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Effect of Imatinib Mesylate and the Pharmacokinetics of Acetaminophen/Paracetamol in Patients With Newly Diagnosed, Previously Untreated Chronic Myeloid Leukemia in Chronic Phase (CML-CP)
This study is currently recruiting participants.
Verified by Novartis, July 2008
Sponsored by: Novartis
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00428909
  Purpose

A non-randomized, open-label study to investigate the effects of imatinib mesylate on the pharmacokinetics of acetaminophen/paracetamol in patients with newly diagnosed, previously untreated chronic myeloid leukemia in chronic phase (CML-CP)


Condition Intervention Phase
Chronic Myeloid Leukemia (CML)
Drug: Imatinib
Drug: Acetaminophen
Phase I

MedlinePlus related topics: Leukemia, Adult Acute Leukemia, Adult Chronic
Drug Information available for: Imatinib Imatinib mesylate Acetaminophen
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics Study
Official Title: A Non-Randomized, Open-Label Study to Investigate the Effects of Imatinib Mesylate on the Pharmacokinetics of Acetaminophen/Paracetamol in Patients With Newly Diagnosed, Previously Untreated Chronic Myeloid Leukemia in Chronic Phase (CML-CP)

Further study details as provided by Novartis:

Primary Outcome Measures:
  • To investigate the effects of the co-administration of imatinib on the pharmacokinetics of acetaminophen / paracetamol
  • To investigate the pharmacokinetic characteristics of imatinib at steady state in CML-CP patients following
  • 400 mg dosing co-administered with acetaminophen

Estimated Enrollment: 25
Study Start Date: November 2006
  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria

  • Ability to provide written informed consent prior to participation to the study.
  • Male or female patients ≥ 18 and ≤ 75 years of age
  • Patients with CML-CP within 6 months of diagnosis (date of initial diagnosis is the date of first cytogenetic analysis). FISH analysis will not be accepted.
  • Diagnosis of CML in chronic phase with cytogenetic confirmation of Philadelphia chromosome of (9;22) translocations and presence of Bcr-Abl
  • Documented chronic phase CML as defined by:
  • < 15% blasts in peripheral blood and bone marrow
  • < 30% blasts plus promyelocytes in peripheral blood and bone marrow
  • < 20% basophils in the peripheral blood
  • ≥ 100 x 109/L (≥ 100,000 /mm3) platelets
  • No evidence of extramedullary leukemic involvement, with the exception of hepatosplenomegaly
  • Adequate end organ function as defined by:
  • total bilirubin < 1.5 x ULN
  • SGOT and SGPT < 2.5 x UNL
  • creatinine < 1.5 x ULN
  • Female patients of childbearing potential must have a negative serum pregnancy test within 7 days before initiation of study drug

Exclusion criteria

  • Patients in late chronic phase, accelerated phase, or blastic phase are excluded
  • Patients who have received other investigational agents
  • Patients who received imatinib for any duration prior to study entry
  • Patient received any treatment for CML prior to study entry for longer than 2 weeks with the exception of hydroxyurea and/or anagrelide
  • Patients with another primary malignancy except if the other primary malignancy is neither currently clinically significant or requiring active intervention
  • Patients who are:
  • pregnant
  • breast feeding
  • of childbearing potential without a negative pregnancy test prior to baseline
  • male or female of childbearing potential unwilling to use barrier contraceptive precautions throughout the trial
  • Post-menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential
  • Patient with a severe or uncontrolled medical condition (i.e., uncontrolled diabetes, chronic renal disease)
  • Patient previously received radiotherapy to ≥ 25% of the bone marrow
  • Patient had major surgery within 4 weeks prior to study entry, or who have not recovered from prior major surgery
  • Patients with an ECOG Performance Status Score ≥ 3
  • Patients with International normalized ratio (INR) or partial thromboplastin time (PTT) > 1.5 x IULN, with the exception of patients on treatment with oral anticoagulant
  • Patients with known positivity for human immunodeficiency virus (HIV)
  • baseline testing for HIV is not required
  • Patients with any significant history of non-compliance to medical regimens or with inability to grant a reliable informed consent
  • Patients with identified sibling donors where allogeneic bone marrow transplant is elected as first line treatment
  • Patients who are chronic users of acetaminophen or medications containing acetaminophen.
  • Patients who received acetaminophen or medications containing acetaminophen within 72 hours prior to study entry.

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00428909

Contacts
Contact: Novartis U.S. 862 778 8300
Contact: Novartis Basel 41 61 324 1111

Locations
Korea, Republic of
Novartis Investigative Site Recruiting
Seoul, Korea, Republic of
Sponsors and Collaborators
Novartis
Investigators
Study Chair: Novartis Novartis
  More Information

Study ID Numbers: CSTI571A2107
Study First Received: January 29, 2007
Last Updated: July 18, 2008
ClinicalTrials.gov Identifier: NCT00428909  
Health Authority: United States: Food and Drug Administration;   Korea: Food and Drug Administration

Keywords provided by Novartis:
Pharmacokinetic
STI571
imatinib
CML
Chronic Myeloid Leukemia
Philadelphia Chromosome
acetaminophen

Study placed in the following topic categories:
Imatinib
Philadelphia Chromosome
Leukemia
Chronic myelogenous leukemia
Hematologic Diseases
Myeloproliferative Disorders
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Leukemia, Myeloid
Bone Marrow Diseases
Acetaminophen

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions
Neoplasms
Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009