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Bending the Curve Trial by Trial
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Dasatinib in imatinib-resistant Philadelphia chromosome-positive leukemias

Phase 1NCT00064233

Population
Patients with various phases of CML or with Ph-positive ALL who could not tolerate or were resistant to imatinib
Design
Phase 1 dose-escalation study; dasatinib 15 to 240 mg per day was given orally in four-week treatment cycles, once or twice daily.
Arms
  • Dasatinib (dose escalation) (experimental): Dasatinib orally, 15 to 240 mg per day, once or twice daily
People
Talpaz M, senior author Sawyers CL
Show the numbers
Results reported for Dasatinib in imatinib-resistant Philadelphia chromosome-positive leukemias
EndpointAnalysisDasatinib (dose escalation)ControlEffect
MCyRChronic-phase CML cohort (a complete hematologic response occurred in 37 of 40 patients)primaryTalpaz 200645%—The abstract reports the major cytogenetic response rates 'in these two phases' as 45 percent and 25 percent, respectively, after naming chronic phase first; denominators are not given.
MCyRAccelerated-phase CML, CML with blast crisis, or Ph-positive ALL (major hematologic responses in 31 of 44 patients)primaryTalpaz 200625%—Nearly all patients with lymphoid blast crisis or Ph-positive ALL relapsed within six months. Responses occurred across BCR-ABL genotypes except T315I.
Results reported for Dasatinib in imatinib-resistant Philadelphia chromosome-positive leukemias
EndpointAnalysisDasatinib (dose escalation)ControlEffect
MCyRChronic-phase CML cohort (a complete hematologic response occurred in 37 of 40 patients)primaryTalpaz 200645%—The abstract reports the major cytogenetic response rates 'in these two phases' as 45 percent and 25 percent, respectively, after naming chronic phase first; denominators are not given.
MCyRAccelerated-phase CML, CML with blast crisis, or Ph-positive ALL (major hematologic responses in 31 of 44 patients)primaryTalpaz 200625%—Nearly all patients with lymphoid blast crisis or Ph-positive ALL relapsed within six months. Responses occurred across BCR-ABL genotypes except T315I.
Primary publication: Talpaz M, Shah NP, Kantarjian H, Donato N, Nicoll J, Paquette R, et al. Dasatinib in imatinib-resistant Philadelphia chromosome-positive leukemias. N Engl J Med. 2006;354(24):2531-41. PubMedDOI

Appears in

Sources

  1. Talpaz M, Shah NP, Kantarjian H, Donato N, Nicoll J, Paquette R, et al. Dasatinib in imatinib-resistant Philadelphia chromosome-positive leukemias. N Engl J Med. 2006;354(24):2531-41.

    PubMedDOI