ASC4FIRST = Oral Asciminib Versus Other TKIs in Newly Diagnosed Ph+ CML-CP [Asia-Pacific, Australia, Europe, Israel, North America, Russian Federation]

What is the purpose of the study

This is a study to compare the efficacy of asciminib 80 mg once daily with a tyrosine kinase inhibitor (TKI) for the treatment of newly diagnosed, previously untreated patients with Ph+ CML-CP. The TKI will be selected by the investigator and will be either imatinib 400 mg once daily or nilotinib 300 mg twice daily or dasatinib 100 mg once daily or bosutinib 400 mg once daily.

What will happen during the study

Patients will be randomly assigned to one of two treatment arms.
Participants in Arm 1 will receive asciminib 80 mg once daily under fasting conditions.
Participants in Arm 2 will receive investigator selected TKI that will include one of the below treatments:

• imatinib 400 mg once daily administered with food, or
• niilotinib 300 mg twice daily administered under fasting conditions, or
• dasatinib 100 mg once daila administered with or without meal, or
• bosutinib 400 mg once daily administered with food.

Key inclusion criteria

This study includes male or female patients who:

• are aged 18 years or older
• have been diagnosed with Philadelphia chromosome positive (Ph+) chronic myeloid leukemia in chronic phase (CML-CP) within 3 months of study entry.

Key exclusion criteria

This study does not include patients who:

• have been treated for CML with any other anti-cancer agents including chemotherapy and/or biologic agents or prior stem cell transplant, with the exception of hydroxyurea and/or anagrelide. Treatment with either imatinib, or nilotinib, or dasatinib or bosutinib for ≤2 weeks is allowed, but no other treatment with other tyrosine kinase inhibitors prior to randomization is permitted.

Further criteria may apply. Please discuss these with your doctor or study staff.

Where can I find additional information

Study description in the US register ClinicalTrials.gov, a service of the U. S. National Institutes of Health
Study descripiton in the EU Clinical Trials Registry which is hosted by the European Medicines Agency (EMA)

