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NCT04793399

Safety and Efficacy Evaluation of Bosutinib Plus Atezolizumab in Newly Diagnosed Chronic Leukemia Adult Patients

Terminated Phase 1, PHASE2 Results posted Last updated 19 March 2024
What this trial tests

Phase 1, PHASE2 trial testing Bosutinib 400 MG Monotherapy in Chronic Phase-Chronic Myeloid Leukemia in 9 participants. Terminated before completion.

Timeline
24 February 2021
Primary endpoint
24 September 2021
24 September 2021

Quick facts

Lead sponsorFundacion Espanola para la Curacion de la Leucemia Mieloide Cronica
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment9
Start date24 February 2021
Primary completion24 September 2021
Estimated completion24 September 2021
Sites2 locations across Spain

Drugs / interventions tested

Conditions studied

Sponsor

Fundacion Espanola para la Curacion de la Leucemia Mieloide Cronica — full company profile →

Who can join

18 and older, any sex, with Chronic Phase-Chronic Myeloid Leukemia. 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.

Safety Profile of Bosutinib 400 mg Daily in Combination With Atezolizumab in Participants With Chronic Myeloid Leukemia as First Line Treatments Primary · through study completion, up to 7 months

All Adverse Events, despite their severity or causal relationship with the study medication, will be reported, graded according CTCAE v5.0 and analyzed.

GroupValue95% CI
Bosutinib-Atezolizumab Combination55

Adverse events — posted to ClinicalTrials.gov

Time frame: Study Period: start (first patient enrolled) 24/02/2021 and premature end (Last patient last visit) 24/09/2021. Therefore, 7 months was the duration of this study and in this period of time when adverse event data were collected.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Bosutinib-Atezolizumab Combination
Serious: 4/9 (44%)
Deaths: 0/9

Serious adverse events (3 terms)

ReactionSystemBosutinib-Atezolizumab Com…
HepatotoxicityHepatobiliary disorders
CholestasisHepatobiliary disorders
Transaminases ElevationHepatobiliary disorders
Other adverse events (14 terms — click to expand)

ReactionSystemBosutinib-Atezolizumab Com…
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Abdominal discomfortMusculoskeletal and connective tissue disorders
Abdominal painMusculoskeletal and connective tissue disorders
Abdominal pain upperMusculoskeletal and connective tissue disorders
Blood bilirubin increasedHepatobiliary disorders
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
Lipase increasedMetabolism and nutrition disorders
ThrombocytopeniaBlood and lymphatic system disorders
Alanine aminotransferase increasedHepatobiliary disorders
Aspartate aminotransferase increasedHepatobiliary disorders

Most-reported serious reactions: Hepatotoxicity, Cholestasis, Transaminases Elevation.

Data from ClinicalTrials.gov NCT04793399 adverse events section.

Sponsor's own description

The combination of bosutinib plus atezolizumab in first line treatment in newly diagnosis chronic-phase Chronic Myeloid Leukemia (CML) patients could potentially increase molecular responses and therefore treatment discontinuation probabilities in these patients. We propose an Open-Label Phase Ib/II Study of Bosutinib in Combination with Atezolizumab for the Treatment of New Diagnosis Chronic Phase-Chronic Myeloid Leukemia Patients.

Publications & conference data

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

  1. Trial Watch: combination of tyrosine kinase inhibitors (TKIs) and immunotherapy.
    Petrazzuolo A, Maiuri MC, Zitvogel L, Kroemer G, et al · · 2022 · cited 23× · PMID 35655707 · DOI 10.1080/2162402x.2022.2077898
  2. Impact of Tyrosine Kinase Inhibitors on the Expression Pattern of Epigenetic Regulators.
    Tóth K, Gaál Z. · · 2025 · cited 1× · PMID 40282457 · DOI 10.3390/cancers17081282
  3. Hepatotoxicity as dose-limiting toxicity of the combination of bosutinib and atezolizumab in patients with chronic myeloid leukemia. Results of the ZEROLMC study.
    Pérez-Lamas L, de Paz Arias R, Díaz RMA, Montero LFC, et al · · 2024 · cited 1× · PMID 38568260 · DOI 10.1007/s00277-024-05662-7

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing