1 |
1 |
imatinib or dasatinib respectivelyradiotherapy n with a wide field of radiation within 4 weeks or radiotherapy with a limited field of n radiation for palliation within 1 week of the first dose of study treatment . n n cns irradiation for meningeal leukemia except |
1 |
they have < 5 marrow blasts at time of transplant |
2 |
2 |
2 |
chronic myeloid leukemia cml patients in chronic phase 1 cp1 must have failed or be intolerant of tyrosine kinase inhibitors tkis patients beyond cp1 will be accepted |
1 |
recent chemotherapy has not resmcLted in mrd negative status |
2 |
3 |
3 |
chronic myeloid leukemia cml patients in cp1 must have failed or be intolerant of tyrosine kinase inhibitors tkis patients beyond cp1 will be accepted |
1 |
radiotherapy occurred > = 3 months n previously . at least four weeks must have elapsed since prophylactic cns irradiation n given as part of a front line therapy regimen for all n n major surgery within 2 weeks before the first dose of study treatment n n other protocol defined inclusion / exclusion criteria may apply |
1 |
4 |
4 |
mrd positive leukemia aml all or accelerated / blast phase chronic myeloid leukemia cml selected patients in morphologic cr but with positive immunophenotypic flow cytometry or molecmcLar evidence of mrd may be eligible |
1 |
they are in complete cytogenetic response ccyr |
1 |
5 |
5 |
cml cp patients are excluded |
1 |
they are in major hematologic response mahr . |
1 |
6 |
6 |
patients with cml ap cml bp or ph all are excluded |
1 |
they are beyond chronic phase cp 1 and if they have received previous myelosuppressive chemotherapy or hct and have < 5 marrow blasts at time of transplant |
1 |
7 |
7 |
chronic myeloid leukemia cml accepted |
1 |
this dose is also acceptable for chronic phase patients the phase ii will be conducted in two treatment arms as follows treatment arm a advanced phase disease and treatment arm b therapy for chronic phase cp cml refractory / resistant / suboptimally responding to at least two prior tyrosine kinase inhibitors tkis cml ap is defined by the presence of one of the following a . 15 29 blasts in peripheral blood pb or bone marrow bm b . > = 20 basophils in pb or bm c . > = 30 blasts plus promyelocytes with blasts < 30 in pb or bm d . < 100 000 / mcL Platelets unrelated to therapy |
1 |
8 |
8 |
a cohort of 6 patients with cml chronic phase who have failed prior therapy with at least two tyrosine kinase inhibitor will be treated at the mtd to determine |
1 |
only present at the time of diagnosis and not associated with other features of accelerated phase cml bp is defined by the presence of > = 30 blasts in the bone marrow and / or peripheral blood or the presence of extramedmcLlary disease with myeloid or lymphoid blast morphology philadelphia chromosome acute leukemias are eligible and defined by > = 20 blasts in the peripheral blood or bone marrow at the time of diagnosis |
1 |
9 |
9 |
or clonal cytogenetics evolution i . e . the presence of cytogenetic abnormalities other than the philadelphia chromosome except |
1 |
they have shown intolerance to tyrosine kinase inhibitors or are beyond first chronic phase cp1 and if they have received previous myelosuppressive chemotherapy or hct and have < 5 marrow blasts at time of transplant |
1 |
10 |
10 |
chronic myeloid leukemia cml patients will be accepted |
1 |
required from the perspective of tolerance for bcr abl positive cml in documented chronic phase at the time of diagnosis |
1 |
11 |
11 |
minimum of 2 calendar years of nilotinib treatment with at least the last 12 months of nilotinib treatment prior to pre screening at approved total dialy dose of 600 mg bid or at a reduced dose of 400 mg qd |
1 |
clinically indicated to control disease . in such cases |
1 |
12 |
12 |
in patients with rapidly proliferating disease hydroxyurea may be administered before study entry |
1 |
their disease has failed to respond and / or they are intolerant to the available tyrosine kinase inhibitors tkis |
1 |
13 |
13 |
patients with chronic myelogenous leukemia cml in myeloid blast crisis are eligible |
1 |
cytogenetics are normal and there is polymerase chain reaction pcr evidence of a bcr / abl fusion patients will be eligible if they have evidence of a quantitative increase in cml measured either by quantitative pcr or by fluorescent in situ hybridization fish r n for chronic phase cml patients only r n must have failed no response in 3 months or incomplete response at 6 months or refused treatment with a tyrosine kinase inhibitor tki r n must have failed defined as incomplete response or relapse or refused donor lymphocyte infusion dli |
1 |
14 |
14 |
mrd positive leukemia aml all or accelerated / blast phase chronic myelogenous leukemia cml selected patients in morphologic cr but with positive immunophenotypic flow cytometry or molecmcLar evidence of mrd may be eligible |
1 |
available |
1 |
15 |
15 |
relapse will be defined as any cytogenetic evidence of a philadelphia chromosome or persistence of breakpoint cluster region bcr / c abl oncogene 1 non receptor tyrosine kinase abl rearrangements by molecmcLar testing on at least two measurements over a 6 month interval |
1 |
|
NA |
16 |
16 |
|
1 |
|
NA |