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NCT02906696

Bosutinib in Treating Patients With Chronic Myeloid Leukemia in Chronic Phase After Frontline TKI Failure

Terminated Phase 2 Results posted Last updated 11 May 2020
What this trial tests

Phase 2 trial testing Bosutinib in Blasts Under 15 Percent of Bone Marrow Nucleated Cells in 8 participants. Terminated before completion.

Timeline
28 October 2016
Primary endpoint
8 August 2019
8 August 2019

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment8
Start date28 October 2016
Primary completion8 August 2019
Estimated completion8 August 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Blasts Under 15 Percent of Bone Marrow Nucleated Cells or Blasts Under 15 Percent of Peripheral Blood White Cells. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Response Rate Primary · Up to 6 months

Response is defined as follows: 1) For patients who do not currently have a partial cytogenetic response (PCyR), achievement of major cytogenetic response is considered a response. 2) For patients who are currently in PCyR, achievement of CCyR is considered a response. The Simon's optimal two-stage design will be used for interim futility monitoring. Will be estimated along with the 95% credible interval.

GroupValue95% CI
Treatment (Bosutinib)6
Number of Participants With Treatment Interruptions and Dose Reductions Secondary · Up to 2 years

Will be summarized.

Interruptions
GroupValue95% CI
Treatment (Bosutinib)6
Reductions
GroupValue95% CI
Treatment (Bosutinib)4
Rates of Major Molecular Response (MR), MR4, MR4.5 and Complete Molecular Response Secondary · Up to 2 years

Will be estimated along with the exact 95% confidence intervals. Molecular assessments are based on quantitative reverse transcriptase polymerase chain reaction for Bcr-Abl in peripheral blood. Molecular response is categorized as MMR (Bcr-Abl/Abl ratio of \</= 0.1% in the international scale), MR4 (Bcr-Abl/Abl \</= 0.01%), and MR4.5 (BCR-ABL/ABL \</=0.0032%).

Complete Molecular Response (CMR)
GroupValue95% CI
Treatment (Bosutinib)2
MR4.5
GroupValue95% CI
Treatment (Bosutinib)3
MR4
GroupValue95% CI
Treatment (Bosutinib)3
Major Molecular Response (MMR)
GroupValue95% CI
Treatment (Bosutinib)5
Rates of BCR-ABL/ABL <10% Secondary · At 3 months

Will be assessed using the international scale. Will be estimated along with the exact 95% confidence intervals.

GroupValue95% CI
Treatment (Bosutinib)3
Rates of BCR-ABL/ABL < 1% Secondary · At 6 months

Will be assessed using the international scale. Will be estimated along with the exact 95% confidence intervals.

GroupValue95% CI
Treatment (Bosutinib)2
Overall Survival Secondary · Up to 2 years

Will be assessed by Kaplan-Meier methods. Cox proportional hazards regression models will be fit to assess the association between patient characteristics including survival outcome. Time from date of treatment start until date of death due to any cause or last Follow-up.

GroupValue95% CI
Treatment (Bosutinib)20.2613.63 – 22.90
Event-free Survival Secondary · Up to 2 years

Time from date of treatment start until the date of first objective documentation of disease-relapse.

GroupValue95% CI
Treatment (Bosutinib)13.973.06 – 22.90
Transformation-free Survival Secondary · Up to 2 years

Will be assessed by Kaplan-Meier methods. Transformation-free survival is defined as the time from treatment initiation until either progression to AP/BP or death from any cause.

GroupValue95% CI
Treatment (Bosutinib)13.973.75 – 22.90

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Bosutinib)
Serious: 4/8 (50%)
Deaths: 0/8

Serious adverse events (5 terms)

ReactionSystemTreatment (Bosutinib)
Chest PainCardiac disorders
DiarrheaGastrointestinal disorders
Gastrointestinal BleedGastrointestinal disorders
Arterial RuptureInjury, poisoning and procedural complications
Viral InfectionGeneral disorders
Other adverse events (25 terms — click to expand)

ReactionSystemTreatment (Bosutinib)
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
Elevated Alanine transaminaseInvestigations
RashSkin and subcutaneous tissue disorders
Abdominal PainGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Aspartate transaminaseInvestigations
HeadacheGeneral disorders
AnemiaBlood and lymphatic system disorders
AngioedemaBlood and lymphatic system disorders
BruisingInjury, poisoning and procedural complications
Chest PainGeneral disorders
Elevated CreatinineInvestigations
Fever of Unknown originGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
Irregular MenstrationReproductive system and breast disorders
MucositisGastrointestinal disorders
SodiumMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Sensory NeuropathyNervous system disorders
Periorbital EdemaEye disorders
PruritisSkin and subcutaneous tissue disorders
Upper Respiratory InfectionInfections and infestations
VomitingGastrointestinal disorders
Yeast InfectionInfections and infestations

Most-reported serious reactions: Chest Pain, Diarrhea, Gastrointestinal Bleed, Arterial Rupture, Viral Infection.

Data from ClinicalTrials.gov NCT02906696 adverse events section.

Sponsor's own description

This phase II trial studies how well bosutinib works in treating patients with chronic myeloid leukemia in chronic phase after frontline tyrosine kinase inhibitor (TKI) failure. Bosutinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Tyrosine Kinase Inhibitors Available for Chronic Myeloid Leukemia: Efficacy and Safety.
    García-Gutiérrez V, Hernández-Boluda JC. · · 2019 · cited 98× · PMID 31334123 · DOI 10.3389/fonc.2019.00603
  2. Management of adverse events associated with bosutinib treatment of chronic-phase chronic myeloid leukemia: expert panel review.
    Cortes JE, Apperley JF, DeAngelo DJ, Deininger MW, et al · · 2018 · cited 41× · PMID 30587215 · DOI 10.1186/s13045-018-0685-2
  3. Is There a Role for Dose Modification of TKI Therapy in CML?
    Copland M. · · 2019 · cited 24× · PMID 31197525 · DOI 10.1007/s11899-019-00524-w
  4. Practical management of toxicities associated with bosutinib in patients with Philadelphia chromosome-positive chronic myeloid leukemia.
    Khoury HJ, Gambacorti-Passerini C, Brümmendorf TH. · · 2018 · cited 19× · PMID 29385394 · DOI 10.1093/annonc/mdy019

Verify or expand the search:

Other trials of Bosutinib

Trials testing the same drug.

Other M.D. Anderson Cancer Center trials

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