, 83 patients with AP-CML, 62 patients with BP-CML, and 32 patients with Ph+ALL. Five patients were not eligible for efficacy analysis due to lack of confirmation of T315I mutation status, and these patients had not received prior dasatinib or nilotinib.
At the time of analysis, the median follow-up was 10 months (minimum of 6 months of follow-up for all ongoing patients). Baseline demographic characteristics are described in Table 8.
Table 8: Demographic and Disease Characteristics Patient Characteristics at Entry Efficacy Population
N=444
Age
Median, years (range) 59 (18 to 94)
Gender, n (%)
Male 236 (53%)
Race, n (%)
Asian 57 (13%)
Black or African American 25 (6%)
White 349 (79%)
Other 13 (3%)
ECOG Performance Status, n (%)
ECOG=0 or 1 409 (92%)
Disease History
Median time from diagnosis to first dose, years (range) 6.1 (0.3 to 28.5)
Resistant to Prior TKI Therapy, n (%) 374 (88%)
Presence of one or more BCR-ABL kinase domain mutations 244 (55%)
Prior TKI therapy– number of prior approved TKIs, n (%)
1 29 (7%)
2 166 (37%)
≥3 249 (56%)
At the time of analysis, the median duration of Iclusig treatment was 281 days in patients with CP-CML, 286 days in patients with AP-CML, 89 days in patients with BP-CML, and 81 days in patients with Ph+ALL. Efficacy results are summarized in Table 9, and Table 10.
Table 9: Efficacy of Iclusig in Patients With Resistant or Intolerant Chronic Phase CML Overall
(N=267) Cohort
R/I
Cohort
(N=203) T315I
Cohort
(N=64)
Cytogenetic Response
*
Primary endpoint for CP-CML Cohorts was MCyR, which combines both complete (no detectable Ph+ cells) and partial (1% to 35% Ph+ cells in at least 20 metaphases) cytogenetic responses.
Major * (MCyR)
% 54% 49% 70%
(95% CI) (48,60) (42,56) (58,81)
Complete (CCyR)
% 44% 37% 66%
(95% CI) (38,50) (31,44) (53,77)
Primary endpoint for CP-CML Cohorts was MCyR, which combines both complete (no detectable Ph+ cells) and partial (1% to 35% Ph+ cells in at least 20 metaphases) cytogenetic responses.
In patients with CP-CML patients who achieved MCyR, the median time to MCyR was 84 days (range: 49 to 334 days). At the time of analysis, the median durations of MCyR had not yet been reached.
Table 10: Efficacy of Iclusig in Patients With Resistant or Intolerant Advanced Disease (includes R/I and T315I cohorts) AP-CML
Overall
(N=83) BP-CML
Overall
(N=62) Ph+ ALL
Overall
(N=32)
Hematologic Response
*
Primary endpoint for patients with AP-CML, BP-CML, and Ph+ALL was MaHR, which combines complete hematologic responses and no evidence of leukemia.
†
CHR: WBC ≤ institutional ULN, ANC ≥1000/mm3, platelets ≥100,000/mm3, no blasts or promyelocytes in peripheral blood, bone marrow blasts ≤5%, <5% myelocytes plus metamyelocytes in peripheral blood, basophils <5% in peripheral blood, No extramedullary involvement (including no hepatomegaly or splenomegaly).
Major* (MaHR)
% 52% 31% 41%
(95% CI) (41,63) (20,44) (24,59)