Chronic Myeloid LeukemiaPhase 3NCT00574873
Compare Bosutinib To Imatinib In Subjects With Newly Diagnosed Chronic Phase Philadelphia Chromosome Positive CML
A Phase 3 study testing Bosutinib and imatinib in people with Chronic Myeloid Leukemia, run by Pfizer at 165 sites in 29 countries.
Trial summary
Two-arm, randomized, open-label trial designed to evaluate the efficacy and safety of bosutinib alone compared to imatinib alone in subjects newly diagnosed with chronic phase Chronic Myelogenous Leukemia (CML). The primary endpoint is cytogenetic response rate at one year. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Myeloid Leukemia
- What is being tested?
- Bosutinib and imatinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 502 participants
- Where
- 165 sitesin 29 countries
- Study dates
- 5 Feb 2008to 27 May 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Cytogenetic diagnosis of chronic phase Ph+ CML diagnosed less than 6 months.
- Diagnosis of CML chronic phase confirmed.
- Adequate hepatic and renal function.
- Able to take oral tablets.
Who cannot join
- Exclusions include Philadelphia negative CML.
- Prior anti-leukemia treatment.
- Prior stem cell transplant.
Trial locations and contacts
165 sites in 29 countries.
165 sites in 29 countries
United States32 sites
Pacific Cancer Medical Center Inc
Anaheim, California, 92801
Northside Hospital, Inc. - GCS/Annex
Atlanta, Georgia, 30341
Center for Cancer and Blood Disorders
Bethesda, Maryland, 20817
Tower Cancer Research Foundation (TCRF)
Beverly Hills, California, 90211-1848
Josephine Ford Cancer - Downriver
Brownstown, Michigan, 48183
Associates In Oncology and Hematology
Chattanooga, Tennessee, 37421
Regional Cancer Care Associates
Cherry Hill, New Jersey, 08003
Study Supplies: Regional Cancer Care Associates
Cherry Hill, New Jersey, 08003
Henry Ford Medical Center- Fairlane
Dearborn, Michigan, 48126
Henry Ford Hospital
Detroit, Michigan, 48202-2689
Henry Ford Hospital - West Bloomfield
Detroit, Michigan, 48322
San Juan Oncology Associates
Farmington, New Mexico, 87401
Robert A Moss, MD, FACP, Inc
Fountain Valley, California, 92708
Kentucky Cancer Clinic
Hazard, Kentucky, 41701-9466
The University of Texas M.D. Anderson Cancer Center
Houston, Texas, 77030-4009
Cancer Care Centers of Florida
Hudson, Florida, 34667
Indiana Blood and Marrow Transplantation Research Franciscan St. Francis Health Center Inc.
Indianapolis, Indiana, 46237
Indiana Blood and Marrow Transplantation Research
Indianapolis, Indiana, 46237
UCSD Medical Center-Thornton
La Jolla, California, 92037
UCSD Moores Cancer Center
La Jolla, California, 92093
Cancer Care Centers of Florida
New Port Richey, Florida, 34652
Pasco Pinellas Cancer Center
New Port Richey, Florida, 34652
Orlando Health, Inc.
