EA9171 / BLAST MRD CML 1 [USA]

Study title

Testing Pembrolizumab with Existing Cancer Therapy in Patients with Evidence of Residual Chronic Myelogenous Leukemia

Scientific title

Phase II Study of Adding the Anti-PD-1 Pembrolizumab to Tyrosine Kinase Inhibitors in Patients With Chronic Myeloid Leukemia and Persistently Detectable Minimal Residual Disease

Type of study

Therapy optimization trial

Phase

2

Current status

Recruiting

Other trial ID

ClinicalTrials.gov NCT03516279

What is the purpose of the study

This is a study to determine the effects of adding pembrolizumab to the usual treatment – dasatinib, imatinib mesylate, nilotinib, or bosutinib – of patients with chronic myeloid leukemia and persistent detection of minimal residual disease (MRD).

Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body’s immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Dasatinib, imatinib mesylate, nilotinib, and bosutinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving pembrolizumab and dasatinib, imatinib mesylate, nilotinib, or bosutinib may work better in treating patients with chronic myeloid leukemia compared to dasatinib, imatinib mesylate, nilotinib, or bosutinib alone.

What will happen during the study

Patients will receive pembrolizumab by vein (intravenously) once every 3 weeks for a total duration of 54 weeks. During this time, patients will also receive dasatinib, imatinib mesylate, nilotinib, or bosutinib as clinically indicated per the treating physician.

After completing 54 weeks of treatment,

  • patients with detectable minimal residual disease (where the fusion gene bcr-abl remains detectable in the blood) will continue to receive pembrolizumab and dasatinib, imatinib mesylate, nilotinib, or bosutinib for another year.
  • patients with undetectable minimal residual disease (where bcr-abl is undetectable) will stop receiving pembrolizumab and only continue dasatinib, imatinib mesylate, nilotinib, or bosutinib.

Key inclusion criteria

This study includes patients of all sexes who:

  • are aged 18 years or older
  • have been diagnosed with BCR-ABL positive CML in chronic phase (CP)
  • have been on tyrosine kinase (TKI) therapy (first, second, and third line line) for at least 2 years. Allowed TKIs include dasatinib, imatinib, nilotinib and bosutinib.
  • have an Eastern Co-Operative Group (ECOG) status of 0, 1 or 2.

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

Key exclusion criteria

This study does not include patients who:

  • have been diagnosed with accelerated or blast phase CML
  • have received a previous allogeneic stem cell transplant
  • have received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent
  • have a history of hypersensitivity to pembrolizumab or any of its excipients.

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

Estimated primary completion date

August 2028

Where can I find additional information

You can find a study summary for patients provided by the study sponsor ECOG-ACRIN Cancer Research Group, part of the National Cancer Institute’s (NCI) National Clinical Trial’s Network.

You can also find a study description in the US register ClinicalTrials.gov. This is a database provided by the U. S. National Institutes of Health.

Study sponsor

ECOG-ACRIN Cancer Research Group in collaboration with the National Cancer Institute (NCI)