Study centers / principal investigators

Australia

Novartis Investigative Site
SouthPort, 4215

Novartis Investigative Site
Kingswood, New South Wales, 2747

Novartis Investigative Site
Port Macquarie, New South Wales, 2444

Novartis Investigative Site
Woolloongabba, Queensland, 4102

Novartis Investigative Site
Adelaide, South Australia, 5000

Austria

Novartis Investigative Site
Linz, 4010

Belgium

Novartis Investigative Site
Bruxelles, 1000

Novartis Investigative Site
Leuven, 3000

Bulgaria

Novartis Investigative Site
Varna, 9010

Canada

Alberta

Novartis Investigative Site
Calgary, Alberta, T2N 4N2

Ontario

Novartis Investigative Site
Hamilton, Ontario, L8V 1C3

Novartis Investigative Site
Ottawa, Ontario, K1H 8L6

Novartis Investigative Site
Toronto, Ontario, M5G 2M9

China

Novartis Investigative Site
Beijing, 100044

Novartis Investigative Site
Beijing, 100730

Novartis Investigative Site
Lanzhou

China, Guangdong

Novartis Investigative Site
Guangzhou, Guangdong, 510515

Novartis Investigative Site
Shenzhen, Guangdong, 518037

China, Henan

Novartis Investigative Site
Zhengzhou, Henan, 450008

China, Hubei

Novartis Investigative Site
Wuhan, Hubei, 430022

China, Jiangsu

Novartis Investigative Site
Nanjing, Jiangsu

Novartis Investigative Site
Nantong, Jiangsu, 226000

Novartis Investigative Site
Suzhou, Jiangsu, 215006

China, Shanxi

Novartis Investigative Site
Xian, Shanxi, 710068

China, Sichuan

Novartis Investigative Site
Chengdu, Sichuan, 610041

China, Tianjin

Novartis Investigative Site
Tianjin, Tianjin, 300020

China, Zhejiang

Novartis Investigative Site
Hangzhou, Zhejiang, 310003

Novartis Investigative Site
Wenzhou, Zhejiang, 325000

Czechia, Czech Republic

Novartis Investigative Site
Brno Bohunice, 625 00

Novartis Investigative Site
Ostrava, Poruba, 708 52

Denmark

Novartis Investigative Site
Aarhus, 8000

Novartis Investigative Site
Copenhagen, 2100

Finland

Novartis Investigative Site
Helsinki, 00290

France

Novartis Investigative Site
Bordeaux, 33076

Novartis Investigative Site
Lyon Cedex, 69373

Novartis Investigative Site
Nantes Cedex 1, 44093

Novartis Investigative Site
Paris Cedex, 75475

Germany

Novartis Investigative Site
Aachen, 52074

Novartis Investigative Site
Berlin, 13353

Novartis Investigative Site
Frankfurt, 60590

Novartis Investigative Site
Jena, 07740

Novartis Investigative Site
Lübeck, 23538

Novartis Investigative Site
Mannheim, 68305

Hungary

Novartis Investigative Site
Debrecen, 4032

Novartis Investigative Site
Kaposvar, 7400

Novartis Investigative Site
Kecskemet, 6001

India

Novartis Investigative Site
Delhi, 110 085

Israel

Novartis Investigative Site
Petah Tikva

Novartis Investigative Site
Ramat Gan, 52621

Novartis Investigative Site
Tel Aviv, 6423906

Italy

Novartis Investigative Site
Bologna, BO, 40138

Novartis Investigative Site
Milano, MI, 20122

Novartis Investigative Site
Reggio Emilia, RE, 42123

Novartis Investigative Site
Roma, RM, 00161

Novartis Investigative Site
Verona, VR, 37126

Japan

Novartis Investigative Site
Akita, 010 8543

Japan, Akita

Novartis Investigative Site
Akita, 010 8543

Japan, Aichi

Novartis Investigative Site
Nagoya, Aichi, 453-8511

Novartis Investigative Site
Toyoake city, Aichi, 470 1192

Japan, Chiba

Novartis Investigative Site
Kashiwa, Chiba, 277 8577

Japan, Fukuoka

Novartis Investigative Site
Fukuoka city, Fukuoka, 812-8582

Japan, Fukushima

Novartis Investigative Site
Fukushima city, Fukushima, 960 1295

Japan, Hokkaido

Novartis Investigative Site
Sapporo city, Hokkaido, 060 8648

Japan, Hyogo

Novartis Investigative Site
Kobe-city, Hyogo, 650-0047

Japan, Okayama

Novartis Investigative Site
Kurashiki-city, Okayama, 710-8602

Japan, Osaka

Novartis Investigative Site
Osaka, 545-8586

Novartis Investigative Site
Osaka Sayama, Osaka, 589 8511

Novartis Investigative Site
Suita city, Osaka, 565 0871

Japan, Shizuoka

Novartis Investigative Site
Sunto Gun, Shizuoka, 411 8777

Japan, Tochigi

Novartis Investigative Site
Shimotsuke, Tochigi, 329-0498

Japan, Yamagata

Novartis Investigative Site
Yamagata, 990 9585

Japan, Yamanashi

Novartis Investigative Site
Chuo-city, Yamanashi, 409-3898

Korea, Republic of

Novartis Investigative Site
Seoul, 03080

Novartis Investigative Site
Seoul, 03722

Novartis Investigative Site
Seoul, 06351

Novartis Investigative Site
Seoul, Seocho Gu, 06591

Novartis Investigative Site
Uijeongbu si, Gyeonggi Do, 11759

Malaysia

Novartis Investigative Site
Kuantan, 25100

Novartis Investigative Site
Pulau Pinang, 10990

Novartis Investigative Site
Selangor, 68000

Novartis Investigative Site
Subang Jaya, 47500

Netherlands

Novartis Investigative Site
Amsterdam, 1081 HV

Norway

Novartis Investigative Site
Bergen, 5021

Novartis Investigative Site
Oslo, 0372

Portugal

Novartis Investigative Site
Porto, 4200 072

Novartis Investigative Site
Vila Nova de Gaia, 4434 502

Singapore

Novartis Investigative Site
Singapore, 119228

Novartis Investigative Site
Singapore, 169608

Slovakia

Novartis Investigative Site
Kosice, 040 66

Spain

Novartis Investigative Site
Barcelona, 08035

Novartis Investigative Site
El Palmar, 30120

Novartis Investigative Site
Granada, 18014

Novartis Investigative Site
Madrid, 28041

Novartis Investigative Site
Pamplona, 31008

Sweden

Novartis Investigative Site
Goteborg, 413 45

Novartis Investigative Site
Lund 221 85

Novartis Investigative Site
Stockholm; 141 86

Switzerland

Novartis Investigative Site
Bellinzona, 6850

Taiwan

Novartis Investigative Site
Kaohsiung City, 83301

Novartis Investigative Site
Taichung, 40447

United Kingdom

Novartis Investigative Site
London, W12 0HS

Novartis Investigative Site
Nottingham, NG5

Novartis Investigative Site
Oxford, OX3 7LJ

United States

Colorado

Rocky Mountain Cancer Center
Longmont, Colorado, 80501

Florida

Florida Cancer Specialists Dept. of Oncology
Fort Myers. Florida, 33901

Florida Cancer Specialists Panhandle
Tallahassee, Florida, 32308

Iowa

University of Iowa Hospitals and Clinics
IIowa City, Iowa, 52242

Kentucky

University of Kentucky
Lexington, Kentucky, 40536

Massachusetts

University of Massachusetts Medical Center Dept of Oncology
Worcester, Massachusetts, 01655

North Carolina

Wake Forest University Baptist Medical Center Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157

Oregon

Williamette Cancer Center
Eugene, Oregon, 97401

Oregon Health and Science University
Portland, Oregon, 97239

South Dakota

Avera Cancer Avera Cancer Institute
Sioux Falls, South Dakota, 57105

Tennessee

Chattanooga Oncology and Hematologiy Associates PC
Tennessee Oncology Chattanooga

Texas

Texas Oncology Texas Onc – Amarillo
Dallas, Texas, 75246

Texas Oncology-Baylor USO
Dallas, Texas, 75246

Texas Oncology P A Austin
Dallas, Texas, 75251