Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)Phase 3ENESTPathNCT01743989
A Randomized Phase III Study to Assess the Effect of a Longer Duration of Consolidation Treatment With Nilotinib on TFR in CP CML.
A Phase 3 study testing Nilotinib in people with Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP), run by Novartis Pharmaceuticals at 208 sites in 21 countries.
Trial summary
This study aimed to assess the optimal duration of nilotinib 300 mg twice daily (BID) consolidation treatment in patients with Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML), in order that patients remained in treatment-free remission (≥MR4.0) without molecular relapse 12 months after starting… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
- What is being tested?
- Nilotinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 620 participants
- Where
- 208 sitesin 21 countries
- Study dates
- 15 Apr 2013to 8 Jul 2020
- 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
- Confirmed diagnosis of chronic phase Ph+ CML
- Previous first-line treatment with imatinib for a minimum of 2 years;
- Patient in complete cytogenetic response;
Who cannot join
- Previous achievement of MR4.0 at study entry;
- Previous treatment with other target cells inhibitors other than imatinib;
- Patients with any history of detectable atypical Leukemia transcripts or patients with detectable atypical leukemia transcripts at screening;
- Previous anticancer agents for Chronic myeloid leukemia other than imatinib except for cytoreduction;
- Severe and/or uncontrolled concurrent medical disease that in the opinion of the investigator could cause unacceptable safety risks or compromise compliance with the protocol;
- History of other active malignancies within the 5 years prior to study entry with the exception of previous or concomitant basal cell skin cancer and previous carcinoma in situ treated curatively;
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- Patients who have not recovered from prior surgery;
- Treatment with other investigational agents within 4 weeks of Day 1;
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug
- Other inclusion/exclusion criteria might apply.
Trial locations and contacts
208 sites in 21 countries.
208 sites in 21 countries
Italy48 sites
Novartis Investigative Site
Alessandria, AL, 15100
Novartis Investigative Site
Ancona, AN, 60126
Novartis Investigative Site
Avellino, AV, 83100
Novartis Investigative Site
Bari, BA, 70124
Novartis Investigative Site
Bologna, BO, 40138
Novartis Investigative Site
Brescia, BS, 25123
Novartis Investigative Site
Cagliari, CA, 09126
Novartis Investigative Site
Catania, CT, 95100
Novartis Investigative Site
Cona, FE, 44100
Novartis Investigative Site
Cremona, CR, 26100
Novartis Investigative Site
Florence, FI, 50134
Novartis Investigative Site
Genova, GE, 16132
Novartis Investigative Site
Lecce, LE, 73100
Novartis Investigative Site
Livorno, LI, 57124
Novartis Investigative Site
Messina, ME, 98125
Novartis Investigative Site
Milan, MI, 20122
Novartis Investigative Site
Milan, MI, 20132
Novartis Investigative Site
Milan, MI, 20162
Novartis Investigative Site
Mirano, VE, 30035
Novartis Investigative Site
Modena, MO, 41124
Novartis Investigative Site
Naples, 80131
Novartis Investigative Site
Novara, 28100
Novartis Investigative Site
Orbassano, TO, 10043
Novartis Investigative Site
Padova, PD, 35128
Novartis Investigative Site
Pagani, SA, 84016
Novartis Investigative Site
Palermo, PA, 90127
Novartis Investigative Site
Palermo, PA, 90146
Novartis Investigative Site
Parma, PR, 43100
Novartis Investigative Site
Pavia, PV, 27100
Novartis Investigative Site
Perugia, 06129
Novartis Investigative Site
Pescara, PE, 65124
Novartis Investigative Site
Pisa, PI, 56126
Novartis Investigative Site
Potenza, PZ, 85100
Novartis Investigative Site
Reggio Calabria, RC, 89124
Novartis Investigative Site
Reggio Emilia, RE, 42123
Novartis Investigative Site
Roma, RM, 00133
Novartis Investigative Site
Roma, RM, 00144
Novartis Investigative Site
Roma, RM, 00161
Novartis Investigative Site
Rome, Lazio, 00168
Novartis Investigative Site
San Giovanni Rotondo, FG, 71013
Novartis Investigative Site
Siena, SI, 53100
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Taranto, TA, 74100