Scientific lead / contact

ECOG-ACRIN Cancer Research Group

Principal investigator

Amer Zeidan, ECOG-ACRIN Cancer Research Group

Study centers / principal investigators

United States

Alaska

Fairbanks Memorial Hospital – recruiting
Fairbanks

Arizona

CTCA at Western Regional Medical Center – recruiting
Goddyear

Cancer Center at Saint Joseph’s – active, not recruiting
Phoenix

Arkansas

Mercy Hospital Fort Smith – recruiting
Fort Smith

CHI Saint Vincent Cancer Center Hot Springs – suspended
Hot Springs

CARTI Cancer Center – recruiting
Little Rock

California

Mission Hope Medical Oncology – active, not recruiting
Arroyo Grande

Mercy Cancer Center – active, not recruiting
Carmichael

Mercy San Juan Medical Center – active, not recruiting
Carmichael

Mercy Cancer Center – active, not recruiting
Elk Grove

Contra Costa Regional Medical Center – recruiting
Martinez

Mercy Cancer Center – active, not recruiting
Merced

Mercy Cancer Center – active, not recruiting
Rocklin

Mercy Cancer Center – active, not recruiting
Sacramento

Pacific Central Coast Health Center – active, not recruiting
San Luis Obispo

Mission Hope Medical Oncology – active, not recruiting
Santa Maria

BASS Medical Grupu – Lennon – recruiting
Walnut Creek

Woodland Memorial Hospital – active, not recruiting
Woodland

Colorado

Rocky Mountain Cancer Centers – recruiting
Aurora

Boulder Community Foothills Hospital – recruiting
Boulder

Rocky Mountain Cancer Centers – recruiting
Boulder

Rocky Mountain Cancer Centers – recruiting
Centennial

Penrose-Saint Francis Healthcare – active, not recruiting
Colorado Springs

Rocky Mountain Cancer Centers-Penrose – active, not recruiting
Colorado Springs

Saint Francis Cancer Center – active, not recruiting
Colorado Springs

Colorado Blood Cancer Institute – suspended
Denver

Porter Adventist Hospital – suspended
Denver

Presbyterian – Saint Lukes Medical Center – Health One – recruiting
Denver

Rocky Mountain Cancer Centers-Midtown – recruiting
Denver

Rocky Mountain Cancer Centers-Rose – recruiting
Denver

Rose Medical Center – suspended
Denver

The Women’s Imaging Center – recruiting
Denver

Mercy Medical Center – active, not recruiting
Durango

Southwest Oncology PC – active, not recruiting
Durango

Mountain Blue Cancer Care Center – Swedish – suspended
Englewood

Rocky Mountain Cancer Centers – Swedish – recruiting
Englewood

Swedish Medical Center – suspended
Englewood

The Melanoma and Skin Cancer Institute – recruiting
Englewood

Mountain Blue Cancer Care Center – suspended
Golden

Rocky Mountain Cancer Centers – recruiting
Lakewood

Saint Anthony Hospital – active, not recruiting
Lakewood

Littleton Adventist Hospital – suspended
Littleton

Rocky Mountain Cancer Centers – recruiting
Littleton

Rocky Mountain Cancer Centers-Sky Ridge – recruiting
Lone Tree

Longmont United Hospital – active, not recruiting
Longmont

Rocky Mountain Cancer Centers – recruiting
Longmont

Parker Adventist Hospital – suspended
Parker

Rocky Mountain Cancer Centers – suspended
Parker

Rocky Mountain Cancer Centers – active, not recruiting
Pueblo

Saint Mary Corwin Medical Center – active, not recruiting
Pueblo

Rocky Mountain Cancer Centers – recruiting
Thornton

Connecticut

Smilow Cancer Hospital-Derby Care Center – recruiting
Derby

Smilow Cancer Hospital Care Center – recruiting
Fairfield

Smilow Cancer Hospital Care Center – recruiting
Glastonbury

Smilow Cancer Hospital Care Center – recruiting
Guilford

Smilow Cancer Hospital Care Center at Saint Francis – recruiting
Hartfort

Smilow Cancer Center/Yale-New Haven Hospital – recruiting
New Haven

Yale University – recruiting
New Haven

Yale-New Haven Hospital North Haven Medical Center – recruiting
North Haven

Smilow Cancer Hospital-Torrington Care Center – recruiting
Torrington

Smilow Cancer Hospital Care Center – recruiting
Trumbull

Smilow Cancer Hospital-Waterbury Care Center – recruiting
Waterbury

Smilow Cancer Hospital Care Center – recruiting
Waterford

Delaware

Beebe South Coastal Health Campus – active, not recruiting
Frankford

Beebe Medical Center – active, not recruiting
Lewes

Christiana Care Health System-Christiana Hospital – active, not recruiting
Newark

Delaware Clinical and Laboratory Physicians PA – active, not recruiting
Newark

Helen F Graham Cancer Center – active, not recruiting
Newark

Medical Oncology Hematology Consultants PA – active, not recruiting
Newark

Beebe Health Campus – active, not recruiting
Rehoboth Beach

TidalHealth Nanticoke / Allen Cancer Center – active, not recruiting
Seaford

Christiana Care Health System-Wilmington Hospital – active, not recruiting
Wilmington


