Can a second stop be successful? nilotinib trial for CML relapse
NCT ID NCT02917720
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looks at whether taking nilotinib for two years can help people with chronic myeloid leukemia (CML) stay in remission after stopping their medication a second or third time. About 75 adults who previously tried and failed to stop treatment will take nilotinib and then attempt to stop again. The goal is to see if they can maintain a deep molecular remission for at least 12 months without restarting therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nilotinib
- What this could lead to
- If successful, this could offer a way for CML patients who relapsed after stopping treatment to safely stop again and remain in remission.
- What could go wrong
- This is a small Phase 2 trial with only 75 participants, so results may not apply to everyone. The treatment requires two years of nilotinib, and some patients may still relapse.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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75 people
The number who actually took part.
- Started
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Sep 2016
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Patients with Ph chromosome and/or the BCR-ABL (either b3a2 and /or b2a2) fusion gene positive CML * CML in CP having failed a prior attempt to stop imatinib or other TKIs therapy either within EURO-SKI or not * Pretreatment at least one year with any TKI after 1st stop * Written informed consent Exclusion Criteria: * Previous hematological relapse after first stop of TKI. * Failure to any TKI at any time during CML treatment according to current ELN criteria * Previous planned or performed allo SCT * Previous AP/BC at any time in the history of the disease * High cardiac risk according to ESC score (≥ 10 Points) * Impaired cardiac function including any of the following: * Use of a ventricular paced pacemaker; congenital long QT syndrome or family history of; history or presence of significant ventricular or atrial tachyarrhythmias; clinically significant resting bradycardia (\<50 bpm); QTcF \>450 msec at baseline, myocardial infarction before baseline; other clinically significant heart disease (e.g., unstable angina, congestive heart failure, or uncontrolled hypertension). * Treatment with inhibitors of CYP3A4 or medications that have been well documented to prolong the QT interval is contraindicated. * History of acute pancreatitis within one year of study entry or medical history of chronic pancreatitis. * Positive hepatitis B virus serology test or HBV infection * Any other malignancy except if neither clinically significant nor requires active intervention. * Severe or uncontrolled medical conditions (i.e., uncontrolled diabetes, acute or chronic liver disease, pancreatic, or severe renal disease unrelated to tumor, active or uncontrolled infection). * Women who are pregnant, breast feeding, or of childbearing potential without a negative serum pregnancy test at baseline. Male or female patients of childbearing potential unwilling to use an effective barrier contraceptive method
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Amsterdam UMC, locatie VUmc
Amsterdam, 1081 HV, Netherlands
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Kliniken Ostalb, Stauferklinikum Schwäbisch Gmünd
Mutlangen, 73557, Germany
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Klinikum Bayreuth
Bayreuth, 95445, Germany
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Klinikum Chemnitz
Chemnitz, 09113, Germany
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Klinikum der Philipps-Universität
Marburg, 35033, Germany
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Klinikum rechts der Isar
München, Bavaria, 81675, Germany
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Medizinische Hochschule Hannover
Hannover, North Rhine-Westphalia, 30625, Germany
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Onkologische Schwerpunktpraxis
Esslingen am Neckar, 73728, Germany
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Schwarzwald-Baar Klinikum
Villingen-Schwenningen, 78052, Germany
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Schwerpunktpraxis Onkologie
Heilbronn, 74072, Germany
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Universitätsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79108, Germany
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Universitätsklinikum Halle (Saale)
Halle, Germany
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Universitätsklinikum Rostock
Rostock, 18057, Germany
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Universitätsklinikum der RWTH
Aachen, 52074, Germany
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Universitätsmedizin Mannheim
Mannheim, Baden-Wurttemberg, 68167, Germany
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Other studies related to the condition(s) this trial covers.
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