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Zoek in de HOVON website

Let op!
Mogelijk ziet u niet alle beschikbare info op deze pagina, omdat u niet bent ingelogd, of omdat u niet de juiste privileges heeft.

Clinical picture: CML (Chronical Myeloide Leukemia)


1. Overview
Study details
2. Patient eligibility criteria
3. Registration (& randomization) of patients
4. Participating parties
5. Participating sites
6. Instruction videos
7. Download documentation / forms

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11-02-2020: Nieuwe SAE formuler v5_28-10-2019


New Statement of Expenses form BE and NL available (version 24-10-2019).

Use this new form for reimbursement of costs.


9-10-2019: de HO142 is goedgekeurd voor de Belgie op 30 Juli 2019. Alle site documenten zijn al verstuurd naar de deelnemende BE sites en op de website


06-03-2019: het labmanual en sample formulier zijn aangepast. Alle samples bedoeld voor centraal lab, moeten naar het VUmc gestuurd worden. Zie nieuwe versie v09


21-12-2018: Studie open, in NL  de eerste site, Albertschweitzer is geopend  voor inclusie.


Ter info: Inclusie getallen op de website!

Datamanagement ligt bij de Sponsor GIMEMA. Hierdoor zult u geen actieve inclusie getallen zien van de ziekenhuizen. Op de website kunt u alleen, zien welk ziekenhuis is geactiveerd.

Ter info: Activatie procedure in de HO142
Het activeren van uw ziekenhuis zal geheel verlopen via GIMEMA ,de sponsor, van de HO142.
De procedure zal iets anders gaan dan dat u gewend ben in een HOVON gesponsorde studie. In deze studie is er studie specifieke monitoring en zal een monitor ( van CRO) langs komen om de initiatie in uw ziekenhuis te doen.
De activerings procedure neemt gemiddeld 2-3 weken in beslag.

1. Overview


This is a prospective, interventional, randomized, two arms, study evaluating both the depth of the molecular response and the rate of treatment free remission rate in newly diagnosed CP-CML patients treated with NIL or IM followed by switch to NIL in absence of optimal response (defined according the ELN 2013 criteria) as per clinical practice.




Fondiazione GIMEMA in association with HOVON

Study details

Type of study

Prospective randomized Phase III study

Echelon level

Level A
Level B
Level C-HIC & C-SCT

Type of monitoring for this study

Study specific

Target number of patients


Date of first EC&CA submission


Approved by

cEC Italy: 08-08-2016

EC VUMC: 22-06-2018
CCMO: 30-04-2018

EC Leuven: 30-07-2019
FAGG: 22-02-2019

Change history / amendement

EC VUMC: 2-11-2018
CCMO: 15-10-2018

Study objectives

The study will investigate in newly diagnosed CP-CML patients the efficacy of NIL frontline therapy vs IM followed by switch to NIL in the case of absence of optimal response as defined by the ELN criteria using two primary end-points:
− To evaluate the rates of molecular response (MR4.5) at 24 months
− To evaluate the rate of patients who remain in sustained treatment free remission (≥MR3.0) without molecular relapse 12 months after entering the TFR phase. The molecular relapse is defined as loss of MMR, or confirmed loss of MR3.0.

2. Patient eligibility criteria

Inclusion criteria

Inclusion Criteria
Patients eligible for inclusion in this study have to meet all of the following criteria:
• Patients with a confirmed diagnosis of BCR/ABL+ CML in chronic phase
o Documented chronic phase CML must meet all the following criteria:
 < 15% blasts in peripheral blood
 < 30% blasts plus promyelocytes in peripheral blood
 < 20% basophils in the peripheral blood
 ≥ 100 x 109/L (≥ 100,000/mm3) platelets
• Age ≥18
• ECOG performance status of 0-2
• Evidence of typical BCR-ABL transcripts which are amenable to standardized RQ-PCR
• Adequate end organ function as defined by:
o Total bilirubin < 1.5 x ULN (ULN = upper limit of normal in a local institution lab).
Does not apply to patients with isolated hyperbilirubinemia (e.g., Gilbert’s disease) grade < 3
o SGOT (AST) and SGPT (ALT) ≤ 3 x ULN
o Serum amylase and lipase ≤ 2 x ULN
o Alkaline phosphatase ≤ 2.5 x ULN
o Serum creatinine < 1.5 x ULN
• Written informed consent prior to any study procedures.

Exclusion criteria

Previous treatment with BCR-ABL inhibitors for more than 30 days.
Expression of any atypical BCR-ABL transcripts, instead of the classical P210-encoding type with the e13a2 or the e14a2 junction at screening.
Previous anticancer agents (hydroxyurea, anagrelide, interferon) for CML for more than three months.
Poorly controlled diabetes mellitus (defined as HbA1c >8%)
Prior documented history of coronary heart disease, including myocardial infarction, coronary bypass, coronary stent, and symptomatic angina as defined at page 30 in Exclusion Criteria.
Uncontrolled hypertension
History of peripheral arterial occlusive disease.
History of acute pancreatitis within 12 months of study entry, or a past medical history of chronic pancreatitis.
Patients actively receiving therapy with strong CYP3A4 inhibitors and/or inducers which cannot be either discontinued or switched to a different medication prior to starting study drug.
Patients who are currently receiving treatment with any medications that have the potential to prolong the QT interval and for which cannot be either safely discontinued or switched to a different medication prior to starting study drug.
Women of childbearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment.
Patients unable to understand and to comply with study instructions and requirements.
Refusal to give informed consent.

3. Registration (& randomization) of patients

4. Participating parties

5. Participating sites

Included patients *
BE-Bruxelles-Cliniques Universitaires St. Luc
NL-Amersfoort-Meander MC
NL-Delft-Reinier de Graaf Gasthuis
NL-Den Bosch-Jeroen Bosch ziekenhuis
NL-Dordrecht-A. Schweitzer ZH, Dordwijk
NL-Heerlen-Atrium MC loc. Heerlen
NL-Hoofddorp-Spaarne ziekenhuis
NL-Sittard-Geleen-Orbis Medisch Centrum

* Please note that if TOP is not used to register patients for a study, the number of patients shown is zero.

6. Instruction videos

7. Download documentation / forms

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