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Tyrosine Kinase Inhibitor
Asciminib vs Nilotinib for Chronic Myeloid Leukemia (ASC4START Trial)
Phase 3
Waitlist Available
Research Sponsored by Novartis Pharmaceuticals
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, every 4 weeks from week 4 to week 12, after week 24, week 48, week 96, eot and every 4 weeks until 12 weeks after eot, assessed up to approximately 4,5 years.
Awards & highlights
All Individual Drugs Already Approved
No Placebo-Only Group
Pivotal Trial
Summary
This trial will compare two drugs to treat newly diagnosed Chronic Myelogenous Leukemia in Chronic Phase.
Who is the study for?
Adults (≥18 years) newly diagnosed with Philadelphia Chromosome Positive Chronic Myelogenous Leukemia in chronic phase can join. They must be within 3 months of diagnosis, have an ECOG performance status of 0 or 1, and proper organ function. Excluded are those previously treated for CML (except hydroxyurea/anagrelide), with certain heart conditions, severe concurrent diseases, recent major surgery, other active malignancies within the past 3 years (some exceptions apply), a history of pancreatitis or liver disease, and known HIV/HBV/HCV infections.
What is being tested?
The trial is testing the tolerability and effectiveness of two oral drugs: Asciminib versus Nilotinib in adults with newly diagnosed Ph+ CML-CP. Participants will receive one drug or the other to compare how well they tolerate them and how effective they are at treating their leukemia.
What are the potential side effects?
Potential side effects for both Asciminib and Nilotinib include nausea, rash, fatigue, headaches, muscle pain; however specific side effects may vary between drugs. Heart problems like abnormal heartbeat could occur especially if there's a history of cardiac issues.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, every 4 weeks from week 4 to week 12, after week 24, week 48, week 96, eot and every 4 weeks until 12 weeks after eot, assessed up to approximately 4.5 years.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, every 4 weeks from week 4 to week 12, after week 24, week 48, week 96, eot and every 4 weeks until 12 weeks after eot, assessed up to approximately 4.5 years.
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Time to discontinuation of study treatment due to adverse event (TTDAE).
Secondary study objectives
Malignant Neoplasms
Malignant Neoplasms
Duration of MMR
+19 moreAwards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: AsciminibExperimental Treatment1 Intervention
Participants will receive asciminib 80 mg QD
Group II: NilotinibActive Control1 Intervention
Participants will receive nilotinib 300 mg BID
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Asciminib
FDA approved
Find a Location
Who is running the clinical trial?
Novartis PharmaceuticalsLead Sponsor
2,911 Previous Clinical Trials
4,250,084 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have only been treated with hydroxyurea or anagrelide for my CML.I have a severe illness that is not under control.I have had pancreatitis before.I have HIV but it is well-controlled with medication.I haven't had any other cancer besides this one in the last 3 years.My leukemia is in the chronic phase and has been confirmed to have the Philadelphia chromosome.My chronic myeloid leukemia matches specific criteria set in 2013.I am fully active or can carry out light work.I have not had major surgery in the last 4 weeks.I have a history of chronic Hepatitis B or C.I was diagnosed with chronic myeloid leukemia in the chronic phase less than 3 months ago.My organs are functioning well.I have a history of serious bleeding problems.I have a heart condition affecting its function or electrical activity.My kidney function is slightly impaired, but my lab values are normal or corrected.I have a history of liver disease.
Research Study Groups:
This trial has the following groups:- Group 1: Nilotinib
- Group 2: Asciminib
Awards:
This trial has 3 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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