Treatment Free Remission (TFR) in CML Patients (CML-CP)Study
NCT05440747 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 203
Last updated 2022-07-01
Summary
Improving the quality of life and achieving Treatment-Free Remission(TFR) is a long-term goal of treatment in CML-CP patients, and deep molecular response (DMR) is necessary to achieve TFR. Cording to the historical literature, it is reported that patients with CML-CP take MMR as the therapeutic target, and the acquisition rate of DMR under long-term TKI treatment is 50%. The 2-year success rate of TFR patients was 50%. Therefore, maybe only 25% of patients with CML can successfully stop the drug for a long time. It cannot meet the withdrawal needs of patients with long-term drug survival.
This study is to design a real-world observational registration study for optimal effect. On the premise of taking DMR as the target decision, through initial treatment intervention, improve the DMR rate, which will promote clinical practice, so as to improve the 2-year TFR rate of cml-cp patients. This study is a multicenter, observational, prospective registry to identify the optimal treatment for achieving TFR in CML patients. In this study, the investigators will assess the deep molecular response after 12 months of treatment and the 2-year treatment-free remission rate (TFR 2y) after drug discontinuation.
Eligible participants with CML-CP can be enrolled. The observation period of all participants is at least 60 months, of which the first 36 months is the shortest treatment period, and the last 24 months is the TFR observation period after TKIs (Imatinib/Flumatinib/Nilotinb/ Dasatinib) withdrawal. During the treatment phase, participants can receive TKIs ± IFN (or other treatments) as first-line/second-line treatment, and the treatment plan will be adjusted according to the molecular response. Patients should accept TKI treatment for at least 3 years or more, and MR4/MR4.5 should achieve at least 2 years before discontinuation.
Conditions
- Chronic Myeloid Leukemia
- Treatment-free Remission
Interventions
- OTHER
-
TFR(Treatment-Free Remission)
Withdrawal TKIs(Tyrosine kinase inhibitors: Imatinib or Flumatinib or Nilotinb or Dasatinib)
Sponsors & Collaborators
-
Guangdong Provincial People's Hospital
lead OTHER
Principal Investigators
-
Jianyu Jianyu, PhD · Sponsor GmbH
Eligibility
- Min Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-31
- Primary Completion
- 2024-10-31
- Completion
- 2031-10-31
More Related Trials
-
Evaluate the Hematological Remission Rates and Survival Among Chinese Adult Patients With B-precursor ALL
NCT03123887 ·Status: COMPLETED
-
Treatment-free Remission Accomplished With Dasatinib in Patients With CML
NCT02268370 ·Status: UNKNOWN ·Phase: PHASE2
-
Efficacy, Safety and Long-term Prognosis of Imatinib in Patients Newly Diagnosed With Chronic Myelogenous Leukemia (Chronic Phase)
NCT00237120 ·Status: COMPLETED ·Phase: PHASE3
-
A Multicenter Prospective Cohort Study Study of CLAG Regimen in Acute Myeloid Leukemia Patients With First-induction Failure
NCT05875649 ·Status: NOT_YET_RECRUITING
-
Biomarkers for Personalized Early Assessment of Response During Salvage Chemotherapy in People With Relapsed or Refractory Acute Myeloid Leukemia (PEARL15)
NCT02527447 ·Status: COMPLETED
-
Therapy of Early Chronic Phase CML With Higher-Dose Gleevec, Alpha Interferon, and Low-Dose Ara-C
NCT00038649 ·Status: TERMINATED ·Phase: PHASE2
-
Clofarabine Salvage Therapy in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML)
NCT01295307 ·Status: COMPLETED ·Phase: PHASE2
-
AFR10 - Combination Therapy of Imatinib Mesylate (IM) + Alpha-2A Interferon for Chronic Phase CML Patients Resistant or Refractory to IM Used as Single Therapy for at Least One Year
NCT00146913 ·Status: UNKNOWN ·Phase: PHASE2
-
Study for Safety and Efficacy of Olverembatinib Combined With APG-2575 in Children With Relapsed/Refractory Ph + ALL
NCT05495035 ·Status: UNKNOWN ·Phase: PHASE1
-
Study of Efficacy and Safety of CML-CP Patients Treated With Asciminib Versus Best Available Therapy, Previously Treated With 2 or More Tyrosine Kinase Inhibitors
NCT04795427 ·Status: COMPLETED ·Phase: PHASE2
-
Tipifarnib in Treating Patients With Acute Myeloid Leukemia in Remission
NCT00093470 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of HYML-122 in Patients With FLT3 Positive Relapsed or Refractory Acute Myeloid Leukemia (AML)
NCT05241106 ·Status: RECRUITING ·Phase: PHASE2
-
Flumatinib in CML-CP Patients With Ph+ Post Imatinib Failure
NCT04677439 ·Status: UNKNOWN ·Phase: PHASE4
-
Combination of Sorafenib With Standard Therapy in Newly Diagnosed Adult CBF AML
NCT05404516 ·Status: UNKNOWN ·Phase: PHASE2
-
Treatment Patterns and Outcomes Among Patients With Chronic Myeloid Leukemia (CML) in All Lines of Treatment
NCT07188428 ·Status: COMPLETED
-
Late Chronic Phase Chronic Myelogenous Leukemia
NCT01092741 ·Status: COMPLETED ·Phase: PHASE2
-
Multicenter, Platform-type Clinical Study of Refractory/Recurrent Acute Myeloid Leukemia
NCT06265545 ·Status: RECRUITING ·Phase: NA
-
Analysis of CMTM6 Expression in Patients With Acute Myeloid Leukemia
NCT05988047 ·Status: COMPLETED
-
Non-interventional Treatment Patterns Study in Chronic Phase Chronic Myelogenous Leukemia (CP-CML)
NCT01394666 ·Status: COMPLETED
-
Discontinuation Study of Imatinib in Adult CP CML Patients Who Have a Complete Molecular Response to Imatinib
NCT01564836 ·Status: UNKNOWN ·Phase: NA
-
Effect of Imatinib Mesylate and the Pharmacokinetics of Acetaminophen/Paracetamol in Patients With Newly Diagnosed, Previously Untreated Chronic Myeloid Leukemia in Chronic Phase (CML-CP)
NCT00428909 ·Status: COMPLETED ·Phase: PHASE1
-
A Study on the Withdrawal of Second-generation Tyrosine Kinase Inhibitors After Dose Reduction in Patients With CML
NCT05341050 ·Status: RECRUITING
-
A Phase 2 Study of Farnesyl Transferase Inhibitor (R115777, Tipifarnib) in Patients With Refractory or Relapsed Acute Myeloid Leukemia.
NCT00354146 ·Status: COMPLETED ·Phase: PHASE2
-
Clofarabine and Gemtuzumab in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia
NCT00577694 ·Status: TERMINATED ·Phase: PHASE1
-
Studying Biomarkers in Cell Samples From Young Patients With Acute Myeloid Leukemia
NCT01057290 ·Status: COMPLETED