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Ponatinib in Newly Diagnosed Chronic Myeloid Leukemia (CML) (EPIC)

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IIIBiomarker/Laboratory analysis, TreatmentActive18 and overPharmaceutical / IndustryAP24534-12-301
NCT01650805

Trial Description

Summary

The purpose of this study is to compare the efficacy of ponatinib and imatinib in patients with newly diagnosed chronic myeloid leukemia (CML) in the chronic phase.

Further Study Information

This multicenter, international, phase 3 trial will test the hypothesis that ponatinib is an effective treatment for newly diagnosed CP-CML patients when compared with standard imatinib.

Patients will be randomized in a 1:1 fashion, stratified by Sokal risk score at diagnosis (low, intermediate, high), to receive once daily oral administration of either ponatinib or imatinib. Efficacy measures include molecular, cytogenetic, and hematologic response rates at various timepoints; time to, duration of, and durability of responses; and survival follow-up. Safety measures include clinical laboratory testing, adverse event monitoring, vital signs, physical exams, ECGs, and ECHOs. Other measures include two patient-reported health outcomes questionnaires (FACT-Leu and EQ-5D-5L), determination of mutation status, and, for ponatinib only, measurement of steady-state plasma concentration. Accrual is expected to take approximately 2 years, and patients will be followed for survival for up to 8 years after the last patient's first dose; therefore, patient participation may last up to 10 years.

Eligibility Criteria

Inclusion Criteria:

1. CP CML within 6 months of diagnosis

  • CP-CML will be defined by (i) <15% blasts in bone marrow; (ii) <30% blasts plus promyelocytes in bone marrow; (iii) <20% basophils in peripheral blood; (iv) ≥100 × 10^9/L platelets (≥100,000/mm^3); (v) No evidence of extramedullary disease except hepatosplenomegaly; AND (vi) No prior diagnosis of AP-CML or BP-CML

2. Cytogenetic assessment must demonstrate the BCR-ABL fusion by presence of the t(9;22) Philadelphia chromosome

  • (a)Variant translocations are only allowed provided they are assessable for cytogenetic response utilizing conventional cytogenetic techniques; (b) Conventional chromosome banding must be performed; AND (c) A minimum of 20 metaphases must be assessable at entry

3. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2

4. Adequate hepatic function as defined by the following criteria:

(a) Total serum bilirubin ≤1.5 x upper limit of normal (ULN), unless due to Gilbert's syndrome; (b) Alanine aminotransferase (ALT) ≤2.5 × ULN; AND (c) Aspartate aminotransferase (AST) ≤2.5 × ULN

5. Adequate renal function as defined as defined by serum creatinine <1.5 x ULN

6. Adequate pancreatic function as defined by serum lipase and amylase ≤1.5 × ULN

Exclusion Criteria:

1. Received prior imatinib therapy

2. Received prior dasatinib therapy

3. Received prior nilotinib therapy

4. Received, for CML, any other systemic anticancer therapy, experimental therapy, or radiation therapy with the exception of anagrelide or hydroxyurea

5. Major surgery within 28 days prior to initiating therapy

6. History of bleeding disorder unrelated to CML

7. History of acute pancreatitis within 1 year of study or history of chronic pancreatitis

8. History of alcohol abuse

9. Have uncontrolled hypertriglyceridemia (triglycerides >450 mg/dL)

10. Clinically significant, uncontrolled, or active cardiovascular disease, specifically including, but not restricted to:

1. Myocardial infarction, within 6 months prior to randomization

2. Unstable angina within 6 months prior to randomization

3. Congestive heart failure within 6 months prior to randomization

4. History of clinically significant (as determined by the treating physician) atrial arrhythmia or any ventricular arrhythmia

5. Any history of ventricular arrhythmia

6. Cerebrovascular accident or transient ischemic attack within 6 months prior to randomization

7. Any history of peripheral arterial occlusive disease requiring revascularization

8. Any history of venous thromboembolism including deep venous thrombosis or pulmonary embolism

11. Uncontrolled hypertension (diastolic blood pressure >90 mm Hg; systolic >140 mm Hg). Patients with hypertension should be under treatment on study entry to effect blood pressure control

12. Taking medications that are known to be associated with Torsades de Pointes

13. Ongoing or active infection. The requirement for intravenous (IV) antibiotics is considered active infection

14. Known history of human immunodeficiency virus (HIV). Testing is not required in the absence of history

15. Pregnant or breastfeeding

16. Malabsorption syndrome or other gastrointestinal illness that could affect oral absorption of study drugs

17. Diagnosed with or received anticancer therapy for another primary malignancy within 3 years prior to entry (except for non-melanoma skin cancer or cervical cancer in situ)

18. Any condition or illness that, in the opinion of the Investigator, would compromise patient safety or interfere with the evaluation of the drug

Trial Contact Information

Trial Lead Organizations/Sponsors

ARIAD Pharmaceuticals, Incorporated

Nikolaus S. Trede, MD, PhDPh: (617) 494-0400
  Email: nikolaus.trede@ariad.com

Trial Sites

U.S.A.
California
  Burbank
 US Oncology - Providence Health System, Site #167
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
  Los Angeles
 UCLA Department of Medicine, Site #027
  Pleasant Hill
 Bay Area Cancer Research Group, Site #156
 Kaimiala Cardines Ph: 925-676-3200 Ext.108
  Email: kcardines@bacrg.com
 Bay Area Cancer Research Group, Site #157
 Kaimiala Cardines Ph: 925-676-3200 Ext.108
  Email: kcardines@bacrg.com
Colorado
  Boulder
 Rocky Mountain Cancer Centers, Site #191
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
Connecticut
  Southington
 Cancer Center of Central Connecticut, Site #147
 Mark Turney Ph: 860-621-9316
  Email: mjt2716@sbcglobal.net
Delaware
  Newark
 Christiana Care Health Services, Site #155
 Kathy Combs Ph: 302-623-4639
Florida
  Boynton Beach
 University Cancer Institute, Site #149
 Arthur Voulgaris Ph: 561-737-6556 Ext.116
  Email: tvoulgaris@universitycancerinstitute.com
  Fort Meyers
 Florida Cancer Specialists, Site #180
 Cara M. O'Keefe Ph: 239-274-9930
  Email: cokeefe@flcancer.com
  St. Petersburg
 Florida Cancer Specialists, Site #179
 Christine Biermeier Ph: 727-216-1143
  Email: cbiermeier@flcancer.com
Georgia
  Atlanta
 Emory University, Site #058
 Ann Shen Ph: 404-778-1900
  Email: ann.shen@emory.edu
Illinois
  Chicago
 University of Chicago Cancer Research Center
 Margaret Green, RN OCN Ph: 773-702-0267
  Maywood
 Cardinal Bernardin Cancer Center at Loyola University Medical Center
 Kathy Kotula Ph: 708-327-3317
  Email: kkotula@lumc.edu
Indiana
  Indianapolis
 Franciscan St. Francis Health, Site #138
 Elissa O'Malley, BSN Ph: 317-528-7296
  Email: Elissa.Omalley@franciscanalliance.org
Iowa
  Iowa City
 Holden Comprehensive Cancer Center at University of Iowa
 Karen Parrott Ph: 319-353-6347
Kansas
  Wichita
 US Oncology - Cancer Center of Kansas, Site #168
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
Maryland
  Baltimore
 Greater Baltimore Medical Center, Site #140
 Dana Hack Ph: 443-849-8139
 University of Maryland, Greenebaum Cancer Center, Site #040
 Veronica Fuller Ph: 410-328-7332
  Email: vfuller@umm.edu
Massachusetts
  Boston
 Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute
 Shannon Mililo
  Email: Shannon_Milillo@dfci.harvard.edu
 Massachusetts General Hospital
 Regina Silver Ph: 617-643-9866
  Email: rsilver@partners.org
Michigan
  Ann Arbor
 University of Michigan Medical Center, Site #011
 Emilija Mitrikeska Ph: 734-647-8901
Minnesota
  Rochester
 Mayo Clinic, Site #044
 Doug Waldner
  Email: waldner.douglas@mayo.edu
Missouri
  Kansas City
 Saint Luke's Hospital, Site #162
 Julie Weiss Ph: 816-932-1349
  Email: jaweiss@saint-lukes.org
  Springfield
 Mercy Medical Center
 Adrianna Moore
  Email: Adrianna.moore@mercy.net
Nebraska
  Lincoln
 Nebraska Hematology-Oncology, PC
 Madhu Midathada, MD Ph: 402-484-4908
  Email: mmidathada@yourcancercare.com
Nevada
  Las Vegas
 US Oncology - Comprehensive Cancer Center of Nevada, Site #169
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
New Jersey
  Hackensack