Novartis Investigative Site
Torino, TO, 10126
Novartis Investigative Site
Treviso, TV, 31100
Novartis Investigative Site
Udine, UD, 33100
Novartis Investigative Site
Venezia, VE, 30174
Novartis Investigative Site
Verona, VR, 37126
Novartis Investigative Site
Vicenza, VI, 36100
Spain38 sites
Novartis Investigative Site
A Coruña, Galicia, 15006
Novartis Investigative Site
Alicante, Valencia, 03010
Novartis Investigative Site
Alzira, Valencia, 46600
Novartis Investigative Site
Badalona, Catalonia, 08916
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Barcelona, Catalonia, 08036
Novartis Investigative Site
Cáceres, Extremadura, 10003
Novartis Investigative Site
Donostia / San Sebastian, Basque Country, 20080
Novartis Investigative Site
Girona, Catalonia, 17007
Novartis Investigative Site
Granada, Andalusia, 18014
Novartis Investigative Site
Granollers, 08402
Novartis Investigative Site
Jaén, Andalusia, 23007
Novartis Investigative Site
L'Hospitalet de Llobregat, Catalonia, 08907
Novartis Investigative Site
León, Castille and León, 24071
Novartis Investigative Site
Madrid, 28006
Novartis Investigative Site
Madrid, 28009
Novartis Investigative Site
Madrid, 28031
Novartis Investigative Site
Madrid, 28034
Novartis Investigative Site
Madrid, 28040
Novartis Investigative Site
Madrid, 28041
Novartis Investigative Site
Madrid, 28046
Novartis Investigative Site
Madrid, 28222
Novartis Investigative Site
Málaga, Andalusia, 29010
Novartis Investigative Site
Murcia, 30008
Novartis Investigative Site
Palma de Mallorca, Balearic Islands, 07120
Novartis Investigative Site
Pamplona, Navarre, 31008
Novartis Investigative Site
Pontevedra, Galicia, 36071
Novartis Investigative Site
Sabadell, Barcelona, 08208
Novartis Investigative Site
Salamanca, Castille and León, 37007
Novartis Investigative Site
Santa Cruz de Tenerife, 38009
Novartis Investigative Site
Santiago de Compostela, Galicia, 15706
Novartis Investigative Site
Seville, Andalusia, 41009
Novartis Investigative Site
Seville, Andalusia, 41013
Novartis Investigative Site
Tarragona, Catalonia, 43005
Novartis Investigative Site
Valencia, Valencia, 46026
Novartis Investigative Site
Valladolid, Castille and León, 47011
Novartis Investigative Site
Zaragoza, 50009
Germany33 sites
Novartis Investigative Site
Augsburg, 86150
Novartis Investigative Site
Bayreuth, 95445
Novartis Investigative Site
Berlin, 13353
Novartis Investigative Site
Braunschweig, 38114
Novartis Investigative Site
Bremen, 28177
Novartis Investigative Site
Chemnitz, 09113
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Cologne, 50671
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Eisenach, 99817
Novartis Investigative Site
Frankfurt, 60596
Novartis Investigative Site
Georgsmarienhütte, 49124
Novartis Investigative Site
Halle, 06110
Novartis Investigative Site
Hamm, 59063
Novartis Investigative Site
Kiel, 24105
Novartis Investigative Site
Leipzig, 04103
Novartis Investigative Site
Lütten Klein, 18107
Novartis Investigative Site
Magdeburg, 39104
Novartis Investigative Site
Mannheim, Baden-Wurttemberg, 68305
Novartis Investigative Site
Marburg, 35039
Novartis Investigative Site
München, 81241
Novartis Investigative Site
Münster, 48149
Novartis Investigative Site
Nuremberg, 90449
Novartis Investigative Site
Offenburg, 77654
Novartis Investigative Site
Potsdam, 14467
Novartis Investigative Site
Rostock, 18057
Novartis Investigative Site
Rostock, 18059
Novartis Investigative Site
Schorndorf, 73614
Novartis Investigative Site
Schwäbisch Hall, 74523
Novartis Investigative Site
Stuttgart, 70174
Novartis Investigative Site
Velbert, 42551
Novartis Investigative Site
Westerstede, 26655
Novartis Investigative Site
Wiesbaden, 65191
Novartis Investigative Site
Würzburg, 97080
France28 sites
Novartis Investigative Site
Angers, 49033
Novartis Investigative Site
Bayonne, Bayonne Cedex, 64109
Novartis Investigative Site
Bordeaux, 33000
Novartis Investigative Site
Bordeaux, 33076
Novartis Investigative Site
Caen, Cedex, 14033
Novartis Investigative Site
Chalon-sur-Saône, 71321
Novartis Investigative Site
Chambéry, 73011
Novartis Investigative Site
Clermont-Ferrand, 63003
Novartis Investigative Site
Corbeil-Essonnes, 91100
Novartis Investigative Site
Dunkirk, 59240
Novartis Investigative Site
Grenoble, 38043
Novartis Investigative Site
La Roche-sur-Yon, 85925
Novartis Investigative Site
Le Mans, Cedex 09, 72037
Novartis Investigative Site
Lille, 59020
Novartis Investigative Site
Lille, 59037
Novartis Investigative Site
Lyon, 69373
Novartis Investigative Site
Marseille, 13273
Novartis Investigative Site
Metz, 57000
Novartis Investigative Site
Metz, 57085
Novartis Investigative Site
Mulhouse, 68070
Novartis Investigative Site
Nice, 06202
Novartis Investigative Site
Paris, Cedex 10, 75475
Novartis Investigative Site
Paris, 75012
Novartis Investigative Site
Perpignan, 66046
Novartis Investigative Site
Pontoise, F-95300
Novartis Investigative Site
Rouen, 76038
Novartis Investigative Site
Saint-Priest-en-Jarez, 42271
Novartis Investigative Site
Toulouse, 31059
Poland9 sites
Novartis Investigative Site
Chorzów, 41-500
Novartis Investigative Site
Gdansk, 80 952
Novartis Investigative Site
Katowice, 40-027
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Krakow, 30-510
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Olsztyn, 10 561
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Opole, 45-372
Novartis Investigative Site
Torun, 87 100
Novartis Investigative Site
Warsaw, 02 106
Novartis Investigative Site
Warsaw, 02 776
Romania7 sites
Novartis Investigative Site
Bucharest, District 2, 022328
Novartis Investigative Site
Bucharest, 030 171
Novartis Investigative Site
Bucharest, 500098
Novartis Investigative Site
Cluj-Napoca, 400124
Novartis Investigative Site
Iași, 700483
Novartis Investigative Site
Sibiu, 550245
Novartis Investigative Site
Timișoara, 300 079
Austria6 sites
Novartis Investigative Site
Graz, 8036
Novartis Investigative Site
Linz, Upper Austria, A 4020
Novartis Investigative Site
Linz, 4010
Novartis Investigative Site
Linz, A-4010
Novartis Investigative Site
Rankweil, A-6830
Novartis Investigative Site
Salzburg, 5020
Bulgaria5 sites
Novartis Investigative Site
Pleven, 5800
Novartis Investigative Site
Plovdiv, 4002
Novartis Investigative Site
Sofia, 1431
Novartis Investigative Site
Sofia, 1756
Novartis Investigative Site
Varna, 9000
Greece5 sites
Novartis Investigative Site
Athens, GR, 115 27
Novartis Investigative Site
Athens, 106 76
Novartis Investigative Site
Athens, 115 27
Novartis Investigative Site
Pátrai, 265 00
Novartis Investigative Site
Thessaloniki, GR, 570 10
Portugal5 sites
Novartis Investigative Site
Lisbon, 1099 023
Novartis Investigative Site
Lisbon, 1749-035
Novartis Investigative Site
Porto, 4099-001
Novartis Investigative Site
Porto, 4200 319
Novartis Investigative Site
Porto, 4200-072
Serbia4 sites
Novartis Investigative Site
Belgrade, 11000
Novartis Investigative Site
Belgrade, 11070
Novartis Investigative Site
Niš, 18000
Novartis Investigative Site
Novi Sad
United Kingdom4 sites
Novartis Investigative Site
East Yorkshire, HU16 5JQ
Novartis Investigative Site
Edinburgh, EH4 2XU
Novartis Investigative Site
London, EC1A 7BE
Novartis Investigative Site
London, W12 0HS
Hungary3 sites
Novartis Investigative Site
Budapest, 1097
Novartis Investigative Site
Debrecen, 4032
Novartis Investigative Site
Szeged, H 6725
Belgium2 sites
Novartis Investigative Site
Brussels, 1070
Novartis Investigative Site
Liège, 4000
Czechia2 sites
Novartis Investigative Site
Brno-Bohunice, Czech Republic, 625 00
Novartis Investigative Site
Hradec Králové, CZE, 500 05
Denmark2 sites
Novartis Investigative Site
Holstebro, DK-7500
Novartis Investigative Site
Roskilde, 4000
Norway2 sites
Novartis Investigative Site
Bergen, NO-5021
Novartis Investigative Site
Oslo, NO-0310
Slovakia2 sites
Novartis Investigative Site
Bratislava, 85107
Novartis Investigative Site
Martin, 03601
About this study
Official title: A Prospective, Randomized, Open Label, Two Arm Phase III Study to Evaluate Treatment Free Remission (TFR) Rate in Patients With Philadelphia-positive CML After Two Different Durations of Consolidation Treatment With Nilotinib 300mg BID.
This study aimed to assess the optimal duration of nilotinib 300 mg twice daily (BID) consolidation treatment in patients with Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML), in order that patients remained in treatment-free remission (≥MR4.0) without molecular relapse 12 months after starting the Treatment-Free Remission (TFR) phase.
Read the detailed description
This was a prospective, randomized, open-label, multicenter Phase III study. The study design was made up of 3 phases:
- Nilotinib induction phase: 12 months
- Nilotinib consolidation phase: 12 or 24 months, depending on randomization
- Nilotinib treatment-free remission (TFR) phase: 24 or 36 months, depending on randomization.
Subjects were enrolled into the study and were treated with nilotinib 300mg twice daily (BID) for 24 months, during the induction (12 months) and consolidation (12 months) phases. At the end of the first 24 months of treatment, participants achieving a sustained molecular response (defined as ≥ MR4.0, in 4 out of 5 real-time quantitative polymerase chain reaction (RQ-PCR) assessments, including the last assessment, in the last 12 months) were randomized on a 1:1 basis to either:
- suspend nilotinib treatment immediately and enter the TFR phase for 36 months (Nilotinib 24-month treatment arm), or
- continue nilotinib treatment for a further 12 months (post-randomization consolidation phase), then suspend treatment and enter the TFR phase for 24 months (Nilotinib 36-month treatment arm).
Participants not achieving a sustained molecular response at 24 months from treatment start were not eligible for randomization and were treated at the discretion of the investigator according to standard practice. Information on survival, stem cell transplantation, and status of the patient's disease was collected until death or until 5 years from study entry, whichever came first. Additionally, for Nilotinib 36-month treatment arm, participants who did not achieve a sustained molecular response at 36 months from treatment start, discontinued from the study and were treated according to standard practice and followed up until death or until 5 years from study entry, whichever came first.
Participants relapsing during the TFR phase entered the nilotinib re-treatment phase of the study, and were re-treated with the same dose of nilotinib as they were on before the TFR phase. These patients remained on study until the completion of the 5-year study period unless prematurely withdrawn and discontinued from the study for any reason specified in the Protocol.
- Conditions
- Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
- Being tested
- Nilotinib
- Keywords
- Adult, Chronic myelogenous leukemia (CML), Chronic myeloid leukemia (CML), Chronic myelocytic leukemia (CML), Acute Lymphoblastic Leukemia (ALL) Philadelphia chromosome positive, Acute Lymphoid Leukemia, Suboptimal molecular response
- Medical subject headings
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Precursor Cell Lymphoblastic Leukemia-Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NilotinibDrug
Also called AMN107
Participants received a daily oral nilotinib dose of 300 mg BID, given as two 150 mg capsules BID.
| Study group | Role | What they receive |
|---|---|---|
| Nilotinib 24-month treatment | Experimental | Participants were treated with nilotinib 300mg BID for 24 months and, thereafter, entered the 36-month TFR phase Receives: Drug: Nilotinib |
| Nilotinib 36-month treatment | Experimental | Participants were treated with nilotinib 300mg BID for 36 months and, thereafter, entered the 24-month TFR phase Receives: Drug: Nilotinib |
| Not randomized | Experimental | Participants were treated with nolotinib 300mg BID for 24 months, but did not achieve a sustained molecular response after 24 months of treatment. Receives: Drug: Nilotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Remained in Treatment Free Remission (TFR) Without Molecular Relapse 12 Months After Entering the TFR Phase
Number of participants who remained in TFR (≥molecular response (MR) 4.0) without molecular relapse 12 months after entering the TFR phase (without re-starting nilotinib therapy) divided by the number of participants who entered the TFR phase and multiplied by 100.
Molecular relapse during TFR is defined as the loss of major molecular response (MMR), or the confirmed loss of MR4.0 (defined by 3 consecutive tests less than MR4.0 assessed at 3 consecutive visits during TFR phase). Participants dropping out early from the study during the TFR phase were considered as unsuccessful TFR.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
MR4.0 is defined as either detectable disease≤0.01% BCR-ABL or undetectable disease in cDNA with≥10,000 ABL transcripts
Measured: 12 months after entering the TFR phase, which is after 36 months from study treatment start for Nilotinib 24-month treatment arm and after 48 months from study treatment start for Nilotinib 36-month treatment arm
Secondary outcomes (21)
Cumulative Incidence of MMR During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MMR during pre-randomization induction/consolidation phase divided by the number of participants without that response at baseline and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MMR During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MMR during post-randomization consolidation phase divided by the number of participants without that response at baseline and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.0 During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MR4.0 during the pre-randomization induction/consolidation phase divided by the number of participants without that response at baseline and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.0 is defined as either detectable disease ≤0.01% BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.0 During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MR4.0 during the post-randomization consolidation phase divided by the number of participants without that response at baseline and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.0 is defined as either detectable disease ≤0.01% BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.5 During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MR4.5 during the pre-randomization induction/consolidation phase divided by the number of participants without that response at baseline and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.5 is defined as either detectable disease ≤ 0.0032% BCR-ABL IS; or undetectable disease within cDNA with ≥ 32,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.5 During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Number of participants who were in MR4.5 during the post-randomization consolidation phase divided by the number of participants without that response at baseline and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.5 is defined as either detectable disease ≤ 0.0032% BCR-ABL IS; or undetectable disease within cDNA with ≥ 32,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MMR During the Pre-randomization Induction/Consolidation Phase
Number of participants who were in MMR during the pre-randomization induction/consolidation phase divided by the number of enrolled participants and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MMR During the Post-randomization Consolidation Phase
Number of participants who were in MMR during the post-randomization consolidation phase divided by the number of enrolled participants and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.0 During the Pre-randomization Induction/Consolidation Phase
Number of participants who were in MR4.0 during the pre-randomization induction/consolidation phase divided by the number of enrolled participants and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.0 is defined as either detectable disease ≤0.01% BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.0 During the Post-randomization Consolidation Phase
Number of participants who were in MR4.0 during the post-randomization consolidation phase divided by the number of enrolled participants and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.0 is defined as either detectable disease ≤0.01% BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.5 During the Pre-randomization Induction/Consolidation Phase
Number of participants who were in MR4.5 during the pre-randomization induction/consolidation phase divided by the number of enrolled participants and multiplied by 100.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.5 is defined as either detectable disease ≤ 0.0032% BCR-ABL IS; or undetectable disease within cDNA with ≥ 32,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.5 During the Post-randomization Consolidation Phase
Number of participants who were in MR4.5 during the post-randomization consolidation phase divided by the number of enrolled participants and multiplied by 100. Post-randomization consolidation phase corresponded to the 12-month additional treatment (after randomization) for Nilotinib 36-month treatment arm.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.5 is defined as either detectable disease ≤ 0.0032% BCR-ABL IS; or undetectable disease within cDNA with ≥ 32,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Percentage of Participants Who Were in MMR During TFR Phase
Number of participants who were in MMR at selected timepoints divided by the number of participants in the TFR phase and multiplied by 100. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotinib 24-month treatment arm had a maximum of 36 months of TFR phase.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL.
Measured: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Percentage of Participants Who Were in MR4.0 During the TFR Phase
Number of participants who were in MR4.0 at selected timepoints divided by the number of participants in the TFR phase and multiplied by 100. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotinib 24-month treatment arm had a maximum of 36 months of TFR phase.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.0 is defined as either detectable disease ≤0.01% BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotininb 36-months treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-months treatment arm
Percentage of Participants Who Were in MR4.5 During the TFR Phase
Number of participants who were in MR4.5 at selected timepoints divided by the number of participants in the TFR phase and multiplied by 100. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotinib 24-month treatment arm had a maximum of 36 months of TFR phase.
Confidence intervals were calculated based on the Exact Clopper-Pearson method. MR4.5 is defined as either detectable disease ≤ 0.0032% BCR-ABL IS; or undetectable disease within cDNA with ≥ 32,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotininb 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
BCR-ABL Ratio (Expressed as a Percentage) During the Induction/Consolidation Phase
BCR-ABL transcript ratio by international scale (IS) (expressed as a percentage) during the induction/consolidation phase. Participants randomized to Nilotinib 36-month treatment arm had 12-month additional consolidation phase (post-randomization).
Measured: From baseline up to 24 months after study treatment start for Nilotinib 24-month treatment arm and Not randomized participants; and up to 36 months after study treatment start for Nilotinib 36-month treatment arm.
BCR-ABL Ratio (Expressed as a Percentage) During the TFR Phase
BCR-ABL/control gene (ABL) transcript ratio by international scale (IS) (expressed as a percentage) during the TFR phase. BCR-ABL is the fusion gene from breakpoint cluster region and Abelson genes.
Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotinib 24-month treatment arm had a maximum of 36 months of TFR phase.
Measured: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
BCR-ABL Ratio (Expressed as a Percentage) During the Nilotinib Re-treatment Phase
BCR-ABL/control gene (ABL) transcript ratio by international scale (IS) (expressed as a percentage) during the nilotinib re-treatment phase. BCR-ABL is the fusion gene from breakpoint cluster region and Abelson genes.
Measured: From Day 1 after entering the re-treatment phase up to 24 months after entering re-treatment phase for Nilotinib 36-month treatment arm and 36 months after entering the re-treatment phase for Nilotinib 24-month treatment arm
Progression-free Survival (PFS) During the TFR Phase of the Study.
PFS is defined as the time from the date of start of the nilotinib TFR phase to the date of acelerated phase/blast crisis (AP/BC) or death, whichever came first. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotini 24-month treatment arm had a maximum of 36 months of TFR phase.
Patients not known to have recurred or died on or before the cut-off date for PFS analysis were censored at the date of their last assessment (cytogenetic, hematology or extramedullary) for patients who were on study, and at the date of last contact for patients who were in follow-up.
Measured: From the start of the TFR phase to progression to AP/BC or death up to 24 months after entering TFR phase for Nilotininb 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Treatment -Free Survival (TFS) During the TFR Phase of the Study
TFS is defined as the time from the start of the TFR phase to the date of the earliest of the following: loss of MMR, confirmed loss of MR4.0,re-start of nilotinib treatment, progression to AP/BC, or death from any cause. Patients not known to have had any of the events on or before the cut-off date were censored at the earlier of the date of their last assessment for patients who were still on study and the date of last contact for patients who were in follow-up. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotinib 24-month treatment arm had a maximum of 36 months of TFR phase. MMR is defined as ≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1%BCR-ABL.
MR4.0 is defined as either detectable disease ≤0.01%BCR-ABL IS or undetectable disease in cDNA with ≥10,000 ABL transcripts (numbers of ABL transcripts in the same volume of cDNA used to test for BCR-ABL)
Measured: From the start of the TFR phase to the date of occurrence of treatment-free survival event, up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Overall Survival (OS) Rate During the TFR Phase of the Study.
OS is defined as the time from start of the TFR phase to the time of death due to any cause. Participants randomized in Nilotinib 36-month treatment arm had a maximum of 24 months of TFR phase, whereas participants randomized in Nilotini 24-month treatment arm had a maximum of 36 months of TFR phase.
For participants without any event on or before the cut-off date, survival time will be censored at the date of their last assessment for patients who are still on study, and at the date of last contact for patients who are in follow-up.
Measured: From the start of the TFR phase to death due to any cause, assessed up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Dec 2012 (estimated)
- Study start15 Apr 2013
- Primary completion8 Jul 2020
- Study completion8 Jul 2020
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 (1)Papers the sponsor has linked to this study.
- Other trials for Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)Studies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Model description
- All participants received 24 months of study treatment. After 24 months of treatment, eligible participants (i.e. those deemed to have achieved sustained molecular response) were randomized to one of the two study arms on a continued open-label basis. Participants not achieving sustained molecular response after 24 months of treatment were not randomized but remained in the study until the 5-year study period was completed (Not randomized arm).
- Masking
- None (open label)
- Enrolment
- 620 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01743989
- Sponsor's protocol ID
- CAMN107AIC05
- Other IDs
- 2012-005124-15
- Acronym
- ENESTPath
- Status last verified
- Jun 2021
- First submitted
- 4 Dec 2012
- Last updated
- 15 Jul 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: 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 review 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 availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Borghi L, Rosti G, Maggi A, Breccia M, Di Bona E, Iurlo A, La Barba G, Sportoletti P, Albano F, Galimberti S, Rivellini F, Cambrin GR, Capodanno I, Cuneo A, Bonifacio M, Sica S, Arcaini L, Capochiani E, Minotto C, Ciceri F, Crugnola M, Di Caprio L, Supekar S, Elena C, Baccarani M, Vegni E. Perspectives and Emotional Experiences of Patients With Chronic Myeloid Leukemia During ENESTPath Clinical Trial and Treatment-Free Remission: Rationale and Protocol of the Italian Substudy. Front Oncol. 2021 May 26;11:638689. doi: 10.3389/fonc.2021.638689. eCollection 2021.
PubMed 34123791
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Randomized, Open Label, Two Arm Phase III Study to Evaluate Treatment Free Remission (TFR) Rate in Patients With Philadelphia-positive CML After Two Different Durations of Consolidation Treatment With Nilotinib 300mg BID.
- ClinicalTrials.gov ID
- NCT01743989
- Acronym / sponsor ID
- ENESTPath / CAMN107AIC05
- Conditions
- Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
- Keywords
- Adult, Chronic myelogenous leukemia (CML), Chronic myeloid leukemia (CML), Chronic myelocytic leukemia (CML), Acute Lymphoblastic Leukemia (ALL) Philadelphia chromosome positive, Acute Lymphoid Leukemia, Suboptimal molecular response
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 620 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 15 Apr 2013 (actual)
- Primary completion
- 8 Jul 2020 (actual)
- Study completion
- 8 Jul 2020 (actual)
- First posted
- 6 Dec 2012 (estimated)
- Results
- Posted 15 Jul 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to assess the optimal duration of nilotinib 300 mg twice daily (BID) consolidation treatment in patients with Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML), in order that patients remained in treatment-free remission (≥MR4.0) without molecular relapse 12 months after starting the Treatment-Free Remission (TFR) phase.