Orlando, Florida, 32806
Cancer Center of Kansas
Salinas, Kansas, 67401
UCSD Medical Center-Hillcrest
San Diego, California, 92103
Siouxland Hematology-Oncology Associates, LLP
Sioux City, Iowa, 51101
Somerset Hematology Oncology Associates
Somerville, New Jersey, 08876
Stanford Hospital and Clinics Investigational Drug Services
Stanford, California, 94305
Stanford Hospitals and Clinics
Stanford, California, 94305
Stanford University Medical Center
Stanford, California, 94305
Pasco Pinellas Cancer Center
Tarpon Springs, Florida, 34689
Cancer Center of Kansas
Wichita, Kansas, 67214
Japan16 sites
Japanese Red Cross Nagoya First Hospital
Aichi, 453-8511
Aichi Cancer Center Hospital
Aichi, 464-8681
Akita University Hospital
Akita, Akita, 010-8543
Chiba University Hospital
Chiba, 260-8677
National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 8111395
Tokai University Hospital
Kanagawa, 259-1193
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
Jikei University Hospital Daisan
Komae-shi, Tokyo, 2018601
Nagasaki University Hospital
Nagasaki, 852-8501
Niigata University Medical and Dental Hospital
Niigata, 9518520
Osaka University Hospital
Osaka, 565-0871
Kinki University School Of Medicine
Sayama, Osaka, 589-8511
Tohoku Univesity Hospital
Sendai, Miyagi, 9808574
Hamamatsu Medical University Hospital Faculty of Medicine
Shizuoka, 4313192
Tokyo Metropolitan Cancer & Infectious Disease Centre Komagome Hp
Tokyo, 113-8677
Toyohashi Municipal Hospital
Toyohashi, Aichi-ken, 441-8570
Russia16 sites
Regional State Budgetary Healthcare Institution "Barnaul City Hospital #8"
Barnaul, 656010
Kirov Research Institute of Hematology and Blood Transfusion of
Kirov, 610027
Federal State Budget Institution Hematology Scientific Center of Minzdravsotsrazvitiya of Russia
Moscow, 125167
State Novosibirsk Regional Clinical Hospital
Novosibirsk, 630087
Perm Territory State Budgetary Healthcare Inst
Perm, 614077
Republican Hospital na Baranov
Petrozavodsk, 185019
Rostov Regional Clinical Hospital
Rostov-on-Don, 344015
Rostov State Medical University of the Minzdravsotsrazvitiya of Russia
Rostov-on-Don, 344022
Leningrad Regional Clinical Hospital
Saint Petersburg, 194291
St-Petersburg Pavlov's State Medical University
Saint Petersburg, 197022
St-Petersburg State Medical University
Saint Petersburg, 197022
Samara Regional Clinical Hospital M.I. Kalinin
Samara, 443095
GUZ Komi Republican Oncology Center
Syktyvkar, Komi, 167904
Yaroslavl Region State Budgetary Healthcare Institution Regional Clinical Hospital
Yaroslavl, 150062
Sverdlovsk Regional Clinical Hospital #1
Yekaterinburg, 620102
Central City Hospital #7
Yekaterinburg, 620137
Ukraine13 sites
Cherkaskiy oblasniy onkologichniy dispanser
Cherkassy, 18009
Clinical Assocation of Emergency Care
Dnipropetrovsk, 49006
Clinical Diagnostic Laboratory of Komunalnyj Zaklad
Dnipropetrovsk, 49102
Komunalnyj Zaklad "Dnipropetrovska Miska Bagatoprofilna Klinichna Likarnja #4"
Dnipropetrovsk, 49102
Instytut Nevidkladnoi ta Vidnovnoi Hirurgii im. P.K. Husaka NAMN Ukrainy, Viddilennja Hematologii
Donetsk, 83045
Oleksandrovska clinical hospital cardiological rehabilitation department
