erkrankungen des Immunsystems
- Erkrankungen der Atemwege
- Neubildungen nach histologischem Typ
- Lungenkrankheit
- Bronchialerkrankungen
- Lungenerkrankungen, obstruktive
- Hämatologische Erkrankungen
- Leukämie, Myeloid
- Erkrankungen des Knochenmarks
- Myeloproliferative Erkrankungen
- Bronchiolitis obliterans
- Bronchiolitis
- Bronchitis
- Transplantat-gegen-Wirt-Krankheit
- Pathologische Zustände, Anzeichen und Symptome
- Hämische und lymphatische Krankheiten
- Bronchiolitis obliterans-Syndrom
- Leukämie
- Leukämie, myeloische, chronische, BCR-ABL-positiv
- Asciminib
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CABL001I12202
- 2025-522138-29 (Registrierungskennung: EU CTIS)
- 2025 (US NIH Stipendium/Vertrag)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .