Venetoclax for Chronic myeloid leukaemia

Inclusion criteria

• {"criterion_text":"- 1. Patients with diagnosis of chronic phase CML with cytogenetic confirmation of Philadelphia (Ph) chromosome\n- 2. Ph negative cases or patients with variant translocations who are BCR::ABL1 positive in multiplex PCR are also eligible\n- 3. Typical b2a2 and/or b3a2 BCR::ABL1 transcripts\n- 4. Subject must be ≥ 18 years of age\n- 5. Stored DNA from initial diagnosis (prior TKI treatment) for BCR::ABL1 breakpoint analysis\n- 6. BCR::ABL1 transcript level according to the international scale (IS) of MR4 or better which has been confirmed three times within the past 13 months and was assessed by an IS-certified reference laboratory, such as of the University Jena , the University Mannheim, or another MR4-certified laboratory in Germany\n- 7. At least 3 years of TKI therapy\n- 8. Patients who failed to discontinue TKI in a prior discontinuation attempt are still eligible if they fulfill criteria 6. after retreatment with TKI\n- 9. WHO performance status 0-2\n- 10. Adequate end organ function as defined by: •\tTotal bilirubin (TBL) < 3 x Upper Limit of Normal (ULN); patients with Gilbert’s syndrome may only be included if TBL ≤ 3.0 x ULN or direct bilirubin ≤ 1.5 x ULN, •\tCreatinine Clearance (CrCl) ≥ 30 millilitres per minute (mL/min) as calculated using Cockcroft-Gault formula, Serum lipase ≤ 1.5 x ULN. For serum lipase > ULN 1.5 x ULN, value must be considered not clinically significant and not associated with risk factors for acute pancreatitis.\n- 11. Patients must have the following laboratory values within normal limits or corrected to within normal limits with supplements: •\tPotassium (potassium increase of up to 6.0 mmol/L is acceptable if associated with CrCl ≥ 90 mL/min), •\tTotal calcium (corrected for serum albumin); (calcium increase of up to 12.5 mg/dl or 3.1 mmol/L is acceptable if associated with CrCl ≥ 90 mL/min), •\tMagnesium (magnesium increase of up to 3.0 mg/dL or 1.23 mmol/L if associated with CrCl ≥ 90 mL/min), •\tFor patients with mild to moderate renal impairment (CrCl ≥ 30 mL/min and <90 mL/min) - potassium, total calcium (corrected for serum albumin) and magnesium should be within normal limits or corrected to within normal limits with supplements.\n- 12. Women of childbearing age must use a highly effective method of contraception while using venetoclax. Women using hormonal contraceptives should also use a barrier method.\n- 13. Negative pregnancy test in women of childbearing potential\n- 14. Subject must voluntarily sign and date an informed consent"}

Exclusion criteria

• {"criterion_text":"- 1. Concomitant use of strong CYP3A-Inhibtors (e.g., itraconazole, ketoconazole, posaconazole, voriconazole, clarithromycin, ritonavir) is contraindicated 7 days prior to venetoclax.\n- 2. Concomitant use of moderate CYP3A-Inhibitors (e.g., ciprofloxacin, diltiazem, erythromycin, fluconazole, verapamil) should be avoided.\n- 3. Grapefruit products, Seville oranges, and starfruit (carambola) should be avoided during treatment with venetoclax as they contain inhibitors of CYP3A\n- 4. Concomitant use of venetoclax with P-gp and BCRP inhibitors\n- 5. Concomitant use of venetoclax with strong CYP3A inducers (e.g., carbamazepine, phenytoin, rifampin) or moderate CYP3A inducers (e.g., bosentan, efavirenz, etravirine, modafinil, nafcillin) should be avoided\n- 6. Concomitant use of preparations containing St. John´s wort\n- 7. Patients with severe renal impairment (Crea-Clearance < 30 ml/min) or on dialysis\n- 8. Patients with severe hepatic impairment\n- 9. Patients who are pregnant or breast feeding, or females of reproductive potential not employing an effective method of birth control. Female patients must agree to employ an effective barrier method of birth control throughout the study and for and for at least 30 days after ending venetoclax treatment\n- 10. Known impaired cardiac function\n- 11. Impaired gastrointestinal function or disease that may alter the absorption of study drug\n- 12. Patients who have undergone major surgery ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy\n- 13. Active or uncontrolled infections at the time of enrolment\n- 14. Known HIV sero-positivity or known active hepatitis B or C infection (HIV testing is not required)\n- 15. Participation in another clinical study with other investigational drugs within 14 days prior to enrolment\n- 16. Any medical, mental, psychological or psychiatric condition that in the opinion of the investigator would not permit the patient to complete the study or understand the patient information\n- 17. Subject has acute leukemia\n- 18. Subject has known active CNS involvement\n- 19. Hypersensitivity to venetoclax or any component of the formulation"}

Primary endpoints

• {"endpoint_text":"- Reduction of BCR::ABL1 stem cells measured by quantitative genomic PCR in bone marrow after venetoclax administration","definition_or_measurement_approach":"Measured by quantitative genomic PCR in bone marrow after venetoclax administration"}

Germany

Earliest CTIS Part Ii Submission Date

19-09-2024

Latest Decision Or Authorization Date

15-10-2024

Processing Time Days

26

Number Of Sites

2

Number Of Participants

10

Primary sponsor

Full Name

Friedrich-Schiller-Universitaet Jena

Organisation Type

Educational Institution

Country Of Registered Address

Germany