Status:

COMPLETED

The Life After Stopping Tyrosine Kinase Inhibitors Study (The LAST Study)

Lead Sponsor:

Medical College of Wisconsin

Collaborating Sponsors:

University of Chicago

University of California, San Francisco

Conditions:

Leukemia, Myeloid, Chronic

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a non-randomized, prospective, single-group longitudinal study. The purpose of this study is to improve the decision making process used by physicians and patients when they are considering st...

Detailed Description

This is a non-randomized, prospective, single-group longitudinal study. The overall objective is to improve decision making for TKI discontinuation in eligible chronic myelogenous leukemia (CML) patie...

Eligibility Criteria

Inclusion

  • Age 18 or older at time of study entry
  • Willing and able to give informed consent
  • Diagnosed with CML in chronic phase and have either the b3a2 (e14a2) or b2a2 (e13a2) variants that give rise to the p210 BCR-ABL protein
  • Currently taking imatinib, dasatinib, nilotinib or bosutinib
  • Patient has been on TKI therapy for at least 3 years
  • Documented BCR-ABL \<0.01% (\>MR4 i.e. \>4 log reduction) or undetectable BCR-ABL by PCR for at least 2 years according to the patient's local lab
  • Documented BCR-ABL \<0.01% (\>MR4 i.e. \>4 log reduction) or undetectable BCR-ABL at least 3 times prior to screening according to the patient's local lab
  • Two (2) Screening PCRs have been completed and both results are \< 0.01% (\>MR4 i.e \> 4 log reduction) by central lab
  • Has been on any number of TKIs, but has not been resistant to any TKI (changes made for intolerance are allowed)
  • Patient has been compliant with therapy per treating physician

Exclusion

  • Prior hematopoietic stem cell transplantation
  • Poor compliance with taking TKI
  • Unable to comply with lab appointments schedule and PRO assessments
  • Life expectancy less than 36 months
  • Patients who have been resistant to previous TKI therapy are not eligible
  • Pregnant or lactating women

Key Trial Info

Start Date :

December 18 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 6 2022

Estimated Enrollment :

173 Patients enrolled

Trial Details

Trial ID

NCT02269267

Start Date

December 18 2014

End Date

April 6 2022

Last Update

March 3 2023

Active Locations (16)

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Page 1 of 4 (16 locations)

1

Helen Diller Family Comprehensive Cancer Center University of California

San Francisco, California, United States, 94143

2

Moffit Cancer Center

Tampa, Florida, United States, 33612

3

Winship Cancer Institute of Emory University

Atlanta, Georgia, United States, 30322

4

The University of Chicago

Chicago, Illinois, United States, 60637