Idaho

Saint Alphonsus Cancer Care Center – recruiting
Boise

Saint Alphonsus Cancer Care Center – recruiting
Caldwell

Kootenai Health – recruiting
Coeur d’Alene

Walter Knox Memorial Hospital – recruiting
Emmett

Idaho Urologic Institute – recruiting
Meridian

Saint Alphonsus Cancer Care Center – recruiting
Nampa

Kootenai Clinic Cancer Services – recruiting
Post Falls

Kootenai Cancer Clinic – recruiting
Sandpoint

Illinois

Saint Anthony’s Health – recruiting
Alton

Rush – Copley Medical Center – recruiting
Aurora

Illinois CancerCare – recruiting
Bloomington

Illinois CancerCare – recruiting
Canton

Memorial Hospital of Carbondale – recruiting
Carbondale

SIH Cancer Institute – recruiting
Carterville

Illinois CancerCare – recruiting
Carthage

Centralia Oncology Clinic – recruiting
Centralia

Saint Mary’s Hospital – recruiting
Centralia

Northwestern University – recruiting
Chicago

University of Illinois – recruiting
Chicago

Carle at The Riverfront – recruiting
Danville

Cancer Care Specialists of Illinois – recruiting
Decatur

Decatur Memorial Hospital – recruiting
Decatur

Illinois CancerCare – recruiting
Dixon

Carle Physician Group – recruiting
Effingham

Crossroads Cancer Center – recruiting
Effingham

Illinois CancerCare – recruiting
Eureka

Illinois CancerCare – recruiting
Galesburg

Western Illinois Cancer Treatment Center – recruiting
Galesburg

Illinois CancerCare-Kewanee Clinic – recruiting
Kewanee

Northwestern Medicine Lake Forest Hospital – active, not recruiting
Lake Forest

Illinois CancerCare – recruiting
Macomb

Carle Physician Group-Mattoon/Charleston – recruiting
Mattoon

Good Samaritan Regional Health Center – recruiting
Mount Vernon

Cancer Care Center of O’Fallon – recruiting
O’Fallon

Illinois CancerCare-Ottawa Clinic – recruiting
Ottawa

Illinois CancerCare – recruiting
Pekin

Illinois CancerCare – recruiting
Peoria

Methodist Medical Center of Illinois – recruiting
Peoria

Illinois CancerCare – recruiting
Peru

Valley Radiation Oncology – recruiting
Peru

Illinois CancerCare – recruiting
Princeton

Memorial Medical Center – recruiting
Springfield

Southern Illinois University School of Medicine – recruiting
Springfield

Springfield Clinic – recruiting
Springfield

Southwest Illinois Health Services LLP – suspended
Swansea

Carle Cancer Center – recruiting
Urbana

The Carle Foundation Hospital – recruiting
Urbana

Illinois CancerCare – recruiting
Washington

Rush-Copley Healthcare Center – recruiting
Yorkville

Iowa

Mary Greeley Medical Center – recruiting
Ames

McFarland Clinic – recruiting
Ames

Mission Cancer and Blood – recruiting
Ankeny

McFarland Clinic – recruiting
Boone

Saint Anthony Regional Hospital – active, not recruiting
Carroll

Mercy Cancer Center-West Lakes – recruiting
Clive

Mission Cancer and Blood – West Des Moines – recruiting
Clive

Alegent Health Mercy Hospital – active, not recruiting
Council Bluffs

Greater Regional Medical Center – recruiting
Creston

Broadlawns Medical Center – active, not recruiting
Des Moines

Iowa Lutheran Hospital – active, not recruiting
Des Moines

Iowa Methodist Medical Center – active, not recruiting
Des Moines

Mercy Medical Center – recruiting
Des Moines

Mission Cancer and Blood – active, not recruiting
Des Moines

Mission Cancer and Blood – Laurel – recruiting
Des Moines

McFarland Clinic – Trinity Cancer Center – recruiting
Fort Dodge

Trinity Regional Medical Center – active, not recruiting
Fort Dodge

McFarland Clinic – recruiting
Jeffersion

McFarland Clinic – recruiting
Marshalltown

Mercy Medical Center-West Lakes – recruiting
West Des Moines