 John Theurer Cancer Center, Site #128
 Kevin Barga
  Email: KBarga@hackensackUMC.org
New Mexico
  Albuquerque
 University of New Mexico Cancer Center, Site #166
 Kathy Anderson Ph: 505-272-7813
  Email: kanderson@nmcca.org
New York
  Mineola
 Winthrop University Hospital, Site #153
 Michael Garrison Ph: 516-663-9500
  New York
 Memorial Sloan-Kettering Cancer Center
 Ellin Berman Ph: 212-639-7762
  Email: bermane@MSKCC.ORG
 Weill Cornell Medical College, Site #006
 Tania J. Curcio Ph: 212-746-2571
  Email: tjc9003@med.cornell.edu
  Valhalla
 New York Medical College, Site #146
 Paul Baskind
  Email: Paul_Baskind@nymc.edu
Ohio
  Middletown
 Signal Point Clinical Research Center, Site #139
 Ben Agnew
  Email: BAgnew@swohio.twcbc.com
Oklahoma
  Oklahoma City
 University of Oklahoma, Site #028
 Mohamad Cherry Ph: 405-271-4022
  Email: Mohamad-cherry@ouhsc.edu
 Bronwyn Bennett Ph: 405-271-8777
  Email: Bronwyn-bennett@ouhsc.edu
Oregon
  Portland
 Oregon Health & Science University, Site #048
 Shara Reasor-Heard Ph: 503-494-5074
  Email: reasorhe@ohsu.edu
Pennsylvania
  Gettysburg
 Gettysburg Cancer Center, Site #160
 Vansessa Hardman
  Email: vhardman@gettysburgoncology.com
  Pittsburgh
 Western Pennsylvania Hospital, Site #159
 Lori Stover Ph: 412-578-4392
  Email: lstover@wpahs.org
South Carolina
  Charleston
 Hollings Cancer Center at Medical University of South Carolina
 Shanta Salzer Ph: 843-792-1463
  Email: salzers@musc.edu
 Luciano Costa
  Email: costalj@musc.edu
  Sumter
 Carolina Hematology Oncology, Site #143
 Hanrry Paredes Ph: 803-934-8348
  Email: hanrrypardes@hotmail.com
Tennessee
  Nashville
 Sarah Cannon Research Institute, Site #076
 Ask Sarah Ph: 877-691-7274
Texas
  Austin
 US Oncology - Texas Oncology Austin, Site #172
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
  Dallas
 US Oncology - Texas Oncology Dallas, Site #171
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
  Midland
 US Oncology - Texas Oncology Midland, Site #173
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
  San Antonio
 US Oncology - Cancer Care Center of South Texas, Site #170
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
Utah
  Salt Lake City
 Huntsman Cancer Institute, Site #043
 Debbie Herbert, CCRP Ph: 801-213-4230
Washington
  Seattle
 Seattle Cancer Care Alliance, Site #100
 Kaysey Orlowski Ph: 800-804-8824
  Email: korlowsk@fhcrc.org
  Vancouver
 US Oncology - Northwest Cancer Specialists, Site #174
 Yolanda Caddick
  Email: Yolanda.caddick@usoncology.com
West Virginia
  Morgantown
 West Virginia University, Site #154
 Angela Rishel Ph: 304-293-2149
  Email: arishel@hsc.wvu.edu
 Karen Stauffer Ph: 304-581-1156
  Email: ksstauffer@hsc.wvu.edu
Australia
  Perth
 Royal Perth Hospital, Site #972
 Megan Margaria Ph: +61 8 9224 7038
  Email: Megan.Margaria@health.wa.gov.au
Australian Capital Territory
  Garran
 Canberra Hospital, Site #971
 Anais Le Gall Ph: +61 2 6244 4289
  Email: Anais.LeGall@act.gov.au
South Australia
  Adelaide
 Royal Adelaide Hospital, Site #951
 Lisa Carne
  Email: lisa.carne@health.sa.gov.au
Victoria
  East Melbourne
 The Peter MacCallum Cancer Center, Site #950
 Carrie Donohoe
  Email: Carrie.Donohoe@petermac.org
  Melbourne
 Box Hill Hospital, Site #940
 Lesley Poulton
  Email: lesley.poulton@monash.edu
Belgium
  Bruxelles
 Clinique Universitaire de Saint-Luc, Department of Haematology, Site #508