Kiev, 01023
Institut Klinichnoi Radiologii DU "Natsionalnyj Naukovyj Centr Radiacijnoi Medicini NAMN Ukraini"
Kyiv, 03115
Institut Klinichnoi Radiologii Naukovogo Centru Radiacijnoi Medicini NAMN Ukraini
Kyiv, 03115
Institut Klinichnoi Radiologii Naukovogo
Kyiv, 03115
Miska klinichna likarnja # 9
Kyiv, 04112
Ultrasaund Educational and Diagnostic Center
Lviv, 79010
Instutut Patologii Krovi to Transfuziynoi Medicinu AMN Ukraini
Lviv, 79044
Polyclinic of 5th Municipal Hospital
Lviv, 79044
France10 sites
Institut Bergonie
Bordeaux, 33076
CHU Caen - Cote de Nacre
Caen, 14000
Centre Hospitalier de Versailles Hopital Andre Mignot
Le Chesnay, 78157
Hopital EDOUARD HERRIOT
Lyon, 69437
Hopital HOTEL DIEU
Nantes, 44000
Hospital Archet 1
Nice, 06202
Centre d'Investigation Clinique- CIC INSERM802
Poitiers, 86021
CHU de Poitiers
Poitiers, 86021
Clinique Sainte Anne
Strasbourg, 67000
Hopitaux Universitaires de Strasbourg - Hopital Civil
Strasbourg, 67098
United Kingdom8 sites
Good Hope Hospital
Birmingham, WEST Midlands, B75 7RR
Birmingham Heartlands Hospital
Birmingham, WEST Midlands, B9 5SS
Hammersmith Hospital Clinical Trial Units
Hammersmith, London, W12 0HS
Department of Haematology - Level 3, Bexley Wing
Leeds, WEST Yorkshire, LS9 7TF
Department of Haematology
London, SE1 9RT
Hammersmith Hospital
London, W12 0HS
3rd Floor Centre for Clinical Haematology
Nottingham, EAST Midlands, NG5 1PB
The Park Hospital
Nottingham, EAST Midlands, NG5 8RX
Belgium6 sites
Cliniques Universitaires Saint Luc
Brussels, 1200
C.H.R.ST. - R. Fabiola (N-D)
Charleroi, 6000
University Hospital Gent - Department of Hematology
Ghent, 9000
Centre Hospitalier de Jolimont - Lobbes
La Louvière, 7100
CHU de Charleroi - Hopital civil Marie Curie
Lodelinsart, 6042
H.-Hartziekenhuis Roeselare-Menen
Roeselare, 8800
Germany6 sites
Charite University Medical Center - Campus Virchow Klinikum
Berlin, 13353
Universitätsklinikum Carl Gustav Carus
Dresden, 01307
Univeristatsklinikum Hamburg-Eppendorf
Hamburg, 20246
Universitaetsklinikum Leipzig Zentrum fur Innere Medizin
Leipzig, 04103
III. Medizinische Klinik, Universitaetsklinikum Mannheim gGmbH
Mannheim, 68167
III. Medizinischen Klinik und Poliklinik des Klinikums Rechts der Isar der TU-MUNCHEN
München, 81675
Spain6 sites
Hospital Universitari Clinic de Barcelona
Barcelona, 08036
Hospital De La Princesa
Madrid, 28006
Hospital Universitario La Paz
Madrid, 28046
Hospital de Madrid Norte-Sanchinarro Centro Integral Oncologico
Madrid, 28050
Complejo Hospitalario de Toledo- Servicio de Hematologia.
Toledo, 45004
Hospital Clinico Universitario de Valencia (CHUV)
Valencia, 46010
India5 sites
Birla Cancer Centre
Jaipur, Rajasthan, 302 004
SEAROC Cancer Center, Soni Manipal Hospital
Jaipur, Rajasthan, 302013
Tata Memorial Center, Tata Memorial Hospital
Mumbai, Maharashtra, 400 012
Advanced Centre for Treatment, Research and Education in Cancer
Mumbai, Maharashtra, 410 210
Jehangir Clinical Development Centre,
Pune, Maharashtra, 411001
Poland5 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
Samodzielny Publiczny Szpital Kliniczny Im. A. Mieleckiego Slaskiego Uniwersytetu Medycznego
Katowice, 40-032
