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Brief Title: Ponatinib for Chronic Myeloid Leukemia (CML) Evaluation and Ph+ Acute Lymphoblastic Leukemia (ALL)
Official Title: A Pivotal Phase 2 Trial of Ponatinib (AP24534) in Patients With Refractory Chronic Myeloid Leukemia and Ph+ Acute Lymphoblastic Leukemia
Study ID: NCT01207440
Brief Summary: The purpose of this study is to determine the efficacy of ponatinib in patients with chronic myeloid leukemia (CML) in chronic phase (CP), accelerated phase (AP) or blast phase (BP) or with philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) who either are resistant or intolerant to either dasatinib or nilotinib, or have the (T)hreonine-315-(I)soleucine (T315I) mutation.
Detailed Description: The preliminary analysis of the phase 1 clinical trial revealed evidence of clinical antitumor activity in patients with resistance to approved second-generation tyrosine kinase inhibitors (TKI), dasatinib and nilotinib, including patients with the T315I mutation of the BCR-ABL gene (BCR-ABL). This Phase 1 study, taken together with the strong preclinical data that characterize ponatinib, provides the rationale for moving to a pivotal phase 2 trial of this agent in a population of patients with chronic myeloid leukemia (CML) and Ph+ Acute Lymphoblastic Leukemia (ALL) who are resistant or intolerant to prior TKI therapy and in those patients with the T315I mutation. PACE is a multi-center, international, phase 2, uncontrolled, open-label trial of oral ponatinib in patients with Philadelphia chromosome-positive (Ph+) disease. The study enrolled 449 patients. Participants assigned to 1 of 6 cohorts in accordance with disease group and received: * Ponatinib 45 mg This multi-center trial is conducted worldwide. The overall time to participate in this study is 96 months after last dose of study drug treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Royal North Shore Hospital, St Leonards, New South Wales, Australia
Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
Royal Adelaide Hospital, Adelaide, South Australia, Australia
Alfred Hospital, Box Hill, Victoria, Australia
Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia
UCL Bruxelles, Bruxelles, , Belgium
UZ Leuven, Leuven, , Belgium
Institut Bergonie, Bordeaux, , France
Hopital Andre Mignot, Le Chesnay, , France
Hopital Claude Huriez CHRU, Lille, , France
Chu Brabois, Nancy, , France
Hopital Archet, Nice, , France
Hopital St. Louis, Paris, , France
Hopital Edouard Herriot, Pierre-Benite, , France
Entre Hospitalier Universitaire, Poitiers, , France
Hopital de Purpan, Toulouse, , France
Charite - Universitatsmedizin Berlin,, Berlin, , Germany
Klinikum der Goethe Universitat,, Frankfurt, , Germany
Universitatsklinikum Jena, Jena, , Germany
University of Heidelberg, Mannheim, , Germany
III. Med. Klinik und Poliklinik, Munchen, , Germany
Universita di Bologna, Bologna, , Italy
University of Modena, Modena, , Italy
University of Milano Bicocca, Monza, , Italy
University of Turin, Orbassano (TO), , Italy
University Tor Vergata, Roma, , Italy
The Catholic University of Korea, Seoul St.Mary's Hospital, Seoul, , Korea, Republic of
VU University Medical Center, Amsterdam, , Netherlands
University Medical Center Groeningen, Groningen, , Netherlands
Singapore General Hospital, Singapore, , Singapore
Hospital Clinic, Barcelona, , Spain
La Paz, Madrid, , Spain
Hospital Universitario de Salamanca, Salamanca, , Spain
Hospital Clinico of Valencia, Valencia, , Spain
Lund University, Lund, , Sweden
Karolinska Hospital, Stockholm, , Sweden
University Hospital Uppsala, Uppsala, , Sweden
Gartnavel General Hospital, Glasgow, , United Kingdom
Royal Liverpool University Hospital, Liverpool, , United Kingdom
Hammersmith Hospital, London, , United Kingdom
Royal Victoria Infirmary, Newcastle, , United Kingdom
University of Nottingham, Nottingham, , United Kingdom
Name: Medical Director Clinical Science
Affiliation: Takeda
Role: STUDY_DIRECTOR