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The purpose of this study was to evaluate the safety of Dasatininb in the treatment of scleroderma pulmonary interstitial fibrosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dasatinib | Drug | Tablets, Oral, 100 mg, once daily, 6 months |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Died, Experienced Serious Adverse Events (SAEs), or Adverse Events (AEs) | AE: any new untoward medical occurrence/worsening of pre-existing medical condition, whether or not related to study drug. SAE: any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was an overdose. Participants who discontinued the study due to any AEs were recorded. | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
| Reasons for Discontinuation of Study Treatment | Participants who discontinued the study due to any AEs were recorded. Significant drug-related discontinuations were those SAEs recorded on the SAE case report forms with relationship to study drug of related or missing and action taken regarding study drug of discontinued or missing. | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
| Laboratory Test Results Summary of Toxicity: Hematology | Toxicity was graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 3.0. (Grade (GR)0=normal, GR1=mild, GR2=moderate, GR3=severe, GR4=life threatening). Granulocyte count (x 10^9 /L), GR1: ≥1.0 - <1.5, GR2: ≥0.5 - <1.0; Hemoglobin (g/dL), GR0: 13-17, GR1: <13 - 10.0 , GR2: 8.0 - <10.0, GR3: 6.5 - <8.0; Platelet count (x 10^9 /L) GR0: 150-400, GR2: ≥50.0 - <75.0; Leukocyte count (x 10^9 /L ), GR0: 3.5-11.1, GR2: 2.0 - <3.0. | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
| Laboratory Test Results Summary of Toxicity: Blood Chemistry Per (NCI-CTCAE) Version 3.0 Grade (GR) | GR0=normal,1=mild,2=moderate,3=severe,4=life-threatening. ALP(U/L) GR0:40-135,GR1:>135-337; ALT(U/L) GR0:0-47,GR1:>47-117; AST(U/L) GR0:0-37,GR1:>37-93; High(↑) Calcium(mg/dL) GR0:8.4-10.2,GR1:>10.2-11.5; Low(↓) Calcium(mg/dL) GR0:8.4-10.2,GR1:<8.4-8.0,GR2:7.0-<8.0; CK(U/L) GR0:24-195,GR1:>195-488, GR2:>488-975; Creatinine(mg/dL) GR0:0.6-1.4,GR1:>1.4-2.1,GR2:>2.1-4.2; ↑Potassium(mEq/L) GR0:3.6-5.2,GR1:>5.2-5.5,GR2:>5.5-6.0; ↑Sodium(mEq/L) GR0:134-146; ↓Sodium(mEq/L) GR0:134-146,GR1:<134-130; Inorganic Phosphorus(mg/dL) GR0:2.4-4.9,GR2:≥2.0-<2.5; Total Bilirubin(mg/dL) GR0:0-1.1,GR1:>1.1-2.75. |
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Inclusion Criteria:
Target Population
Exclusion Criteria:
Laboratory Test Findings
Prohibited Treatments and/or Therapies
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Arizona | Scottsdale | Arizona | 85259 | United States | ||
| Ucla Division Of Rheumatology |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29121645 | Derived | Martyanov V, Kim GJ, Hayes W, Du S, Ganguly BJ, Sy O, Lee SK, Bogatkevich GS, Schieven GL, Schiopu E, Marangoni RG, Goldin J, Whitfield ML, Varga J. Novel lung imaging biomarkers and skin gene expression subsetting in dasatinib treatment of systemic sclerosis-associated interstitial lung disease. PLoS One. 2017 Nov 9;12(11):e0187580. doi: 10.1371/journal.pone.0187580. eCollection 2017. |
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Of the 47 participants enrolled, 31 were treated. Reasons for not entering treatment period were: withdrew consent-1, lost to follow up-2, no longer met study criteria-12, other reasons-1.
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| ID | Title | Description |
|---|---|---|
| FG000 | 100 mg Dasatinib, Oral Administration | Participants received 100 mg dasatinib once daily orally for up to 2 years (6 months of dosing to evaluate the primary endpoint + 18 months of dosing to assess longer-term safety and efficacy) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
| Los Angeles |
| California |
| 90095 |
| United States |
| University Of Connecticut Health Center | Farmington | Connecticut | 06030 | United States |
| Georgetown University Hospital | Washington D.C. | District of Columbia | 20007 | United States |
| Northwestern University Feinberg School Of Medicine | Chicago | Illinois | 60611 | United States |
| Boston University School Of Medicine | Boston | Massachusetts | 02118 | United States |
| University Of Michigan | Ann Arbor | Michigan | 48106 | United States |
| West Michigan Rheumatology | Grand Rapids | Michigan | 49546 | United States |
| Umdnj Clinical Research Center | New Brunswick | New Jersey | 08903 | United States |
| Hospital For Special Surgery | New York | New York | 10021 | United States |
| University Of Pittsburgh | Pittsburgh | Pennsylvania | 15261 | United States |
| Rhode Island Hospital | Providence | Rhode Island | 02905 | United States |
| Medical University Of South Carolina | Charleston | South Carolina | 29425 | United States |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 100 mg Dasatinib, Oral Administration | Participants received 100 mg dasatinib once daily orally for up to 2 years (6 months of dosing to evaluate the primary endpoint + 18 months of dosing to assess longer-term safety and efficacy) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Age, Customized | Number | Years |
| |||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| |||||||||||||||||||||||
| Baseline Pulmonary Function: Diffusion capacity | Diffusing capacity (DLCO) is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 sec). There were 29 participants with observations for this measure. | Mean | Standard Deviation | mL/min/mmHg |
| |||||||||||||||||||||
| Baseline Pulmonary Function | Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration; Forced expiratory volume in 1 second (FEV1) is volume that has been exhaled at the first second of forced expiration; Total lung capacity (TLC) is the maximum volume of air present in the lungs. n=participants with observations | Mean | Standard Deviation | Liters |
| |||||||||||||||||||||
| Time from Initial Scleroderma Diagnosis to Start of Study | Number | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Who Died, Experienced Serious Adverse Events (SAEs), or Adverse Events (AEs) | AE: any new untoward medical occurrence/worsening of pre-existing medical condition, whether or not related to study drug. SAE: any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was an overdose. Participants who discontinued the study due to any AEs were recorded. | All treated participants. | Posted | Number | Participants | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Reasons for Discontinuation of Study Treatment | Participants who discontinued the study due to any AEs were recorded. Significant drug-related discontinuations were those SAEs recorded on the SAE case report forms with relationship to study drug of related or missing and action taken regarding study drug of discontinued or missing. | All treated participants. | Posted | Number | Participants | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
|
| |||||||||||||||||||||||||||||||||||||
| Primary | Laboratory Test Results Summary of Toxicity: Hematology | Toxicity was graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 3.0. (Grade (GR)0=normal, GR1=mild, GR2=moderate, GR3=severe, GR4=life threatening). Granulocyte count (x 10^9 /L), GR1: ≥1.0 - <1.5, GR2: ≥0.5 - <1.0; Hemoglobin (g/dL), GR0: 13-17, GR1: <13 - 10.0 , GR2: 8.0 - <10.0, GR3: 6.5 - <8.0; Platelet count (x 10^9 /L) GR0: 150-400, GR2: ≥50.0 - <75.0; Leukocyte count (x 10^9 /L ), GR0: 3.5-11.1, GR2: 2.0 - <3.0. | All treated participants. | Posted | Number | participants | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
|
| |||||||||||||||||||||||||||||||||||||
| Primary | Laboratory Test Results Summary of Toxicity: Blood Chemistry Per (NCI-CTCAE) Version 3.0 Grade (GR) | GR0=normal,1=mild,2=moderate,3=severe,4=life-threatening. ALP(U/L) GR0:40-135,GR1:>135-337; ALT(U/L) GR0:0-47,GR1:>47-117; AST(U/L) GR0:0-37,GR1:>37-93; High(↑) Calcium(mg/dL) GR0:8.4-10.2,GR1:>10.2-11.5; Low(↓) Calcium(mg/dL) GR0:8.4-10.2,GR1:<8.4-8.0,GR2:7.0-<8.0; CK(U/L) GR0:24-195,GR1:>195-488, GR2:>488-975; Creatinine(mg/dL) GR0:0.6-1.4,GR1:>1.4-2.1,GR2:>2.1-4.2; ↑Potassium(mEq/L) GR0:3.6-5.2,GR1:>5.2-5.5,GR2:>5.5-6.0; ↑Sodium(mEq/L) GR0:134-146; ↓Sodium(mEq/L) GR0:134-146,GR1:<134-130; Inorganic Phosphorus(mg/dL) GR0:2.4-4.9,GR2:≥2.0-<2.5; Total Bilirubin(mg/dL) GR0:0-1.1,GR1:>1.1-2.75. | All treated participants. | Posted | Number | participants | From start of study drug therapy up to 30 days after the last dose. The duration of dasatinib dosing in this study was up to 2 years |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Dasatinib | 7 | 31 | 31 | 31 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ATRIAL FLUTTER | Cardiac disorders | MedDRA 14.0 | Systematic Assessment |
