Clinical trial · Interventional
Nilotinib vs Imatinib in Adult Patients With Philadelphia (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
A Phase III Randomized, Open- Label Multi-center Study of Nilotinib Versus Imatinib in Adult Patients With Ph+ Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) Who Have a Suboptimal Cytogenetic Response (CyR) on Imatinib
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): This study was terminated due to limited enrollment.
Summary
Brief summary (as posted)
In this study, the efficacy and safety of nilotinib 400 mg twice daily, will be compared with imatinib 400 mg twice daily in patients with a suboptimal response to imatinib for their Philadelphia chromosome-positive (Ph+) Chronic Myelogenous Leukemia in the chronic phase (CML-CP).
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Myelogenous Leukemia | Myeloid Leukemia | ALIAS | 0.90 |
Interventions
Interventions (2)
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Nilotinib (AMN107)
- interventionNames
- Drug: Nilotinib (AMN107)
- type
- ACTIVE_COMPARATOR
- label
- Imatinib
- interventionNames
- Drug: Imatinib
Primary outcomes (1)
- measure
- Complete Cytogenetic Response Rate(CCyR) in Patients Who Had a Suboptimal Cytogenetic Response on Imatinib
- timeFrame
- 12 months
- description
- Due to early termination of the trial, the number of patients was too small and imbalanced and therefore analysis was not performed.
Secondary outcomes (1)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion criteria: Diagnosis of Philadelphia chromosome positive chronic myelogenous leukemia in the chronic phase. Patients with suboptimal cytogenetic response to a dose of 400 mg imatinib (first line therapy) defined as: * 6 to \< 12 months of treatment and -have 36 - 95% Ph+ metaphases, or * 12 to \<18 months of treatment and have 1 - 35% Ph+ metaphases (Standard cytogenetics, no FISH \[fluorescence in situ hybridization\] analysis was allowed). Exclusion criteria: * Patient who have received more than 18 months of imatinib therapy * Patients who have achieved partial or complete cytogenetic response and lost that response prior to entering the study. * Prior treatment with greater than 400 mg/day imatinib. * Uncontrolled or significant cardiovascular disease. * Severe or uncontrolled medical conditions (i.e. uncontrolled diabetes, active or uncontrolled infection). * Use of therapeutic coumarin derivatives (i.e., warfarin, acenocoumarol, phenprocoumon) * Currently taking certain medications that could affect the rhythm of your heart. Other protocol-defined inclusion/exclusion criteria may apply
References
Publications (1)
- DERIVEDAgrawal M, Hanfstein B, Erben P, Wolf D, Ernst T, Fabarius A, Saussele S, Purkayastha D, Woodman RC, Hofmann WK, Hehlmann R, Hochhaus A, Muller MC. MDR1 expression predicts outcome of Ph+ chronic phase CML patients on second-line nilotinib therapy after imatinib failure. Leukemia. 2014 Jul;28(7):1478-85. doi: 10.1038/leu.2014.6. Epub 2014 Jan 10. PMID 24472814