| CTRI Number |
CTRI/2024/11/077421 [Registered on: 27/11/2024] Trial Registered Prospectively |
| Last Modified On: |
25/11/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Other |
|
Public Title of Study
|
Studying How Many CML Patients remain Healthy One Year After Stopping Imatinib Treatment |
|
Scientific Title of Study
|
Treatment-free remission in chronic myeloid leukemia |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Sachin Punatar |
| Designation |
Professor and Medical Oncologist |
| Affiliation |
Advanced Centre for Treatment Research and Education in Cancer Tata Memorial Centre |
| Address |
Department of Medical oncology Adult hematolymphoid and Bone marrow transplant unit OPD room no 103 and 307 Shanti sadan ACTREC Tata Memorial Centre sector 22 Kharghar Navi Mumbai
Raigarh MAHARASHTRA 410210 India |
| Phone |
9833445041 |
| Fax |
|
| Email |
drsachin_punatar@yahoo.in |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Sachin Punatar |
| Designation |
Professor and Medical Oncologist |
| Affiliation |
Advanced Centre for Treatment Research and Education in Cancer Tata Memorial Centre |
| Address |
Department of Medical oncology Adult hematolymphoid and Bone marrow transplant unit OPD room no 103 and 307 Shanti sadan ACTREC Tata Memorial Centre sector 22 Kharghar Navi Mumbai
Raigarh MAHARASHTRA 410210 India |
| Phone |
9833445041 |
| Fax |
|
| Email |
drsachin_punatar@yahoo.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Sachin Punatar |
| Designation |
Professor and Medical Oncologist |
| Affiliation |
Advanced Centre for Treatment Research and Education in Cancer Tata Memorial Centre |
| Address |
Department of Medical oncology Adult hematolymphoid and Bone marrow transplant unit OPD room no 103 and 307 Shanti sadan ACTREC Tata Memorial Centre sector 22 Kharghar Navi Mumbai
Raigarh MAHARASHTRA 410210 India |
| Phone |
9833445041 |
| Fax |
|
| Email |
drsachin_punatar@yahoo.in |
|
|
Source of Monetary or Material Support
|
| Max Foundation NE 45th Street, suite 230 Seattle WA 98105 USA |
|
|
Primary Sponsor
|
| Name |
ACTREC, Tata Memorial Centre |
| Address |
Sector 22 Utsav Chowk CISF Road Owe Camp Kharghar Navi Mumbai Maharashtra India. |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sachin Punatar |
ACTREC-Tata Memorial Centre |
Department of Medical oncology Adult hematolymphoid and Bone marrow transplant unit OPD room no 103 and 307 Shanti sadan Building sector 22 Kharghar Navi Mumbai
Raigarh MAHARASHTRA |
09833445041
drsachin_punatar@yahoo.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Tata Memorial Centre Advanced Centre for Treatment, Research and Education in Cancer Institutional Ethics Committee (TMC-IEC III) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C921||Chronic myeloid leukemia, BCR/ABL-positive, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NA |
NA |
| Comparator Agent |
NA |
NA |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
80.00 Year(s) |
| Gender |
Both |
| Details |
1.Patient should be currently enrolled in the Max Access Solution (MAS) program of the Max Foundation. (This program was previously known as the GIPAP (Global International Patient Access Program). Under this program, enrolled patients are already receiving imatinib from the Max Foundation.)
2.Chronic phase CML (CML-CP)
3.On imatinib for more than 10 years
4.No history of imatinib resistance
5.RQ-PCR IS value less than 0.0032% for a minimum of 12 months (confirmed at least twice)
|
|
| ExclusionCriteria |
| Details |
1.Patients with accelerated phase or blast crisis at any point of time in the past
2.Patients not willing to sign the informed consent form /personal data notice.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| to determine the proportion of patients who will continue to remain in major molecular response (MMR) at 1 year (+/- 1 month) of discontinuation of imatinib. |
1 year |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.To determine the kinetics of RQ-PCR for BCR-ABL in patients under TFR
2.To determine the incidence of “imatinib withdrawalâ€. (Imatinib withdrawal refers to a symptom complex which occurs due to sudden discontinuation of imatinib. The manifestations typically include bodyache, mild joint pains and occasionally low-grade fever).
3.In the event of TFR failure, to determine the proportion of patients who regain MMR after restarting imatinib. (TFR failure is defined below)
|
3 years |
|
|
Target Sample Size
|
Total Sample Size="4" Sample Size from India="4"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
10/12/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="3" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Chronic
myeloid leukemia (CML) is one of the common types of blood cancer. In the
current era, the standard initial therapy for most of the patients with CML is
a medicine called imatinib. It was previously thought that imatinib needs to be
given life-long for patients with CML. However, several studies over the past
decade have shown that, in a selected group of patients with CML, it is
possible to discontinue imatinib and see if their disease continues to remain
under control even without medicines. In scientific terms, this is known as
treatment-free remission (TFR). In this study, we will be evaluating the
outcomes of TFR in patients with CML.
|