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NCT00123474 · OUTCOME

Percent of Participants With MCyR At or Prior to 24 Months Follow-Up

Chronic Myelogenous Leukemia (CML) - Follow on: Study of BMS-354825 in Subjects With CML · Source last updated 2016-08-25

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of Participants
Interval / dispersion
95% Confidence Interval
Time frame
24 months

What was measured

CyR was based on the number of Ph+ metaphases among cells in metaphase on a Bone Marrow (BM) sample. The criteria for CyR were as follows: CCyR: 0% Ph+ cells in metaphase in BM; PCyR: \>0 to 35% Ph+ cells in metaphase in BM; Minor cytogenetic response: \>35 to 65% Ph+ cells in metaphase in BM; Minimal cytogenetic response: \>65 to 95% Ph+ cells in metaphase in BM; No cytogenetic response: \>95 to 100% Ph+ cells in metaphase in BM; Best CyR was defined as the best response obtained at any time during the study; MCyR was defined as a best CyR of CCyR or PCyR. Baseline=closest to, but no later than, the first day of study drug for treated participants and closest to, but no later than, the date of randomization, for those who were randomized but who never received treatment, unless otherwise specified.

Analysis population: All randomized imatinib-resistant participants with available data were summarized.

Groups in this outcome

Dasatinib QD

Participants received either 100 mg QD or 140 mg QD until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.

Dasatinib BID

Participants received either 50 mg BID or 70 mg BID until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw. After the 2-year analysis, and with Protocol Amendment 02, participants on a BID dosing schedule were allowed to switch to a QD dosing schedule.

Dasatinib 100 mg Total Daily Dose

Participants received 100 mg as a total daily dose (either 50 mg BID or 100 mg QD) until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.

Dasatinib 140 mg Total Daily Dose

Participants received 140 mg as a total daily dose (either 70 mg BID or 140 mg QD) until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Dasatinib QD247
Dasatinib BID250
Dasatinib 100 mg Total Daily Dose248
Dasatinib 140 mg Total Daily Dose249

Reported measurements

Source class 1
Values in percentage of Participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Dasatinib QD58.3Not reported51.964.5Not reported
Dasatinib BID56.4Not reported50.062.6Not reported
Dasatinib 100 mg Total Daily Dose57.3Not reported50.863.5Not reported
Dasatinib 140 mg Total Daily Dose57.4Not reported51.063.7Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    -6.8
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    10.6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority of the QD schedule relative to the BID schedule was deduced if the lower bound of the 95% CI for the MCyRRQD minus MCyRRBID difference was greater than or equal to -15%.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Risk Difference (RD)
    param Value
    1.9
    tested Non Inferiority
    true
  2. ci Lower Limit
    -8.9
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    8.5
    group Ids
    1. OG002
    2. OG003
    non Inferiority Comment
    Non-inferiority of 100 mg total daily dose relative to 140 mg total daily dose was deduced if the lower bound of the 95% CI for the difference was greater than or equal to -15%.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Risk Difference (RD)
    param Value
    -0.2
    tested Non Inferiority
    true
Complete source fields
analyses
  1. ci Lower Limit
    -6.8
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    10.6
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Non-inferiority of the QD schedule relative to the BID schedule was deduced if the lower bound of the 95% CI for the MCyRRQD minus MCyRRBID difference was greater than or equal to -15%.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Risk Difference (RD)
    param Value
    1.9
    tested Non Inferiority
    true
  2. ci Lower Limit
    -8.9
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    8.5
    group Ids
    1. OG002
    2. OG003
    non Inferiority Comment
    Non-inferiority of 100 mg total daily dose relative to 140 mg total daily dose was deduced if the lower bound of the 95% CI for the difference was greater than or equal to -15%.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Risk Difference (RD)
    param Value
    -0.2
    tested Non Inferiority
    true
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        51.9
        upper Limit
        64.5
        value
        58.3
      2. group Id
        OG001
        lower Limit
        50.0
        upper Limit
        62.6
        value
        56.4
      3. group Id
        OG002
        lower Limit
        50.8
        upper Limit
        63.5
        value
        57.3
      4. group Id
        OG003
        lower Limit
        51.0
        upper Limit
        63.7
        value
        57.4
denoms
  1. counts
    1. group Id
      OG000
      value
      247
    2. group Id
      OG001
      value
      250
    3. group Id
      OG002
      value
      248
    4. group Id
      OG003
      value
      249
    units
    Participants
description
CyR was based on the number of Ph+ metaphases among cells in metaphase on a Bone Marrow (BM) sample. The criteria for CyR were as follows: CCyR: 0% Ph+ cells in metaphase in BM; PCyR: \>0 to 35% Ph+ cells in metaphase in BM; Minor cytogenetic response: \>35 to 65% Ph+ cells in metaphase in BM; Minimal cytogenetic response: \>65 to 95% Ph+ cells in metaphase in BM; No cytogenetic response: \>95 to 100% Ph+ cells in metaphase in BM; Best CyR was defined as the best response obtained at any time during the study; MCyR was defined as a best CyR of CCyR or PCyR. Baseline=closest to, but no later than, the first day of study drug for treated participants and closest to, but no later than, the date of randomization, for those who were randomized but who never received treatment, unless otherwise specified.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received either 100 mg QD or 140 mg QD until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.
    id
    OG000
    title
    Dasatinib QD
  2. description
    Participants received either 50 mg BID or 70 mg BID until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw. After the 2-year analysis, and with Protocol Amendment 02, participants on a BID dosing schedule were allowed to switch to a QD dosing schedule.
    id
    OG001
    title
    Dasatinib BID
  3. description
    Participants received 100 mg as a total daily dose (either 50 mg BID or 100 mg QD) until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.
    id
    OG002
    title
    Dasatinib 100 mg Total Daily Dose
  4. description
    Participants received 140 mg as a total daily dose (either 70 mg BID or 140 mg QD) until progression of disease, development of intolerable toxicity, or the participant's decision to withdraw.
    id
    OG003
    title
    Dasatinib 140 mg Total Daily Dose
param Type
NUMBER
population Description
All randomized imatinib-resistant participants with available data were summarized.
reporting Status
POSTED
time Frame
24 months
title
Percent of Participants With MCyR At or Prior to 24 Months Follow-Up
type
SECONDARY
unit Of Measure
percentage of Participants

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Preserved source evidence · Not medical advice