drugset / Trial / NCT05143840

Asciminib as Initial Therapy for Patients With Chronic Myeloid Leukemia in Chronic Phase

NCT05143840

Non-randomizedSingle-groupOpen-labelTreatment

Summary

This study is a multicenter Phase 2, non-randomized, open-label single-group frontline study administering asciminib in patients with newly diagnosed Chronic Myeloid Leukemia-Chronic Phase (CML-CP). The aim of this study is to evaluate the efficacy and safety of asciminib in newly diagnosed CML-CP. Patients will receive asciminib 80 mg orally once daily during the single asciminib phase. Response is determined by PCR (polymerase chain reaction) blood test during the study. Patients who have not achieved a response after 24 months (but no later than 36 months) of single agent asciminib will be offered the addition of a low dose tyrosine kinase inhibitor (low-TKI) namely dasatinib, imatinib, or nilotinib at the investigator's discretion. The following doses of the TKIs will be used: 1. Dasatinib 50 mg daily 2. Imatinib 300 mg daily 3. Nilotinib 300 mg daily Patients will discontinue study treatment if they experience disease progression, or unacceptable toxicity.

Timeline

Start
2022-04-22
Primary completion
2032-02
Completion
2032-02

Drugs

EvaluationDrugModalityDoseRoute
Subject Asciminib Unknown 80 mg Oral
Subject Imatinib Small molecule 300 mg Oral
Subject Nilotinib Small molecule 300 mg Oral
Subject dasatinib anhydrous Small molecule 50 mg Oral