| |
| MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 14.0 | Systematic Assessment |
| |
| DIASTOLIC DYSFUNCTION | Cardiac disorders | MedDRA 14.0 | Systematic Assessment |
| |
| HAEMATEMESIS | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| FACE OEDEMA | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PLEURAL EFFUSION | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| CYSTITIS | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| FLUID OVERLOAD | Metabolism and nutrition disorders | MedDRA 14.0 | Systematic Assessment |
| |
| GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| HYPOXIA | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| CLOSTRIDIAL INFECTION | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| DYSPEPSIA | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| SKIN ULCER | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| INFLUENZA LIKE ILLNESS | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| LYMPHADENOPATHY | Blood and lymphatic system disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PARAESTHESIA ORAL | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| WEIGHT DECREASED | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| ERECTILE DYSFUNCTION | Reproductive system and breast disorders | MedDRA 14.0 | Systematic Assessment |
| |
| FLUSHING | Vascular disorders | MedDRA 14.0 | Systematic Assessment |
| |
| HAEMOGLOBIN DECREASED | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | MedDRA 14.0 | Systematic Assessment |
| |
| MUSCULOSKELETAL STIFFNESS | Musculoskeletal and connective tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| URINARY TRACT INFECTION | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| CARBON MONOXIDE DIFFUSING CAPACITY DECREASED | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| DIZZINESS | Nervous system disorders | MedDRA 14.0 | Systematic Assessment |
| |
| GLOSSODYNIA | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| HAEMATOCHEZIA | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| LIMB DISCOMFORT | Musculoskeletal and connective tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| SKIN TIGHTNESS | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| ALOPECIA | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| BRONCHITIS | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| CHEST PAIN | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| INFECTED SKIN ULCER | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| MYALGIA | Musculoskeletal and connective tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| RECTAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| FATIGUE | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| FOLLICULITIS | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| GASTROOESOPHAGEAL REFLUX DISEASE | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| NIGHT SWEATS | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PLEURAL EFFUSION | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PYREXIA | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| RASH | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PULMONARY HYPERTENSION | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| SINUSITIS | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| VITAL CAPACITY DECREASED | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 14.0 | Systematic Assessment |
| |
| BLOOD CREATINE PHOSPHOKINASE INCREASED | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| DEPRESSION | Psychiatric disorders | MedDRA 14.0 | Systematic Assessment |
| |
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| ERYTHEMA | Skin and subcutaneous tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| MUSCULOSKELETAL DISCOMFORT | Musculoskeletal and connective tissue disorders | MedDRA 14.0 | Systematic Assessment |
| |
| OEDEMA PERIPHERAL | General disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PALPITATIONS | Cardiac disorders | MedDRA 14.0 | Systematic Assessment |
| |
| PRODUCTIVE COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| RAYNAUD'S PHENOMENON | Vascular disorders | MedDRA 14.0 | Systematic Assessment |
| |
| SINUS CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
|
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| BMS Study Director | Bristol-Myers Squibb | Clinical.Trials@bms.com |
| ID | Term |
|---|---|
| D045743 | Scleroderma, Diffuse |
| ID | Term |
|---|---|
| D012595 | Scleroderma, Systemic |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D000069439 | Dasatinib |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
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| American Indian/Alaska Native |
|
| Other |
|
|
| TLC, n=26 |
|
| 24 - 36 months |
|
| > 36 months |
|
| Title | Measurements |
|---|
|
| Drug-Related Death |
|
| Drug-Related AEs |
|
| Drug-Related SAEs |
|
|
|
|