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This is a Phase III, multi-center, open-label, parallel, 2-arm, randomized study to evaluate the efficacy and safety of radotinib 300 mg Bis In Die(BID) versus imatinib 400 mg Quaque Die(QD).
This study will be conducted in Chinese patients with newly diagnosed Ph+ Chronic Myelogenous Leukemia(CML)-Chronic Phase(CP) who are previously untreated for Chronic Myelogenous Leukemia(CML).
Patients randomized to the radotinib arms will receive 300 mg of radotinib BID at approximately 12-hour intervals. Patients randomized to the imatinib 400 mg arm will receive imatinib once a day throughout the study.
The primary efficacy endpoint is the rate of Major Molecular Response(MMR) at 12 months (1 month = 4 weeks = 28 days), defined as BCR ABL1/ABL% ≤ 0.1% by international scale. The Molecular Response(MR) rate will be measured every 3 months by Real-time Quantitative(RQ)-Polymerase Chain Reaction(PCR) in a central laboratory. All patients will be treated and/or followed for 12 months (48 weeks) after randomization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radotinib 300mg | Experimental | Oral adminstration of Radotinib 300mg BID (600mg/day) for 12months |
|
| Imatinib 400mg | Active Comparator | Oral administration of Imatinib 400mg QD (400mg/day) for 12months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radotinib | Drug | Patients randomized to the radotinib arms will receive 300 mg of radotinib BID (1 in the morning and 1 in the evening, at approximately 12-hour intervals). |
|
| Measure | Description | Time Frame |
|---|---|---|
| The MMR rate | The MMR rate at 12 months after radotinib or imatinib treatment in patients with newly diagnosed CML-CP. | at 12 months after radotinib or imatinib treatment |
| Measure | Description | Time Frame |
|---|---|---|
| MMR rate | To compare MMR rate for the best response in patients within specific periods. | by 3, 6, 9, and 12 months of treatment. |
| Complete Cytogenetic Response(CCyR) rate | To compare CCyR rate for the best response in patients within specific periods. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jiang Qian | Peking University People's Hospital(北京大å¦äººæ°‘医院) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital(北京大å¦äººæ°‘医院) | Beijing | 100044 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41894126 | Derived | Lee Y, Kim J, Kang M, Han J, Kim NY, Shin JS, Park MS, Jiang Q, Lee JI. Clinical pharmacokinetic characteristics and the food effect of radotinib. Invest New Drugs. 2026 Mar 27. doi: 10.1007/s10637-026-01610-6. Online ahead of print. |
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| ID | Term |
|---|---|
| D015466 | Leukemia, Myeloid, Chronic-Phase |
| ID | Term |
|---|---|
| D015464 | Leukemia, Myelogenous, Chronic, BCR-ABL Positive |
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| C000606751 | 4-methyl-N-(3-(4-methylimidazol-1-yl)-5-trifluoromethylphenyl)-3-(4-pyrazin-2-ylpyrimidin-2-ylamino)benzamide |
| D000068877 | Imatinib Mesylate |
| ID | Term |
|---|---|
| D001549 | Benzamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001565 | Benzoates |
| D000146 |
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Parallel, 2 arms
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|
| Imatinib | Drug | Patients randomized to the imatinib 400 mg arm will receive imatinib once a day throughout the study. |
|
|
| by 3, 6, 9, and 12 months of treatment. |
| The MR 4.0 and MR 4.5 rates | To compare the MR4.0 and MR4.5 rates for the best response in patients within specific periods. | by 3, 6, 9, and 12 months of treatment, and late |
| Disease progression (AP/BC) rate | To compare disease progression for the best response in patients within specific periods. | at 3, 6, and 12 months |
| Failure rate according to European Leukemia Net (ELN) guideline 2013 (ELN 2013*) | To compare failure rate for the best response in patients within specific periods. | at 3, 6, and 12 months |
| D009369 | Neoplasms |
| D009196 | Myeloproliferative Disorders |
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic 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 |