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The purpose of this observational study is to evaluate the effectiveness and safety of generic imatinib under usual clinical practice in patients of Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) patients in chronic phase (CP) in Egypt
An observational, multi-center, prospective cohort study to assess the effectiveness and safety of generic Imatinib (Carcemia®) in patients with Ph+ CML who are newly diagnosed or patients who will be switched from the reference product (Glivec® ) to Carcemia® where treatment will be prescribed by the investigator in accordance with clinical practice where no visits or intervention(s) additional to the daily practice will be performed.
Eligible Ph+ CML patients in both cohorts will be followed up for a total of 18 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| First cohort | Newly diagnosed patients |
| |
| Second cohort | Patients switched from reference product (Glivec® ) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Imatinib | Drug | Film coated tablet contains 400 mg imatinib (as mesilate) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients who achieve and maintain major molecular response (MMR) | Major molecular response (MMR) is measured using real-time quantitative polymerase chain reaction (RQ-PCR) test and is defined as BCR-ABL1 ≤ 0.1% | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (AEs) and serious adverse events (SAEs) to generic Imatinib (Carcemia®) | Number, type, severity and frequency of adverse events (AEs), serious AEs (SAEs), and clinically relevant changes in laboratory tests according to laboratory reference ranges | 18 months |
| Progression free survival (PFS) |
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Inclusion Criteria:
First cohort (newly diagnosed patients):
Second cohort (switched patients):
Exclusion Criteria:
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Patients will be recruited from 2 sites in Egypt
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Cairo | 11796 | Egypt |
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| ID | Term |
|---|---|
| D007938 | Leukemia |
| D015464 | Leukemia, Myelogenous, Chronic, BCR-ABL Positive |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| D000068877 | Imatinib Mesylate |
| ID | Term |
|---|---|
| D001549 | Benzamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001565 | Benzoates |
| D000146 |
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Proportion of CML patients who will not experience disease progression from enrollment to 18 months study endpoint. |
| 18 months |
| Event free survival (EFS) | Proportion of CML patients who will not experience event from enrollment to 18 months study endpoint | 18 months |
| Survival without blastic phase (BP) | Proportion of CML patients who will not experience blastic phase (BP) from enrollment to 18 months study endpoint. | 18 months |
| Overall survival (OS) | Proportion of CML patients who will not die till 18 months study endpoint. | 18 months |
| Complete cytogenetic response (CCgR) | Proportion of CML patients who will achieve no Ph+ metaphases at 12 months study endpoint by conventional cytogenetics and/or FISH test. | 12 months |
| Complete molecular response (CMR) | Proportion of CML patients who will achieve undetectable BCR-ABL mRNA transcripts by RQ-PCR test in two consecutive blood samples of adequate quality. | 12 months |
| Health-Related Quality of Life (HRQoL) | Mean change in Health-Related Quality of Life (HRQoL) utilizing EORTC QOLCML24 questionnaire throughout treatment visits | 18 months |
| Treatment compliance on generic Imatinib | Evaluated by identifying the frequency of not taking the medications as prescribed and the reasons. The decision on non-compliance is based on the treating physician's judgment. | 18 months |
| D007951 | Leukemia, Myeloid |
| D009196 | Myeloproliferative Disorders |
| D001855 | Bone Marrow Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |