Estudo para Determinar a Eficácia e Segurança do Asciminib em Doentes Pediátricos com LMC-CP Ph+
Um Estudo de Fase II, Multicêntrico, Aberto, de Braço Único para Avaliar a Segurança e Eficácia do Asciminib em Participantes Pediátricos Recentemente Diagnosticados ou Previamente Tratados com Leucemia Mielóide Crónica Positiva para Filadélfia em Fase Crónica (Ph+ LMC-CP) Com ou Sem Mutação T315I Conhecida
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.
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Descrição detalhada
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.
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 2
Acesso expandido
Acesso expandido
Disponível
- Disponível: o acesso expandido está atualmente disponível para este tratamento experimental, e os pacientes que não são participantes do estudo clínico podem obter acesso ao medicamento, biológico ou dispositivo médico sendo estudado.
- Não está mais disponível: o acesso expandido estava disponível para esta intervenção anteriormente, mas não está disponível atualmente e não estará disponível no futuro.
- Temporariamente indisponível: o acesso expandido não está disponível atualmente para esta intervenção, mas espera-se que esteja disponível no futuro.
- Aprovado para marketing: A intervenção foi aprovado pela Food and Drug Administration dos EUA para uso público.
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Novartis Pharmaceuticals
- Número de telefone: 1-888-669-6682
- E-mail: novartis.email@novartis.com
Estude backup de contato
- Nome: Novartis Pharmaceuticals
- Número de telefone: +41613241111
Locais de estudo
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Erlangen, Alemanha, 91054
- Recrutamento
- Novartis Investigative Site
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Hamburg, Alemanha, 20246
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- Novartis Investigative Site
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Hesse
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Frankfurt am Main, Hesse, Alemanha, 60590
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- Novartis Investigative Site
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Queensland
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Brisbane, Queensland, Austrália, 4101
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- Novartis Investigative Site
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South Australia
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North Adelaide, South Australia, Austrália, 5066
- Recrutamento
- Novartis Investigative Site
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Rio de Janeiro
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Rio de Janeiro, Rio de Janeiro, Brasil, 20211-030
- Recrutamento
- Novartis Investigative Site
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São Paulo
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Barretos, São Paulo, Brasil, 14784-400
- Recrutamento
- Novartis Investigative Site
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São Paulo, São Paulo, Brasil, 04829-310
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- Novartis Investigative Site
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Alberta
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Edmonton, Alberta, Canadá, T6G 1C9
- Recrutamento
- Novartis Investigative Site
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Quebec
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Montreal, Quebec, Canadá, H3T 1C5
- Recrutamento
- Novartis Investigative Site
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Tianjin, China, 300020
- Recrutamento
- Novartis Investigative Site
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Henan
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Zhengzhou, Henan, China, 450003
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- Novartis Investigative Site
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Singapore, Cingapura, 229899
- Recrutamento
- Novartis Investigative Site
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Seoul, Coréia do Sul, 03080
- Recrutamento
- Novartis Investigative Site
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Seoul, Coréia do Sul, 06591
- Recrutamento
- Novartis Investigative Site
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Barcelona, Espanha, 08035
- Recrutamento
- Novartis Investigative Site
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Madrid, Espanha, 28046
- Recrutamento
- Novartis Investigative Site
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Madrid, Espanha, 28009
- Recrutamento
- Novartis Investigative Site
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Illinois
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Chicago, Illinois, Estados Unidos, 60611
- Recrutamento
- Ann and Robert H Lurie Childs Hosp
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Investigador principal:
- Sara Zarnegar-Lumley
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Contato:
- Laura Arthur
- Número de telefone: 312-227-4811
- E-mail: larthur@luriechildrens.org
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New Jersey
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New Brunswick, New Jersey, Estados Unidos, 08901
- Recrutamento
- Rutgers Cancer Institute of New Jersey
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Investigador principal:
- Richard DRACHTMAN
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Contato:
- Beverly Poscablo
- E-mail: bp646@cinj.rutgers.edu
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New York
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New York, New York, Estados Unidos, 10032
- Recrutamento
- Columbia University Medical Center New York Presbyterian
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Investigador principal:
- Nobuko Hijiya
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Contato:
- Karishma Sookraj
- Número de telefone: 212-305-6953
- E-mail: kss2158@cumc.columbia.edu
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Ohio
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Cincinnati, Ohio, Estados Unidos, 45229-3039
- Recrutamento
- Cinn Children Hosp Medical Center
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Investigador principal:
- Benjamin Mizukawa
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Contato:
- Lori Backus
- E-mail: lori.backus@cchmc.org
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Washington
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Seattle, Washington, Estados Unidos, 98105
- Recrutamento
- Seattle Childrens Hospital
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Contato:
- Angela Bleeker
- Número de telefone: 206-884-1071
- E-mail: Angela.Bleeker@seattlechildrens.org
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Investigador principal:
- Todd Cooper
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Marseille, França, 13885
- Recrutamento
- Novartis Investigative Site
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Paris, França, 75019
- Recrutamento
- Novartis Investigative Site
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Poitiers, França, 86021
- Recrutamento
- Novartis Investigative Site
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Strasbourg, França, 67000
- Recrutamento
- Novartis Investigative Site
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Utrecht, Holanda, 3584 CS
- Recrutamento
- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Hungria, 4032
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- Novartis Investigative Site
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PD
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Padova, PD, Itália, 35128
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- Novartis Investigative Site
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RM
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Roma, RM, Itália, 00165
- Recrutamento
- Novartis Investigative Site
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Fukuoka, Japão, 8128582
- Recrutamento
- Novartis Investigative Site
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Saitama, Japão, 3308777
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- Novartis Investigative Site
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Kanagawa
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Yokohama, Kanagawa, Japão, 2328555
- Recrutamento
- Novartis Investigative Site
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Gdansk, Polônia, 80-214
- Recrutamento
- Novartis Investigative Site
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Wroclaw, Polônia, 50-556
- Recrutamento
- Novartis Investigative Site
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Bangkok, Tailândia, 10330
- Recrutamento
- Novartis Investigative Site
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Bangkok, Tailândia, 10700
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- Novartis Investigative Site
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Hanoi, Vietnã, 100000
- Recrutamento
- Novartis Investigative Site
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Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
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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)
Outros nomes:
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O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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MMR at Week 48
Prazo: 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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Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
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Tempo até à progressão da doença
Prazo: 5 anos
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5 anos
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MMR at Week 96
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: Week 2, Day 1 at 1, 3, and 6 hours post dose
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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
Prazo: 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)
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Diretor de estudo: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Pneumonia Organizadora
- Processos Patológicos
- Neoplasias
- Doença crônica
- Atributos da doença
- Doenças do sistema imunológico
- Doenças Respiratórias
- Neoplasias por Tipo Histológico
- Doenças pulmonares
- Doenças brônquicas
- Doenças Pulmonares Obstrutivas
- Doenças Hematológicas
- Leucemia Mieloide
- Doenças da Medula Óssea
- Distúrbios mieloproliferativos
- Bronquiolite Obliterante
- Bronquiolite
- Bronquite
- Doença do Enxerto x Hospedeiro
- Condições Patológicas, Sinais e Sintomas
- Doenças hemic e linfáticas
- Bronquiolite Obliterante Síndrome
- Leucemia
- Leucemia Mielóide, Crônica, BCR-ABL Positivo
- asciminibe
Outros números de identificação do estudo
Outros números de identificação do estudo
- CABL001I12202
- 2025-522138-29 (Identificador de registro: EU CTIS)
- 2025 (Concessão/Contrato do NIH dos EUA)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
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.
Informações sobre medicamentos e dispositivos, documentos de estudo
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