Detailed description
This was a prospective, randomized, open-label, multicenter Phase III study. The study design was made up of 3 phases:
- Nilotinib induction phase: 12 months
- Nilotinib consolidation phase: 12 or 24 months, depending on randomization
- Nilotinib treatment-free remission (TFR) phase: 24 or 36 months, depending on randomization.
Subjects were enrolled into the study and were treated with nilotinib 300mg twice daily (BID) for 24 months, during the induction (12 months) and consolidation (12 months) phases. At the end of the first 24 months of treatment, participants achieving a sustained molecular response (defined as ≥ MR4.0, in 4 out of 5 real-time quantitative polymerase chain reaction (RQ-PCR) assessments, including the last assessment, in the last 12 months) were randomized on a 1:1 basis to either:
- suspend nilotinib treatment immediately and enter the TFR phase for 36 months (Nilotinib 24-month treatment arm), or
- continue nilotinib treatment for a further 12 months (post-randomization consolidation phase), then suspend treatment and enter the TFR phase for 24 months (Nilotinib 36-month treatment arm).
Participants not achieving a sustained molecular response at 24 months from treatment start were not eligible for randomization and were treated at the discretion of the investigator according to standard practice. Information on survival, stem cell transplantation, and status of the patient's disease was collected until death or until 5 years from study entry, whichever came first. Additionally, for Nilotinib 36-month treatment arm, participants who did not achieve a sustained molecular response at 36 months from treatment start, discontinued from the study and were treated according to standard practice and followed up until death or until 5 years from study entry, whichever came first.
Participants relapsing during the TFR phase entered the nilotinib re-treatment phase of the study, and were re-treated with the same dose of nilotinib as they were on before the TFR phase. These patients remained on study until the completion of the 5-year study period unless prematurely withdrawn and discontinued from the study for any reason specified in the Protocol.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- All participants received 24 months of study treatment. After 24 months of treatment, eligible participants (i.e. those deemed to have achieved sustained molecular response) were randomized to one of the two study arms on a continued open-label basis. Participants not achieving sustained molecular response after 24 months of treatment were not randomized but remained in the study until the 5-year study period was completed (Not randomized arm).
| Arm | Type | Receives |
|---|---|---|
| Nilotinib 24-month treatment | Experimental | Drug: NilotinibParticipants were treated with nilotinib 300mg BID for 24 months and, thereafter, entered the 36-month TFR phase |
| Nilotinib 36-month treatment | Experimental | Drug: NilotinibParticipants were treated with nilotinib 300mg BID for 36 months and, thereafter, entered the 24-month TFR phase |
| Not randomized | Experimental | Drug: NilotinibParticipants were treated with nolotinib 300mg BID for 24 months, but did not achieve a sustained molecular response after 24 months of treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Confirmed diagnosis of chronic phase Ph+ CML
- Previous first-line treatment with imatinib for a minimum of 2 years;
- Patient in complete cytogenetic response;
Key exclusion criteria (10 listed)
- Previous achievement of MR4.0 at study entry;
- Previous treatment with other target cells inhibitors other than imatinib;
- Patients with any history of detectable atypical Leukemia transcripts or patients with detectable atypical leukemia transcripts at screening;
- Previous anticancer agents for Chronic myeloid leukemia other than imatinib except for cytoreduction;
- Severe and/or uncontrolled concurrent medical disease that in the opinion of the investigator could cause unacceptable safety risks or compromise compliance with the protocol;
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 |
|---|---|---|
| NilotinibAlso: AMN107Participants received a daily oral nilotinib dose of 300 mg BID, given as two 150 mg capsules BID. | Drug | Nilotinib 24-month treatment, Nilotinib 36-month treatment, Not randomized |
Primary outcome
Percentage of Participants Who Remained in Treatment Free Remission (TFR) Without Molecular Relapse 12 Months After Entering the TFR Phase
Time frame: 12 months after entering the TFR phase, which is after 36 months from study treatment start for Nilotinib 24-month treatment arm and after 48 months from study treatment start for Nilotinib 36-month treatment arm
Number of participants who remained in TFR (≥molecular response (MR) 4.0) without molecular relapse 12 months after entering the TFR phase (without re-starting nilotinib therapy) divided by the number of participants who entered the TFR phase and multiplied by 100. Molecular relapse during TFR is defined as the loss of major molecular response (MMR), or the confirmed loss of MR4.0 (defined by 3 consecutive tests less than MR4.0 assessed at 3 consecutive visits during TFR phase). Participants dropping out early from the study during the TFR phase were considered as unsuccessful TFR. Confidence intervals were calculated based on the Exact Clopper-Pearson method. MMR is defined as≥3.0 log reduction in BCR-ABL transcripts compared to the standardized baseline or ≤0.1% BCR-ABL. MR4.0 is defined as either detectable disease≤0.01% BCR-ABL or undetectable disease in cDNA with≥10,000 ABL transcripts