 Laurent Knoops Ph: + 32 2 764 18 07
  Email: laurent.knoops@uclouvain.be
  Leuven
 UZ Gasthuisberg - Department of Hematology, Site #700
 Gregor Verhoef Ph: 016/346880
  Email: gregor.verhoef@uzleuven.be
Canada
Ontario
  Toronto
 Princess Margaret Hospital
 Lidia Casciaro
  Email: Lidia.Casciaro@uhn.ca
Quebec
  Montreal
 Jewish General Hospital - Montreal
 Penny Chipman
  Email: penny.chipman@mcgill.ca
Czech Republic
  Hradec Kralove
 FN Hradec Kralove, Site #517
Finland
  Helsinki
 Helsinki University Central Hospital, Site #542
 Kimmo Porkka Ph: 358-947172338
  Email: kimmo.porkka@helsinki.fi
France
  Bordeaux
 Institut Bergonie, Site #772
  Le Chesnay Cedex
 Centre Hospitalier de Versailles, Site #958
  Lille Cedex
 Hospital Claude Huriez, Site #952
  Nancy Cedex
 CHU de Brabois, Site #953
  Paris
 Hospital Saint Antoine, Site #518
  Pierre Benite
 Centre Hospitalier Lyon Sud, Site #956
  Poitiers
 CHU de Poitiers, Site #954
Germany
  Aachen
 Universitätsklinikum Aachen, AÖR, Site #513
 Tim H. Brümmendorf Ph: 0049 241 8089805
  Email: tbruemmendorf@ukaachen.de
  Berlin
 Charite University Hospital - Campus Virchow Klinikum
 Philipp le Coutre Ph: 49 (0)30 450 553 077
  Email: philipp.lecoutre@charite.de
  Dresden
 Universitatsklinikum Carl Gustav Carus an der TU Dresden, Site #526
 Rainer Ordemann Ph: 0049 351-4588112
  Email: Rainer.Ordemann@uniklinikum-dresden.de
  Freiburg
 Universitatsklinikum Freiburg, Site #527
  Hamburg
 Universitatsklinikum Hamburg-Eppendorf, Site #524
 Philippe Schafhausen Ph: 0049 40-74105- 7122
  Email: schafhausen@uke.de
  Jena
 Klinikum der Friedrich-Schiller Universitaet Jena
 Andreas Hochhaus Ph: +49 (0)3641 932 4201
  Email: Andreas.Hochhaus@med.uni-jena.de
  Koln
 Universitatsklinikum Koln-AOR, Site #525
 Christof Scheid Ph: 0049 221 478 98888
  Email: christoph.scheid@uk-koeln.de
  Mannheim
 Universitat Heidelberg, CML - Studienzentrale III. Medizinische Klinik, Site #947
 Regina Pleil-Losch Ph: 49 (0) 621 383 6951
  Munchen
 Klinikum rechts der Isar, Site #949
 Philipp J. Jost Ph: 49 (089) 4140 5941
  Email: philipp.jost@lrz.tum.de
Hong Kong
  Hong Kong
 Queen Mary Hospital, Site #973
Italy
  Bari
 Unita Operativa di Ematologia con Trapianto, Site #529
 Giorgina Specchia Ph: 0039.080.5593471
  Email: g.specchia@ematba.uniba.it
  Bologna
 Istituto di Ematologia "L. & A. Seragnoli", Site #959
 Gianantonio Rosti Ph: 0039 051 0516364076
  Email: totorosti@gmail.com
  Catania
 A.O. Universitaria Policlinico Vittorio Emanuele di Catania, Site #530
 Francesco Di Raimondo Ph: 0039 0957435916
  Email: diraimon@unict.it
  Genova
 Clinica Ematologica, Site #528
 Marco Gobbi Ph: 0103538953
  Email: marco.gobbi@unige.it
  Milan
 Ospedale Niguarda Ca'Granda
 Ester Pungolino Ph: 0039 02 6444 3965
  Email: ester.pungolino@ospedaleniguarda.it
  Modena
 S.C. Ematologia, Site #960
  Monza
 San Gerardo Hospital, Site #961
 Carlo Gambacorti-Passerini Ph: 0039 039 2339551
  Email: carlo.gambacorti@unimib.it
  Napoli
 Universita Federico II, Site #510
  Orbassano
 SCDU Medicina Interna II - Indirizzo Ematologico, Site #785
Netherlands
  Amsterdam
 Vrije Universiteit Medisch Centrum
New Zealand
  Christchurch
 Christchurch Hospital, Site #922
 Peter Ganly
  Email: Peter.Ganly@cdhb.health.nz
  Hamilton
 Waikato Hospital, Site #977
 Humphrey Pullon Ph: 64 7 839 8899
  Email: Humphrey.Pullon@waikatodhb.health.nz
