A Multi-center, Open-label Study to Determine the Dose and Safety of Oral Asciminib in Pediatric Patients With Philadelphia Chromosome Positive Chronic Myeloid Leukemia in Chronic Phase (Ph+ CML-CP), Previously Treated With One or More Tyrosine Kinase Inhibitors

Who is this study for? Pediatric patients with Philadelphia chromosome positive chronic myeloid leukemia
What treatments are being studied? Asciminib
Status: Recruiting
Location: See all (40) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The aim of this study is to support development of asciminib in the pediatric population (1 to \<18 years) previously treated with one or more TKIs. Full extrapolation of the efficacy of asciminib from adult to pediatric patients will be conducted. Full extrapolation is based on the concept that CML in the pediatric population has the same pathogenesis, similar clinical characteristics and progression pattern as in adults.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 1
Maximum Age: 17
Healthy Volunteers: f
View:

∙ \- Male or female participants: Pediatric formulation group: ≥ 1 and less than 18 years of age at study entry. Adult formulation group: ≥ 14 and less than 18 years of age and body weight of ≥ 40 kg at study entry.

• Participants with Ph+ CML-CP must meet all of the following laboratory values at the screening visit. In the case where bone marrow blast and promyelocyte counts are available, these will be accepted if done within 56 days prior to the screening visit, to avoid unnecessary repetition of this test.

‣ \< 15% blasts in peripheral blood and bone marrow

⁃ \< 30% combined blasts plus promyelocytes in peripheral blood and bone marrow

⁃ \< 20% basophils in the peripheral blood

⁃ Neutrophils ≥ 1.5 x 10\^9/L (or WBC ≥ 3 x 10\^9/L if neutrophils are not available) and platelet count ≥ 100 x 10\^9/L

⁃ No evidence of extramedullary leukemic involvement, with the exception of hepatosplenomegaly

• Prior treatment with a minimum of one TKI

• Failure (adapted from the 2020 European Leukemia Net (ELN) Guidelines Hochhaus et al 2020 and 2013 ELN Guidelines Baccarani et al 2013) or intolerance to the most recent TKI therapy at the time of screening.

• Performance status: Karnofsky ≥ 50% for patients ≥ 16 years of age, and Lansky ≥ 50 for patients \< 16 years of age at the time of screening

• Participants must have adequate renal, hepatic, pancreatic and cardiac function

• Participants must have electrolyte values within normal limits or corrected to be within normal limits with supplements prior to first dose of study medication:

• Evidence of typical BCR-ABL1 transcript \[e14a2 and/or e13a2\] at the time of screening which are amenable to standardized RQ-PCR quantification.

Locations
United States
Indiana
Indiana UH Riley H for CIU
RECRUITING
Indianapolis
Massachusetts
Dana Farber Cancer Institute
RECRUITING
Boston
Dana Farber Cancer Institute
RECRUITING
Boston
Mississippi
University of Mississippi Medical Center
RECRUITING
Jackson
New York
Columbia University Medical Center New York Presbyterian
RECRUITING
New York
Ohio
Cinn Children Hosp Medical Center
RECRUITING
Cincinnati
Pennsylvania
Childrens Hospital of Philadelphia
RECRUITING
Philadelphia
Texas
Uni Of Texas MD Anderson Cancer Ctr
RECRUITING
Houston
Utah
University Of Utah
RECRUITING
Salt Lake City
Other Locations
China
Novartis Investigative Site
RECRUITING
Beijing
Novartis Investigative Site
RECRUITING
Hangzhou
Novartis Investigative Site
RECRUITING
Shanghai
Novartis Investigative Site
RECRUITING
Tianjin
France
Novartis Investigative Site
RECRUITING
Bordeaux
Novartis Investigative Site
RECRUITING
Lille
Novartis Investigative Site
RECRUITING
Paris
Novartis Investigative Site
RECRUITING
Poitiers
Germany
Novartis Investigative Site
RECRUITING
Erlangen
Novartis Investigative Site
RECRUITING
Essen
Novartis Investigative Site
RECRUITING
Hamburg
Greece
Novartis Investigative Site
RECRUITING
Athens
Hungary
Novartis Investigative Site
RECRUITING
Budapest
Italy
Novartis Investigative Site
RECRUITING
Genova
Novartis Investigative Site
RECRUITING
Monza
Novartis Investigative Site
RECRUITING
Roma
Novartis Investigative Site
RECRUITING
Torino
Japan
Novartis Investigative Site
RECRUITING
Osaka
Novartis Investigative Site
RECRUITING
Shinjuku-ku
Novartis Investigative Site
RECRUITING
Yokohama
Netherlands
Novartis Investigative Site
RECRUITING
Utrecht
Poland
Novartis Investigative Site
RECRUITING
Wroclaw
Republic of Korea
Novartis Investigative Site
RECRUITING
Seoul
Novartis Investigative Site
RECRUITING
Seoul
Russian Federation
Novartis Investigative Site
RECRUITING
Moscow
Novartis Investigative Site
RECRUITING
Saint Petersburg
Thailand
Novartis Investigative Site
RECRUITING
Bangkok
Novartis Investigative Site
RECRUITING
Chiang Mai
Novartis Investigative Site
RECRUITING
Khon Kaen
Turkey
Novartis Investigative Site
RECRUITING
Bursa
Novartis Investigative Site
RECRUITING
Istanbul
Contact Information
Primary
Novartis Pharmaceuticals
novartis.email@novartis.com
1-888-669-6682
Backup
Novartis Pharmaceuticals
+41613241111
Time Frame
Start Date: 2021-12-27
Estimated Completion Date: 2031-11-01
Participants
Target number of participants: 44
Treatments
Experimental: Asciminib
This arm consists of 2 groups:~* The pediatric formulation group where the dose is based on body weight (1.3mg/kg BID or 2.6 mg/kg QD)~* The adult formulation group where participants will receive a flat dose of 40mg BID
Sponsors
Leads: Novartis Pharmaceuticals

This content was sourced from clinicaltrials.gov