SP ZOZ Szpital Uniwersytecki w Krakowie
Krakow, 31-501
Wojewodzki Szpital Specjalistyczny im. M. Kopernika
Lodz, 93-510
Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie
Lublin, 20-081
South Africa5 sites
University Witwatersrand and Oncology
Johannesburg, 2193
Johannesburg Hospital, Department of Medical Oncology
Parktown, 2193
Clinical Haematology Unit - Department of Medicine
Soweto, 2013
Department of Cardiology, Chris Hani Baragwanath Hospital
Soweto, 2013
Department of Radiology, Chris Hani Baragwanath Hospital
Soweto, 2013
Argentina4 sites
Centro de Investigaciones Oncologicas
Bahía Blanca, Provincia Buenos Aires, B8000FJI
Instituto Medico Especializado Alexander Fleming
Buenos Aires, 1426
Hospital Privado de Cordoba
Córdoba, Prov. de Cordoba, 5000
Hospital Italiano de la Plata
La Plata, Buenos Aires, 1900
China4 sites
Peking Union Medical College Hospital of Chinese Academy of Medical Sciences
Beijing, 100730
The Chinese PLA General Hospital
Beijing, 100853
Ruiging Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, P.R. China, 200025
The Hematology Hospital of Chinese Academy of Medical Science
Tianjin, 300020
Hungary4 sites
Egyesitett Szent Istvan es Szent Laszlo Korhaz-Rendelointezet
Budapest, 1097
Petz Aladar Megyei Oktato Korhaz
Győr, 9023
Kaposi Mor Oktato Korhaz, Belgyogyaszati Osztaly
Kaposvár, 7400
Josa Andras Hospital
Nyíregyháza, 4400
Italy4 sites
Ospedale Ferrarotto - Divisione di Ematologia
Catania, 95124
Azienda Ospedaliera San Gerardo
Monza, Lombardy, 20900
Azienda Ospedaliera Universitaria San Luigi Gonzaga
Orbassano, Torino, 10043
Dipartimento Di Ematologia Ospedale Santo Eugenio
Roma, 00144
Canada3 sites
Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
University Health Network, Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Colombia3 sites
Fundacion Santa Fe de Bogota
Bogota, Cundinamarca
CIOSAD Centro de Investigaciones Oncologicas
Bogotá
Fundacion Cardiovascular de Colombia
Floridablanca, Santander Department
Turkey (Türkiye)3 sites
Hacettepe Universitesi Tip Fakultesi
Ankara, Sihhiye, 06100
Ankara Universitesi Tip Fakultesi Cebeci Hastanesi
Ankara, 06100
Gaziantep Universitesi Tip Fakultesi
Gaziantep, 27310
Chile2 sites
Instituto Oncologico del Sur
Temuco
Instituto Oncologico
Viña del Mar
Taiwan2 sites
Changhua Christian Hospital
Changhua, 50006
National Taiwan University Hospital
Taipei TOC, 100
Lithuania1 site
Hematology, Oncology & Transfusion Medicine Center
Vilnius, LT-08661
South Korea1 site
The Catholic University of Korea, Seoul St. Mary's Hospital/Division of Hematology
Seoul, 137-701
Thailand1 site
Division of Hematology, Department of Medicine
Bangkoknoi, Bangkok, 10700
About this study
Official title: A PHASE 3 RANDOMIZED, OPEN-LABEL STUDY OF BOSUTINIB VERSUS IMATINIB IN SUBJECTS WITH NEWLY DIAGNOSED CHRONIC PHASE PHILADELPHIA CHROMOSOME POSITIVE CHRONIC MYELOGENOUS LEUKEMIA
Two-arm, randomized, open-label trial designed to evaluate the efficacy and safety of bosutinib alone compared to imatinib alone in subjects newly diagnosed with chronic phase Chronic Myelogenous Leukemia (CML). The primary endpoint is cytogenetic response rate at one year.
