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Completed

NCT Number: NCT01456676

Nilotinib and LDE225 in the Treatment of Chronic or Accelerated Phase Myeloid Leukemia in Patients Who Developed Resistance to Prior Therapy

The purpose of this study is to determine the feasibility of administering the combination of nilotinib and LDE225 to patients with chronic or accelerated phase of chronic myeloid leukemia and to establish the maximum tolerated dose (MTD) and/or recommended Phase II dose level (RP2D) of LDE225 in combination with nilotinib.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site, Toronto, Ontario, Canada

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Philadelphia chromosome positive (Ph+) CML in chronic phase (CP) or accelerated phase (AP)with resistance to at least one prior BCR-ABL targeting TKI
  • Documented chronic phase CML
  • Adequate end organ function
  • Female patients of childbearing potential must have a negative serum pregnancy test and must be using highly effective methods of contraception. Male patients with female partners of child-bearing potential must use condoms.

Exclusion criteria

  • Impaired cardiac function
  • Severe and/or uncontrolled concurrent disease that in the opinion of the investigator could cause unacceptable safety risks or compromise compliance with the protocol
  • History of acute pancreatitis within 1 year of study entry or past medical history of chronic pancreatitis
  • Patients actively receiving therapy with strong CYP3A4 inhibitors and/or inducers, and the treatment cannot be either discontinued or switched to a different medication prior to entering the study
  • Patients who are currently receiving treatment with any medications that have the potential to prolong the QT interval and the treatment cannot be either safely discontinued or switched to a different medication prior to starting study drug.
  • Previously documented BCR-ABL Y253H, E255K/V, T315I or F359C/V mutation

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

Nilotinib + LDE225

Drug

Nilotinib is an aminopyrimidine ATP-competitive inhibitor of the protein tyrosine kinaseactivity of BCR-ABL.

Primary outcomes

  1. Incidence rate and category of dose limiting toxicities (DLTs) during the first two cycles of therapy

    Time frame: 56 days (2 treatment cycles at 28 days each)

    Determination of the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) of nilotinib in combination with LDE225

Secondary outcomes

  1. No of participants with Adverse drug reactions and serious adverse drug reactions, changes in hematology and blood chemistry values, assessments of physical examinations, vital signs and electrocardiograms

    Time frame: 336 days (12 treatment cycles)

    Assessment of the safety and tolerability profile of nilotinib in combination with LDE225

  2. Plasma concentration and basic pharmacokinetics (PK) parameters (as Cmax, Tmax, AUC)

    Time frame: 50 days

    Assessment of the PK characteristics of nilotinib administered in combination with LDE225

  3. Major molecular response (MMR) rates at 3, 6 and 12 months

    Time frame: 336 days (12 treatment cycles)

    Determination of the kinetics of major molecular response

  4. Complete molecular response (CMR) rates at 3, 6 and 12 months

    Time frame: 336 days (12 treatment cycles)

    Determination of the kinetics of complete molecular response

  5. Major cytogenic response (MCyR) rates by 3, 6 and 12 months

    Time frame: 336 days (12 treatment cycles)

    Determination of major cytogenetic response rates

  6. Complete cytogenic response (CCyR) rates by 3, 6 and 12 months

    Time frame: 336 days (12 treatment cycles)

    Determination of complete cytogenetic response rates

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Single-arm Dose-finding Phase Ib Multicenter Study of the Oral Smoothened Antagonist LDE225 in Combination With Nilotinib in Chronic or Accelerated Phase of Chronic Myeloid Leukemia Patients Who Have Failed Prior Therapy With Other BCR-ABL Tyrosine-kinase Inhibitors

Important dates

Study start
2012
Primary completion
2014
Study completion
2014
First posted
Oct 21, 2011
Registry last updated
Dec 9, 2020

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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