Methodist West Hospital – active, not recruiting
West Des Moines


Kansas

Central Care Cancer Center – recruiting
Garden City

Central Care Cancer Center – recruiting
Great Bend

Lawrence Memorial Hospital – suspended
Lawrence

Ascension Via Christi Hospitals Wichita – recruiting
Wichita

Cancer Center of Kansas – recruiting
Wichita

Cancer Center of Kansas-Wichita Medical Arts Tower – recruiting
Wichita

Wesley Medical Center – recruiting
Wichita

Kentucky

Flaget Memorial Hospital – active, not recruiting
Bardstown

Commonwealth Cancer Center – active, not recruiting
Corbin

Saint Joseph Hospital – active, not recruiting
Lexington

Saint Joseph Hospital East – active, not recruiting
Lexington

Saint Joseph Radiation Oncology Resource Center – active, not recruiting
Lexington

Saint Joseph London – active, not recruiting
London

Jewish Hospital – suspended
Louisville

Saints Mary and Elizabeth Hospital – suspended
Louisville

UofL Health Medical Center Northeast – suspended
Louisville

Saint Joseph Mount Sterling – active, not recruiting
Mount Sterling

Mercy Health – Paducah Medical Oncology and Hematology – recruiting
Paducah

Jewish Hospital Medical Center South – active, not recruiting
Shepherdsville

Maryland

Saint Agnes Hospital – recruiting
Baltimore

Michigan

Hickman Cancer Center – recruiting
Adrian

Toledo Clinic Cancer Centers – recruiting
Monroe

Minnesota

Mayo Clinic in Rochester – completed
Rochester

Coborn Cancer Center at Saint Cloud Hospital – recruiting
Saint Cloud

Missouri

Saint Louis Cancer and Breast Institute – recruiting
Ballwin

Central Care Cancer Center – recruiting
Bolivar

Parkland Health Center – suspended
Bonne Terre

Cox Cancer Center Branson – recruiting
Branson

Saint Francis Medical Center – recruiting
Cape Girardeau

Southeast Cancer Center – recruiting
Cape Girardeau

Saint Luke’s Hospital – recruiting
Chesterfield

Parkland Health Center – recruiting
Farmington

MU Health Care Goldschmidt Cancer Center – suspended
Jefferson City

Freeman Health System – recruiting
Joplin

Mercy Hospital Joplin – recruiting
Joplin

Lake Regional Hospital – recruiting
Osage Beach

Delbert Day Cancer Institute at PCRMC – recruiting
Rolla

Mercy Clinic-Rolla-Cancer and Hematology – recruiting
Rolla

Heartland Regional Medical Center – recruiting
Saint Joseph

Mercy Hospital Saint Louis – recruiting
Saint Louis

Mercy Hospital South – recruiting
Saint Louis

Missouri Baptist Medical Center – recruiting
Saint Louis

Saint Louis Cancer and Breast Institute-South City – recruiting
Saint Louis

Sainte Genevieve County Memorial Hospital – recruiting
Sainte Genevieve

CoxHealth South Hospital – recruiting
Springfield

Mercy Hospital Springfield – recruiting
Springfield

Missouri Baptist Sullivan Hospital – recruiting
Sullivan

BJC Outpatient Center at Sunset Hills – recruiting
Sunset Hills

Mercy Hospital Washington – recruiting
Washington

Montana

Community Hospital of Anaconda – recruiting
Anaconda

Billings Clinic Cancer Center – recruiting
Billings

Bozeman Health Deaconess Hospital – recruiting
Bozeman

Benefis Sletten Cancer Institute – recruiting
Great Falls

Great Falls Clinic – recruiting
Great Falls

Saint Peter’s Community Hospital – suspended
Helena

Kalispell Regional Medical Center – recruiting
Kalispell

Community Medical Center – recruiting
Missoula

Nebraska

Nebraska Medicine-Bellevue – recruiting
Bellevue

Nebraska Cancer Specialists/Oncology Hematology West PC – suspended
Grand Island

Heartland Hematology and Oncology – suspended
Kearney

CHI Health Good Samaritan HI Health Good Samaritan – active, not recruiting
Kearney

