About this trial
To evaluate the efficacy of asciminib adding on tyrosine-kinase inhibitors (TKI) to achieve treatment-free remission (TFR) in chronic myeloid leukemia (CML) patients in chronic phase who failed prior cessation study of TKI
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
19 year or older
CP-CML patients who are taking current TKIs (imatinib, nilotinib or dasatinib) for 5 years or more
Patients who have failed maintaining MR3.0 after 1 or more cessation trial of TKIs.
Patients who regained MR3.0 or deeper molecular response by TKIs retrial after TKI cessation failure at the time of screening
Disqualifiers
Patients who experienced grade 3 or higher adverse events with TKIs (imatinib, dasatinib, and nilotinib).
Patients who are receiving any other investigational agents.
Patients who currently have uncontrolled infections
Patients who previously received Chimeric antigen receptor T-cell (CAR-T cell) therapy, allogeneic hematopoietic stem cell transplantation (allo-HSCT) or biologic therapy.
Trial design
Single group
Treatments tested in this trial
Asciminib
Drugthat patients who lost MR3.0 after stopping TKIs, thus failed to maintain treatment-free remission can achieve second sustainable MR4.5 by sustainable MR4.5 for more than 3 years once regained and prolong MRFS by adding asciminib to TKIs. Patients will be restarted on TKIs when they fail sustaining MR3.0 after cessation because restarting TKIs when loss of MR3.0 is reasonable in this situation
Treatment groups
Trial outcomes
Primary outcomes
MR3.0 or less by 1 year
To evaluate the cumulative incidence of sustained MR3.0 or less by 1 year of cessation of TKI and asciminib
Sponsors and contacts
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