21 secondary outcomes
Cumulative Incidence of MMR During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MMR During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.0 During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.0 During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.5 During the Pre-randomization Induction/Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.5 During the Post-randomization Consolidation Phase Among Participants Without That Response at Study Entry
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MMR During the Pre-randomization Induction/Consolidation Phase
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MMR During the Post-randomization Consolidation Phase
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.0 During the Pre-randomization Induction/Consolidation Phase
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.0 During the Post-randomization Consolidation Phase
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Cumulative Incidence of MR4.5 During the Pre-randomization Induction/Consolidation Phase
Time frame: From baseline up to 24 months after study treatment start
Cumulative Incidence of MR4.5 During the Post-randomization Consolidation Phase
Time frame: From randomization (month 24 after study treatment start) up to 36 months after study treatment start
Percentage of Participants Who Were in MMR During TFR Phase
Time frame: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Percentage of Participants Who Were in MR4.0 During the TFR Phase
Time frame: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotininb 36-months treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-months treatment arm
Percentage of Participants Who Were in MR4.5 During the TFR Phase
Time frame: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotininb 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
BCR-ABL Ratio (Expressed as a Percentage) During the Induction/Consolidation Phase
Time frame: From baseline up to 24 months after study treatment start for Nilotinib 24-month treatment arm and Not randomized participants; and up to 36 months after study treatment start for Nilotinib 36-month treatment arm.
BCR-ABL Ratio (Expressed as a Percentage) During the TFR Phase
Time frame: From Month 1 after entering TFR phase up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
BCR-ABL Ratio (Expressed as a Percentage) During the Nilotinib Re-treatment Phase
Time frame: From Day 1 after entering the re-treatment phase up to 24 months after entering re-treatment phase for Nilotinib 36-month treatment arm and 36 months after entering the re-treatment phase for Nilotinib 24-month treatment arm
Progression-free Survival (PFS) During the TFR Phase of the Study.
Time frame: From the start of the TFR phase to progression to AP/BC or death up to 24 months after entering TFR phase for Nilotininb 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Treatment -Free Survival (TFS) During the TFR Phase of the Study
Time frame: From the start of the TFR phase to the date of occurrence of treatment-free survival event, up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Overall Survival (OS) Rate During the TFR Phase of the Study.
Time frame: From the start of the TFR phase to death due to any cause, assessed up to 24 months after entering TFR phase for Nilotinib 36-month treatment arm and up to 36 months after entering TFR phase for Nilotinib 24-month treatment arm
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34123791Borghi L, Rosti G, Maggi A, Breccia M, Di Bona E, Iurlo A, La Barba G, Sportoletti P, Albano F, Galimberti S, Rivellini F, Cambrin GR, Capodanno I, Cuneo A, Bonifacio M, Sica S, Arcaini L, Capochiani E, Minotto C, Ciceri F, Crugnola M, Di Caprio L, Supekar S, Elena C, Baccarani M, Vegni E. Perspectives and Emotional Experiences of Patients With Chronic Myeloid Leukemia During ENESTPath Clinical Trial and Treatment-Free Remission: Rationale and Protocol of the Italian Substudy. Front Oncol. 2021 May 26;11:638689. doi: 10.3389/fonc.2021.638689. eCollection 2021.
- Individual participant dataSharing planned: Yes. 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 review 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 availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
208 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nilotinib in people with Philadelphia Chromosome Positive (PH+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP), run by Novartis Pharmaceuticals at 208 sites in 21 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 3 inclusion and 10 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 15 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 208 sites in Italy, Spain, Germany, France, Poland and 16 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 15 Jul 2021). 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 Who Remained in Treatment Free Remission (TFR) Without Molecular Relapse 12 Months After Entering the TFR Phase (time frame: 12 months after entering the TFR phase, which is after 36 months from study treatment start for Nilotinib 24-month treatment arm and after 48 months from study treatment start for Nilotinib 36-month treatment arm). 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 NCT01743989, which also lists 1 linked publication.
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 15 Jul 2021; AzTrials last refreshed its copy on 26 Oct 2026.