رادار التجارب AI | ||
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حالة التجربة السريرية NCT07375355 (ASC4CN) لـ Chronic Myeloid Leukemia in Chronic Phase هي لم يبدأ القبول بعد. اطلعوا على جميع التفاصيل في عرض البطاقة الخاص برادار التجارب السريرية وأدوات اكتشاف الذكاء الاصطناعي. أو يمكنكم طرح أي سؤال هنا. | ||
Real-world Study of Scemblix in the Treatment of Chronic Myeloid Leukemia in China (ASC4CN) ٢٠٠ أدلة من الواقع متابعة طويلة الأمد
Explore the Effectiveness and Safety of Scemblix (Asciminib) for Newly Diagnosed CML-CP Patients in China Real World Setting (ASC4CN)
- ASC4CN
- CABL001J1CN01
Asciminib
| مجموعة المشاركين/الذراع | التدخل/العلاج |
|---|---|
Study Group Asciminib treatment | غ/م |
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Cumulative rate of MMR | Cumulative rate of major molecular response (MMR) (BCR-ABL1 transcript level ≤ 0.1%) in patients receiving asciminib for 12 months | Month 12 |
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Cumulative rate of MMR | The cumulative MMR is defined as at least one BCR::ABL1 transcript level ≤ 0.1% during the follow-up period | Month 3, Month 6, Month 9, Month 18 and Month 24 |
Cumulative rate of deep molecular response (DMR): MR4 and MR4.5 | Cumulative rate of MR4 is defined as at least one BCR::ABL1 transcript level ≤ 0.01% during the follow-up period; Cumulative MR4.5 is defined as at least one BCR::ABL1 transcript level ≤0.0032% during the follow-up period | Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 |
Cumulative rate of complete cytogenetic response (CCyR) | Cumulative CCyR is defined as at least one cytogenetic examination showing 0 Ph+ cells during the follow-up period | Month 3, Month 6, and Month 12 |
Time to first MMR | Time to first MMR is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.1% during the follow-up period | 24 month follow up period |
Time to first MR4 and MR4.5 | Time to first MR4 is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.01% during the follow-up period.
Time to first MR4 is defined as the time interval from baseline to the first occurrence of BCR::ABL1 transcript level ≤0.0032% during the follow-up period | 24 month follow up period |
Time to first complete cytogenetic response (CCyR) | Time to first CCyR is defined as the time interval from baseline to the first occurrence of CCyRduring the follow-up period | 24 month follow up period |
Early molecular response (EMR) rate at 3 months | Proportion of patients achieving BCR::ABL1 transcript level ≤10% at M3 | Month 3 |
Complete hematologic response (CHR) rate | the proportion of patients achieving white blood cell count \< 10 × 109/L, platelet count \< 450 × 109/L, no immature myeloid cells in peripheral blood, peripheral blood basophil percentage \< 5%, absence of symptoms/signs of extramedullary involvement, and non-palpable spleen at M1, M2, and M3 | Month 1, Month 2, and Month 3 |
Rate of decline in BCR::ABL1 transcript levels | indirectly calculated from BCR::ABL1 transcript levels at baseline, M1, M2, M3, M6, M9, and M12; determined by BCR::ABL1 halving time | Baseline, Month 1, Month 2, Month 3, Month 6, Month 9 and Month 12 |
Duration of MMR | Definition of duration: Duration = sum of "intervals"; Interval calculation method: the first visit at which a response is achieved (and previously unmeasured) within the interval is taken as the starting point, then evaluated sequentially in time order; the calculation stops upon encountering a visit that fails to meet the criterion; The duration is calculated as the time interval between the first and last visit at which the response was achieved; Missing visit data points during this period will be defaulted as achieving the response. | 24 month follow up period |
Duration of MR4 and MR4.5 | 24 month follow-up period | |
Event-Free survival (EFS) rate | Lack of efficacy:
* Failure to achieve expected molecular response: failure to reach the molecular response milestones recommended by the ELN guidelines at prespecified time points;
* Loss of molecular response: loss of confirmed MMR following achievement of MMR, or loss of CCyR.
Disease progression: progression from the chronic phase to the accelerated phase or blast crisis.
Death: fatal outcome due to any cause during the treatment period. Treatment discontinuation due to adverse events: permanent discontinuation caused by intolerable toxicity, serious adverse events, or other safety-related reasons associated with the study drug. | Month 12 and Month 24 |
Progression-free survival (PFS) rate | Month 12 and Month 24 | |
Overall survival (OS) rate | Month 12 and Month 24 | |
Adverse events (AEs) and serious adverse events (SAEs) occurring during asciminib treatment | 24 month follow-up period | |
Asciminib persistence rates | Month 6, Month 12, and Month 24 | |
Rates of asciminib treatment interruption/dose reduction and discontinuation due to AEs | 24 month follow-up period | |
Proportion of patients requiring concomitant medications due to AEs | 24 month follow-up period | |
Change in the simplified CML quality of life questionnaire from baseline | Baseline, Month 12 and Month 24 | |
Compliance following asciminib treatment | Medication possession ratio | 24 month follow-up period |
Concomitant medication use associated with AEs related to asciminib | 24 month follow-up period | |
Hospitalization rate, outpatient visit rate, emergency department visit rate, and ICU admission rate related to CML treatment | 24 month follow-up period | |
Gene mutation rate associated with asciminib treatment | Gene mutation rate associated with asciminib treatment; types and proportions of positive gene mutations identified via genetic testing. | 24 month follow-up period |
Patients eligible for inclusion in this study must meet all the following criteria:
18 years or older at the time of ICF signing;
Newly diagnosed with Ph+ CML-CP within 3 months before enrollment;
- The diagnosis documentation must include the type and quantitative level of the BCR-ABL1 transcript.
Prior treatment with a maximum of 2 weeks of TKIs;
Prior treatment with non-TKI regimens, including interferon and hydroxyurea, is allowed;
Patients scheduled to initiate treatment with asciminib;
- Patients beginning asciminib treatment must receive the first dose within 14 days of signing the ICF;
Signed ICF.
Patients meeting any of the following criteria are not eligible for inclusion in this study:
- Previous diagnosis of CML-accelerated phase or blast crisis;
- Currently participating in an interventional clinical study for CML;
- Having rare, atypical transcript types that cannot be standardised internationally;
- Women who are pregnant, lactating or planning to become pregnant during the study;
- Concurrent other malignancies (refer to the International ICD-11 diagnosis codes, with diagnostic text including carcinoma, malignant neoplasm, etc.);
- Other conditions that are considered not suitable for the study by the investigator.