UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024984
Receipt number R000028186
Scientific Title Discontinuation study of nilotinib in patients with chronic myeloid leukemia who have maintained complete molecular remission for at least 2 years: the prospective, multicenter stop study in Japan adult leukemia study group
Date of disclosure of the study information 2016/11/24
Last modified on 2022/11/29 11:47:58

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Basic information

Public title

Discontinuation study of nilotinib in patients with chronic myeloid leukemia who have maintained complete molecular remission for at least 2 years: the prospective, multicenter stop study in Japan adult leukemia study group

Acronym

JALSG-N-STOP216

Scientific Title

Discontinuation study of nilotinib in patients with chronic myeloid leukemia who have maintained complete molecular remission for at least 2 years: the prospective, multicenter stop study in Japan adult leukemia study group

Scientific Title:Acronym

JALSG-N-STOP216

Region

Japan


Condition

Condition

chronic myeloid leukemia

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We try to evaluate treatment-free remission (TFR) rate in CML patients, who have been treated with nilotinib continuously from diagnosis and maintained complete molecular remission for more than 2 years.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

TFR rate at 12 months after nolotinib discontinuation

Key secondary outcomes

1. TFR rate at 24 months after nolotinib discontinuation
2. CMR rate at 12 months and 24 months after nilotinib discontinuation
3. Overall survival, progression-free survival, treatment-free survival, event-free survival
4. Relationship between TFR and CMR duration time, treatment duration time, early molecular response, Sokal risk stratification, and trough concentration
5. Efficacy of the retreatment with nilotinib for CML patients, who lost TFR
6. Analysis of clinical features of nilotinib withdrawal syndrome


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Discontinuation of nilotinib and retreatment with nilotinib for CML patients who lost TFR

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. BCR-ABL-positive CML patients in chronic phase (CP)
2. CML patients in CP with ECOG Performance Status 0-2
3. CML patients in CP, who have been treated with nilotinib with a daily dose equal or more than 300mg for more than three years since diagnosis
4. CML patients in CP, who have maintained complete molecular response (CMR) for more than two years
5. CML patients in CP without severe (more than grade 3) adverse events by nilotinib
6. CML patients in CP, who agree to discontinuation of nilotinib
7. CML patients in CP, who can visit the hospital on scheduled days
8. CML patients in CP with written consent for the trial

Key exclusion criteria

1. CML patients in CP, who had an experience of treatment with TKI other than nilotinib or interferon-a for more than 4 weeks
2. CML patients in CP, who have been treated with nilotinib with a daily dose less than 300mg excepting transient dose reduction due to the adverse events
3. CML patients in CP, who had an experience of allogeneic hematopoietic stem cell transplantation
4. CML patients in CP with an episode of disease progression to accelerated or blastic phase
5. CML patients in CP with an episode of loss of CMR despite the continuous treatment with nilotinib
6. CML patients in CP with poor adherence to nilotinib
7.CML patients in CP, who don't accept retreatment with nilotinib after losing TFR
8. CML patients in CP with other inappropriate conditions for the trial

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Itaru
Middle name
Last name Matsumura

Organization

Kindai University, Faculty of Medicine

Division name

Department of Hematology and Rheumatology

Zip code

589-8511

Address

377-2, Ohno-Higashi Osaka-Sayama, Osaka

TEL

072-366-0221

Email

i.matsu@med.kindai.ac.jp


Public contact

Name of contact person

1st name Itaru
Middle name
Last name Matsumura

Organization

Kinki University, Faculty of Medicine

Division name

Department of Hematology and Rheumatology

Zip code

589-8511

Address

377-2, Ohno-Higashi Osaka-Sayama, Osaka

TEL

072-366-0221

Homepage URL

http://www.jalsg.jp

Email

i.matsu@med.kindai.ac.jp


Sponsor or person

Institute

Japan Adult Leukemia Study Group

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Gene Ethical Review Board of tha Kinki University, Faculty of Medicine

Address

377-2, Ohno-Higashi Osaka-Sayama, Osaka

Tel

072-366-0221

Email

zizen@med.kindai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 11 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

51

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2016 Year 11 Month 10 Day

Date of IRB

2016 Year 11 Month 24 Day

Anticipated trial start date

2016 Year 11 Month 24 Day

Last follow-up date

2022 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 11 Month 24 Day

Last modified on

2022 Year 11 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028186


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name