Saint Elizabeth Regional Medical Center – active, not recruiting
Lincoln

Alegent Health Bergan Mercy Medical Center – active, not recruiting
Omaha

Alegent Health Immanuel Medical Center – active, not recruiting
Omaha

Alegent Health Lakeside Hospital – active, not recruiting
Omaha

Creighton University Medical Center – active, not recruiting
Omaha

Hematology and Oncology Consultants PC – suspended
Omaha

Nebraska Medicine-Village Pointe – active, not recruiting
Omaha

University of Nebraska Medical Center – active, not recruiting
Omaha

Midlands Community Hospital – active, not recruiting
Papillion

New Jersey

Morristown Medical Center – recruiting
Morristown

Overlook Hospital – recruiting
Summit

New York

Garnet Health Medical Center – recruiting
Middletown

North Carolina

Southeastern Medical Oncology Center – recruiting
Clinton

Southeastern Medical Oncology Center – active, not recruiting
Goldsboro

Wayne Memorial Hospital – active, not recruiting
Goldsboro

Onslow Memorial Hospital – active, not recruiting
Jacksonville

Southeastern Medical Oncology Center – recruiting
Jacksonville

Ohio

Bethesda North Hospital – active, not recruiting
Cincinnati

Good Samaritan Hospital – active, not recruiting
Cincinnati

TriHealth Cancer Institute-Anderson – active, not recruiting
Cincinnati

TriHealth Cancer Institute-Westside – active, not recruiting
Cincinnati

MetroHealth Medical Center – active, not recruiting
Cleveland

Toledo Clinic Cancer Centers – recruiting
Maumee

Mercy Health Perrysburg Cancer Center – suspended
Perrysburg

Mercy Health – Saint Anne Hospital – suspended
Toledo

Toledo Clinic Cancer Centers – recruiting
Toledo

Oklahoma

Cancer Centers of Southwest Oklahoma Research – active, not recruiting
Lawton

Mercy Hospital Oklahoma City – recruiting
Oklahoma City

University of Oklahoma Health Sciences Center – active, not recruiting
Oklahoma City

Oklahoma Cancer Specialists and Research Institute – active, not recruiting
Tulsa

Oregon

Saint Alphonsus Medical Center-Baker City – recruiting
Baker City

Saint Alphonsus Medical Center-Ontario – recruiting
Ontario

Pennsylvania

Christiana Care Health System-Concord Health Center – active, not recruiting
Chadds Ford

Geisinger Medical Center – recruiting
Danville

Geisinger Medical Center-Cancer Center – recruiting
Hazleton

Geisinger Medical Oncology – recruiting
Lewisburg

Lewistown Hospital – recruiting
Lewistown

Geisinger Cancer Services – recruiting
Pottsville

Community Medical Center – recruiting
Scranton

Geisinger Medical Oncology – recruiting
Selinsgrove

Geisinger Medical Group – recruiting
State College

Geisinger Wyoming Valley/Henry Cancer Center – recruiting
Wilkes-Barre

South Carolina

Prisma Health Cancer Institute – Spartanburg – recruiting
Boiling Springs

Prisma Health Cancer Institute – Laurens – recruiting
Clinton

Prisma Health Cancer Institute – Easley – recruiting
Easley

BI-LO Charities Children’s Cancer Center – recruiting
Greenville

Prisma Health Cancer Institute – Butternut – recruiting
Greenville

Prisma Health Cancer Institute – Eastside – recruiting
Greenville

Prisma Health Cancer Institute – Faris – recruiting
Greenville

Prisma Health Greenville Memorial Hospital – recruiting
Greenville

Prisma Health Cancer Institute – recruiting
Greer

Prisma Health Cancer Institute – recruiting
Seneca

Tennessee

Memorial Hospital – suspended
Chattanooga

Vanderbilt-Ingram Cancer Center Cool Springs – active, not recruiting
Franklin

Pulmonary Medicine Center of Chattanooga – suspended
Hixson

Vanderbilt Breast Center at One Hundred Oaks – active, not recruiting
Nashville

Vanderbilt University/Ingram Cancer Center – active, not recruiting
Nashville

Memorial GYN Plus – suspended
Ooltewah

Texas

Saint Joseph Regional Cancer Center – active, not recruiting
Bryan

Virginia

Sovah Health Martinsville – recruiting
Martinsville

Washington