  Takapuna
 North Shore Hospital, Site #976
 David Simpson
  Email: David.Simpson@waitematadhb.govt.nz
Auckland
  Grafton
 Auckland City Hospital
 Lucy Pemberton
  Email: pemberl@adhb.govt.nz
Republic of Korea
  Seocho-gu
 The Catholic University of Korea, Site #938
 Prof. Dong-Wook Kim Ph: 82-2-2258-7622
  Email: dwkim@catholic.ac.kr
Republic of Singapore
  Singapore
 Singapore General Hospital, Site #939
 Dr. Charles Chuah Thuan Heng Ph: 65-63214855
  Email: Charles.chuah.t.h@sgh.com.sg
Slovakia
  Bratislava
 Narodny onkologicky ustav, Site #532
  Martin
 Univerzitna nemocnica Martin, Site #533
Spain
  A Coruna
 Complejo Hospitalario Universitario A Coruna, Hospital "Teresa Herrera," Site #554
  Badalona
 Hospital Universitari Germans Trias i Pujol, Site #512
  Barcelona
 Hospital Clinic de Barcelona
 Francisco Cervantes Ph: 0034 93 227 54 28
  Email: FCERVAN@clinic.ub.es
  Girona
 Institut Catala d' Oncologia de Girona, S. de Hematologia Clinica, Site #734
  Islas Baleares
 Hospital Universitari Son Espases, Site #553
  Madrid
 H.U. Ramon y Cajal, Site #538
 Valentin Garcia Ph: +34 913368686
  Email: jvalentingg@gmail.com
 Hospital Gregorio Maranon, Site #536
 Santiago Osorio Ph: 34628667388
  Email: sanosorio2000@yahoo.com
 Hospital La Paz, Site #966
 Raquel de Paz Ph: 0034 91 727 7116
  Email: depazraquel@gmail.com
 Hospital Universitario 12 de Octubre, Site #537
 Joaquín Martínez Ph: 34917792787
  Email: jmartinezlo@hematologia12octubre.com
  Oviedo
 Hospital Universitario Central de Asturias, Site #535
 Angel Ramirez
  Email: apayer.angel@gmail.com
  Salamanca
 University Hospital - Salamanca
 Fermin Sanchez Guijo Ph: +34923291384
  Email: ferminsg@usal.es
  Valencia
 Hospital Clinico Universitario de Valencia, Site #964
 Juan Carlos Hernandez Boluda Ph: 0034 963987832
  Email: hernandez_jca@gva.es
Sweden
  Lund
 Lund University Hospital
 Maria Hector Ph: 004646 17 7141
  Email: maria.hector@skane.se
  Stockholm
 Karolinska University Hospital - Solna
 Karolinska University Hospital Huddinge, Site #534
  Uppsala
 Uppsala University Hospital, Site #945
 Ulla Olsson-Stromberg Ph: 46186110000
  Email: ulla.stromberg@talk21.com
Switzerland
  Aarau
 Kantonsspital Aarau, Site #541
 Mario Bargetzi Ph: 0041 62 838 60 53
  Email: mario.bargetzi@ksa.ch
Taiwan
  Taiching
 China Medical University Hospital, Site #978
 Su-Peng Yeh
 Contact Person Ph: 886-4-22052121 Ext.5051
  Email: supengyeh@gmail.com
  Taipei
 National Taiwan University Hospital, Site #979
United Kingdom
  Glasgow
 University of Glasgow, Site #797
  Leeds
 St. James University Hospital, Site #540
  Liverpool
 Royal Liverpool University Hospital, Site #969
 Richard Clark Ph: 44 151 706 4297
  Email: R.E.Clark@liverpool.ac.uk
  London
 Hammersmith Hospital, Site #967
 Jane Apperley Ph: +44 20 8383 4017
  Email: j.apperley@imperial.ac.uk
  Newcastle
 Newcastle University, Site #970
 Stephen O'Brien Ph: +44 191 282 0904
  Email: s.g.o'brien@ncl.ac.uk
  Nottingham
 Nottingham University Hospitals NHS Trust, Site #968
 Jennifer Byrne Ph: +44 115 962 7708
  Email: jenny.byrne@nottingham.ac.uk
  Oxford
 Oxford University Hospitals NHS Trust, Site #543

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT01650805
Information obtained from ClinicalTrials.gov on May 09, 2013

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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