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Completed

NCT Number: NCT03454503

Effectiveness and Safety Study of Generic Imatinib in Chronic Myeloid Leukemia Patients in Egypt

The purpose of this observational study is to evaluate the effectiveness and safety of generic imatinib under usual clinical practice in patients of Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) patients in chronic phase (CP) in Egypt

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Key information

About this study

An observational, multi-center, prospective cohort study to assess the effectiveness and safety of generic Imatinib (Carcemia®) in patients with Ph+ CML who are newly diagnosed or patients who will be switched from the reference product (Glivec® ) to Carcemia® where treatment will be prescribed by the investigator in accordance with clinical practice where no visits or intervention(s) additional to the daily practice will be performed.

Eligible Ph+ CML patients in both cohorts will be followed up for a total of 18 months.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

First cohort (newly diagnosed patients):

  • Age ≥18 years
  • Newly diagnosed patients with Ph+ CML in CP, with or without the presence of other cytogenetic abnormalities at the time of diagnosis
  • Treatment naïve patients with confirmed diagnosis within 3 months of study enrolment
  • Levels of liver aminotransferases and serum bilirubin ≤ 2 times the upper limit of the normal range, and serum creatinine ≤1.5 times the upper limit of the normal range
  • Written informed consent

Second cohort (switched patients):

  • Age ≥18 years
  • Ph+ CML patients in CP currently treated with Glivec®, with or without the presence of other cytogenetic abnormalities at the time of switch
  • Levels of liver aminotransferases and serum bilirubin ≤ 2 times the upper limit of the normal range and serum creatinine ≤1.5 times the upper limit of the normal range
  • Written informed consent

Exclusion criteria

  • CML in accelerated phase (AP) at enrollment except patients in AP with the presence of other cytogenetic abnormalities at the time of diagnosis
  • CML in BP at enrollment
  • Patients who meet any of the contraindications to the administration of the study drug according to the approved Summary of Product Characteristics

Treatment and study plan

Imatinib

Drug

Film coated tablet contains 400 mg imatinib (as mesilate)

Other names: Carcemia®

Primary outcomes

  1. Proportion of patients who achieve and maintain major molecular response (MMR)

    Time frame: 12 months

    Major molecular response (MMR) is measured using real-time quantitative polymerase chain reaction (RQ-PCR) test and is defined as BCR-ABL1 ≤ 0.1%

Secondary outcomes

  1. Incidence of adverse events (AEs) and serious adverse events (SAEs) to generic Imatinib (Carcemia®)

    Time frame: 18 months

    Number, type, severity and frequency of adverse events (AEs), serious AEs (SAEs), and clinically relevant changes in laboratory tests according to laboratory reference ranges

  2. Progression free survival (PFS)

    Time frame: 18 months

    Proportion of CML patients who will not experience disease progression from enrollment to 18 months study endpoint.

  3. Event free survival (EFS)

    Time frame: 18 months

    Proportion of CML patients who will not experience event from enrollment to 18 months study endpoint

  4. Survival without blastic phase (BP)

    Time frame: 18 months

    Proportion of CML patients who will not experience blastic phase (BP) from enrollment to 18 months study endpoint.

  5. Overall survival (OS)

    Time frame: 18 months

    Proportion of CML patients who will not die till 18 months study endpoint.

  6. Complete cytogenetic response (CCgR)

    Time frame: 12 months

    Proportion of CML patients who will achieve no Ph+ metaphases at 12 months study endpoint by conventional cytogenetics and/or FISH test.

  7. Complete molecular response (CMR)

    Time frame: 12 months

    Proportion of CML patients who will achieve undetectable BCR-ABL mRNA transcripts by RQ-PCR test in two consecutive blood samples of adequate quality.

  8. Health-Related Quality of Life (HRQoL)

    Time frame: 18 months

    Mean change in Health-Related Quality of Life (HRQoL) utilizing EORTC QOLCML24 questionnaire throughout treatment visits

  9. Treatment compliance on generic Imatinib

    Time frame: 18 months

    Evaluated by identifying the frequency of not taking the medications as prescribed and the reasons. The decision on non-compliance is based on the treating physician's judgment.

Sponsors and collaborators

Lead sponsor

Hikma Pharmaceuticals LLC

Industry

Registry information

Official study title

Evaluation of Generic Imatinib in a Real-World Setting Among Chronic Myeloid Leukemia Patients in Egypt

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Mar 6, 2018
Registry last updated
Feb 23, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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