- Conditions
- Chronic Myeloid Leukemia
- Being tested
- Bosutinib, imatinib
- Keywords
- Bosutinib, imatinib, CML
- Medical subject headings
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BosutinibDrug
Also called SKI 606
500 mg once daily, by mouth (tablet) with food preferably in the morning. Drug can be increased up to 600mg daily in case of lack of efficacy, and can be reduced to 300mg daily in case of toxicity. The drug will be given daily for up to 8 years until treatment failure, unacceptable toxicity, death or withdrawal of consent.
imatinibDrug
Also called Gleevec
400 mg once daily, by mouth (tablet). Drug can be increased up to 600mg daily in case of lack of efficacy, and can be reduced to 300mg daily in case of toxicity. The drug will be given daily for up to 8 years until treatment failure, unacceptable toxicity, death or withdrawal of consent.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Bosutinib Receives: Drug: Bosutinib |
| 2 | Active comparator | Imatinib Receives: Drug: imatinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Complete Cytogenetic Response (CCyR) at Year 1
Cytogenetic Response (CyR) is based on the prevalence of Philadelphia chromosome positive (Ph+) metaphases among cells in metaphase on a bone marrow (BM) aspirate. CCyR was achieved when there was 0 percent (%) Ph+ metaphases among cells in a BM sample when at least 20 metaphases from a BM sample were analyzed, or less than (<) 1% breakpoint cluster region Abelson protooncogene (Bcr-Abl) fusion product among cells in a BM sample or peripheral blood sample when at least 200 cells were analyzed.
Measured: Year 1 (48 weeks)
Secondary outcomes (5)
Percentage of Participants With Major Molecular Response (MMR) at Year 1
Molecular response was assessed using Bcr-Abl transcript levels measured by reverse transcriptase polymerase chain reaction (RT-PCR) from peripheral blood. A MMR was defined as a ratio Bcr-Abl/Abl less than or equal to (≤) 0.1% on the international scale (greater than or equal to [≥] 3 log reduction from standardized baseline in ratio of Bcr-Abl to Abl transcripts) with at least 3000 Abl analyzed.
Measured: Year 1 (48 weeks)
Kaplan-Meier Estimate of Probability of Retaining CCyR at 192 Weeks
The Kaplan-Meier curve was generated based the time from the first date of CCyR until the first date of confirmed loss of CCyR, objectively documented, for responders only. Participants without confirmed loss of CCyR were censored at the last valid cytogenetic assessment.
CyR is based on the prevalence of Ph+ metaphases among cells in metaphase on a bone marrow sample. CCyR was achieved when there was 0% Ph+ metaphases among cells in a BM sample when at least 20 metaphases from a BM sample were analyzed, or <1% Bcr-Abl fusion product among cells in a BM sample or peripheral blood sample when at least 200 cells were analyzed.
The medians have not been reached in either arm, as such, the premature estimated hazard ratio is provided. Four years rate was displayed since the majority of participants had first CCyR by Year 1.
Measured: 192 weeks
Kaplan-Meier Estimate of Probability of Retaining Complete Hematologic Response (CHR) at 192 Weeks
The Kaplan-Meier curve was generated based on the first date of confirmed CHR until the first date of loss of CHR, objectively documented, for responders only. Participants without confirmed loss of response were censored at the last valid hematologic assessment.
CHR must have been of at least 4 weeks in duration confirmed by 2 assessments at least 4 weeks apart and was defined as follows: white blood cells ≤ institutional upper limit of normal, no peripheral blasts or promyelocytes, myelocytes + metamyelocytes <5% in blood, absolute neutrophil count ≥1.0*10^9/L, platelets ≥100 but <450*10^9/L unless related to therapy, <20% basophils in blood and no extramedually involvement (including hepato- or splenomegaly).
The medians have not been reached in either arm, as such, the premature estimated hazard ratio is provided. Four years rate was displayed since the majority of participants had first CHR by Year 1.
Measured: 192 weeks
Kaplan-Meier Estimate of Probability of Retaining Derived MMR at 144 Weeks
The Kaplan-Meier curve was generated based on the first date of MMR until the first date loss of MMR, objectively documented, for responders only. Participants without confirmed loss of response were censored at the last valid molecular assessment.
Molecular response was assessed using Bcr-Abl transcript levels measured by RT-PCR from peripheral blood. MMR is defined as a ratio Bcr-Abl/Abl ≤0.1% on the international scale (≥3 log reduction from standardized baseline in ratio of Bcr-Abl to Abl transcripts) with at least 3000 Abl analyzed.
The medians have not been reached in either arm, as such, the premature estimated hazard ratio is provided. Three years rate was displayed since the majority of imatinib participants had first MMR by Year 2.
Measured: 144 weeks
Cumulative Incidence of On-Treatment Transformation to Accelerated Phase (AP) or Blast Phase (BP) at 192 Weeks
The cumulative incidence curve was generated based on the time from randomization to the first date of transformation to AP or BP while on study treatment adjusting for the competing risk of treatment discontinuation without transformation, for each participant.
Criteria for transformation to AP: 15 to 29% blasts; ≥30% blasts + promyelocytes; ≥20% basophils in blood or bone marrow; platelets <100*10^9/L (not related to therapy), in blood. Criteria for transformation to BP: ≥30% blasts in blood or bone marrow and extramedullary involvement other than liver or spleen (example: chloromas).
Time to transformation was calculated as weeks = ([date of first documented occurrence of the event - date of randomization] + 1)/7. If transformation was not obtained, censoring was at the last hematologic assessment or death (whichever was earliest). Participants who were not treated contributed time = 1 day/7. 95% confidence interval for the cumulative incidence is from Gray's method.
Measured: 192 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2007 (estimated)
- Study start5 Feb 2008
- Primary completion31 Aug 2010
- Study completion27 May 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Chronic Myeloid LeukemiaStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 502 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Wyeth is now a wholly owned subsidiary of Pfizer
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00574873
- Sponsor's protocol ID
- 3160A4-3000
- Other IDs
- B1871008, 2007-003780-50
- Status last verified
- Dec 2018
- First submitted
- 13 Dec 2007
- Last updated
- 8 Jan 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Garrett M, Knight B, Cortes JE, Deininger MW. Population modeling of bosutinib exposure-response in patients with newly diagnosed chronic phase chronic myeloid leukemia. Cancer Med. 2023 Sep;12(17):17981-17992. doi: 10.1002/cam4.6439. Epub 2023 Aug 8.
PubMed 37553873Takahashi N, Cortes JE, Sakaida E, Ishizawa K, Ono T, Doki N, Matsumura I, Garcia-Gutierrez V, Rosti G, Ono C, Ohkura M, Tanetsugu Y, Viqueira A, Brummendorf TH. Safety profile of bosutinib in Japanese versus non-Japanese patients with chronic myeloid leukemia: a pooled analysis. Int J Hematol. 2022 Jun;115(6):838-851. doi: 10.1007/s12185-022-03314-y. Epub 2022 Mar 2.
PubMed 35235189Gambacorti-Passerini C, Cortes JE, Lipton JH, Dmoszynska A, Wong RS, Rossiev V, Pavlov D, Gogat Marchant K, Duvillie L, Khattry N, Kantarjian HM, Brummendorf TH. Safety of bosutinib versus imatinib in the phase 3 BELA trial in newly diagnosed chronic phase chronic myeloid leukemia. Am J Hematol. 2014 Oct;89(10):947-53. doi: 10.1002/ajh.23788. Epub 2014 Jul 21.
PubMed 24944159Hsyu PH, Mould DR, Abbas R, Amantea M. Population pharmacokinetic and pharmacodynamic analysis of bosutinib. Drug Metab Pharmacokinet. 2014;29(6):441-8. doi: 10.2133/dmpk.DMPK-13-RG-126. Epub 2014 Jun 10.
PubMed 24919837Trask PC, Cella D, Powell C, Reisman A, Whiteley J, Kelly V. Health-related quality of life in chronic myeloid leukemia. Leuk Res. 2013 Jan;37(1):9-13. doi: 10.1016/j.leukres.2012.09.013. Epub 2012 Oct 29.
PubMed 23116602Cortes JE, Kim DW, Kantarjian HM, Brummendorf TH, Dyagil I, Griskevicius L, Malhotra H, Powell C, Gogat K, Countouriotis AM, Gambacorti-Passerini C. Bosutinib versus imatinib in newly diagnosed chronic-phase chronic myeloid leukemia: results from the BELA trial. J Clin Oncol. 2012 Oct 1;30(28):3486-92. doi: 10.1200/JCO.2011.38.7522. Epub 2012 Sep 4.
PubMed 22949154O'Hare T, Zabriskie MS, Eiring AM, Deininger MW. Pushing the limits of targeted therapy in chronic myeloid leukaemia. Nat Rev Cancer. 2012 Jul 24;12(8):513-26. doi: 10.1038/nrc3317.
PubMed 22825216
Study at a glance
From the registry record, last updated by the sponsor on 8 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3 RANDOMIZED, OPEN-LABEL STUDY OF BOSUTINIB VERSUS IMATINIB IN SUBJECTS WITH NEWLY DIAGNOSED CHRONIC PHASE PHILADELPHIA CHROMOSOME POSITIVE CHRONIC MYELOGENOUS LEUKEMIA
- ClinicalTrials.gov ID
- NCT00574873
- Acronym / sponsor ID
- 3160A4-3000
- Conditions
- Chronic Myeloid Leukemia
- Keywords
- Bosutinib, imatinib, CML
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 502 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Wyeth is now a wholly owned subsidiary of Pfizer
- Study start
- 5 Feb 2008 (actual)
- Primary completion
- 31 Aug 2010 (actual)
- Study completion
- 27 May 2015 (actual)
- First posted
- 17 Dec 2007 (estimated)
- Results
- Posted 5 Nov 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Two-arm, randomized, open-label trial designed to evaluate the efficacy and safety of bosutinib alone compared to imatinib alone in subjects newly diagnosed with chronic phase Chronic Myelogenous Leukemia (CML). The primary endpoint is cytogenetic response rate at one year.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: BosutinibBosutinib |
| 2 | Active comparator | Drug: imatinibImatinib |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Cytogenetic diagnosis of chronic phase Ph+ CML diagnosed less than 6 months.
- Diagnosis of CML chronic phase confirmed.
- Adequate hepatic and renal function.
- Able to take oral tablets.
Key exclusion criteria (3 listed)
- Exclusions include Philadelphia negative CML.
- Prior anti-leukemia treatment.
- Prior stem cell transplant.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BosutinibAlso: SKI 606500 mg once daily, by mouth (tablet) with food preferably in the morning. Drug can be increased up to 600mg daily in case of lack of efficacy, and can be reduced to 300mg daily in case of toxicity. The drug will be given daily for up to 8 years until treatment failure, unacceptable toxicity, death or withdrawal of consent. | Drug | 1 |
| imatinibAlso: Gleevec400 mg once daily, by mouth (tablet). Drug can be increased up to 600mg daily in case of lack of efficacy, and can be reduced to 300mg daily in case of toxicity. The drug will be given daily for up to 8 years until treatment failure, unacceptable toxicity, death or withdrawal of consent. | Drug | 2 |
Primary outcome
Percentage of Participants With Complete Cytogenetic Response (CCyR) at Year 1
Time frame: Year 1 (48 weeks)
Cytogenetic Response (CyR) is based on the prevalence of Philadelphia chromosome positive (Ph+) metaphases among cells in metaphase on a bone marrow (BM) aspirate. CCyR was achieved when there was 0 percent (%) Ph+ metaphases among cells in a BM sample when at least 20 metaphases from a BM sample were analyzed, or less than (<) 1% breakpoint cluster region Abelson protooncogene (Bcr-Abl) fusion product among cells in a BM sample or peripheral blood sample when at least 200 cells were analyzed.
5 secondary outcomes
Percentage of Participants With Major Molecular Response (MMR) at Year 1
Time frame: Year 1 (48 weeks)
Kaplan-Meier Estimate of Probability of Retaining CCyR at 192 Weeks
Time frame: 192 weeks
Kaplan-Meier Estimate of Probability of Retaining Complete Hematologic Response (CHR) at 192 Weeks
Time frame: 192 weeks
Kaplan-Meier Estimate of Probability of Retaining Derived MMR at 144 Weeks
Time frame: 144 weeks
Cumulative Incidence of On-Treatment Transformation to Accelerated Phase (AP) or Blast Phase (BP) at 192 Weeks
Time frame: 192 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37553873Garrett M, Knight B, Cortes JE, Deininger MW. Population modeling of bosutinib exposure-response in patients with newly diagnosed chronic phase chronic myeloid leukemia. Cancer Med. 2023 Sep;12(17):17981-17992. doi: 10.1002/cam4.6439. Epub 2023 Aug 8.
- Derived from this study: PubMed 35235189Takahashi N, Cortes JE, Sakaida E, Ishizawa K, Ono T, Doki N, Matsumura I, Garcia-Gutierrez V, Rosti G, Ono C, Ohkura M, Tanetsugu Y, Viqueira A, Brummendorf TH. Safety profile of bosutinib in Japanese versus non-Japanese patients with chronic myeloid leukemia: a pooled analysis. Int J Hematol. 2022 Jun;115(6):838-851. doi: 10.1007/s12185-022-03314-y. Epub 2022 Mar 2.
- Derived from this study: PubMed 24944159Gambacorti-Passerini C, Cortes JE, Lipton JH, Dmoszynska A, Wong RS, Rossiev V, Pavlov D, Gogat Marchant K, Duvillie L, Khattry N, Kantarjian HM, Brummendorf TH. Safety of bosutinib versus imatinib in the phase 3 BELA trial in newly diagnosed chronic phase chronic myeloid leukemia. Am J Hematol. 2014 Oct;89(10):947-53. doi: 10.1002/ajh.23788. Epub 2014 Jul 21.
- Derived from this study: PubMed 24919837Hsyu PH, Mould DR, Abbas R, Amantea M. Population pharmacokinetic and pharmacodynamic analysis of bosutinib. Drug Metab Pharmacokinet. 2014;29(6):441-8. doi: 10.2133/dmpk.DMPK-13-RG-126. Epub 2014 Jun 10.
- Derived from this study: PubMed 23116602Trask PC, Cella D, Powell C, Reisman A, Whiteley J, Kelly V. Health-related quality of life in chronic myeloid leukemia. Leuk Res. 2013 Jan;37(1):9-13. doi: 10.1016/j.leukres.2012.09.013. Epub 2012 Oct 29.
- Derived from this study: PubMed 22949154Cortes JE, Kim DW, Kantarjian HM, Brummendorf TH, Dyagil I, Griskevicius L, Malhotra H, Powell C, Gogat K, Countouriotis AM, Gambacorti-Passerini C. Bosutinib versus imatinib in newly diagnosed chronic-phase chronic myeloid leukemia: results from the BELA trial. J Clin Oncol. 2012 Oct 1;30(28):3486-92. doi: 10.1200/JCO.2011.38.7522. Epub 2012 Sep 4.
- Derived from this study: PubMed 22825216O'Hare T, Zabriskie MS, Eiring AM, Deininger MW. Pushing the limits of targeted therapy in chronic myeloid leukaemia. Nat Rev Cancer. 2012 Jul 24;12(8):513-26. doi: 10.1038/nrc3317.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
165 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bosutinib and imatinib in people with Chronic Myeloid Leukemia, run by Pfizer at 165 sites in 29 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 165 sites in United States, Japan, Russia, Ukraine, France and 24 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Nov 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Complete Cytogenetic Response (CCyR) at Year 1 (time frame: Year 1 (48 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00574873, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jan 2019.