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Trial · NCT00124748

Efficacy of 400 Mg Versus 800 Mg Imatinib in Chronic Myeloid Leukemia in Chronic Phase Patients - TOPS (Tyrosine Kinase Inhibitor Optimization and Selectivity)

NCT00124748, Phase 3, Terminated, Novartis Pharmaceuticals; results first posted 2012-02-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy of 400 Mg Versus 800 Mg Imatinib in Chronic Myeloid Leukemia in Chronic Phase Patients - TOPS (Tyrosine Kinase Inhibitor Optimization and Selectivity). Trials, record NCT00124748. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00124748

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy of 400 Mg Versus 800 Mg Imatinib in Chronic Myeloid Leukemia in Chronic Phase Patients - TOPS (Tyrosine Kinase Inhibitor Optimization and Selectivity)
NCT number
NCT00124748
Status
Terminated
Phases
Phase 3
Enrollment
476 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Leukemia, Myeloid, Chronic Phase
Interventions
Imatinib mesylate
First posted
2005-07-28
Last updated
2012-02-03
Results first posted
2012-02-03

Source ClinicalTrials.gov

Registered outcomes19

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Major Molecular Response (MMR) Rates at 12 Months12 months
MMR is defined as Bcr-Abl (A fusion gene of the breakpoint cluster region \[Bcr\] gene and Abelson proto-oncogene \[Abl\] genes) transcript ratio ≤0.1% (≥ 3 log reduction of BCR-ABL transcripts from a standardized baseline), as detected by reverse transcriptase polymerase chain reaction \[RT-PCR\] (performed centrally).
SecondaryPercentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 Months24, 36 and 42 months
MMR is defined as Bcr-Abl (A fusion gene of the breakpoint cluster region \[Bcr\] gene and Abelson proto-oncogene \[Abl\] genes) transcript ratio ≤0.1% (≥ 3 log reduction of BCR-ABL transcripts from a standardized baseline), as detected by reverse transcriptase polymerase chain reaction \[RT-PCR\] (performed centrally).
SecondaryPercentage of Participants With Complete Cytogenetic Response (CCyR) Rate at 12, 24, 36, 42 Months12, 24, 36, 42 months
Cytogenetic response (CyR)is the percentage of Philadelphia chromosome positive metaphases (among at least 20 metaphase cells in bone marrow (BM)) with Complete Cytogenetic Response (CCyR) being 0 percent.
SecondaryPercentage of Participants With Complete Hematological Response (CHR) Rates at 12, 24, 36, and 42 Months12, 24, 36, and 42 months
Complete Hematologic Response (CHR) is where all of the following criteria must be present for ≥4 weeks: White Blood Cell (WBC) count \<10 x 109/L, Platelet count \<450 x 109/L, Basophils \<5%, No blasts and promyelocytes in Peripheral Blood (PB), (Myelocytes + metamyelocytes) \< 5% in PB and No evidence of extramedullary involvement.
SecondaryPercentage of Patients With Undetectable Levels of Bcr-Abl (A Fusion Gene of the Breakpoint Cluster Region [Bcr] Gene and Abelson Proto-oncogene [Abl] Genes) Transcripts12 , 24, 36 and 42 months"Undetectable levels" or Complete molecular response is defined as Bcr-Abl ratio (%) on international scale (IS) \<= 0.0032% (≥ 4.5 log reduction of BCR-Abl transcripts from a standardized baseline).
SecondaryTime to First Major Molecular Response42 months overall
MMR is defined as Bcr-Abl (A fusion gene of the breakpoint cluster region \[Bcr\] gene and Abelson proto-oncogene \[Abl\] genes) transcript ratio ≤0.1% (≥ 3 log reduction of BCR-ABL transcripts from a standardized baseline), as detected by reverse transcriptase polymerase chain reaction \[RT-PCR\] (performed centrally). Time to MMR (months) = (date of first MMR or censoring - date of randomization + 1) / 30.4375. Time to first MMR was evaluated using the Kaplan-Meier method
SecondaryTime to First Complete Cytogenetic Response60 months overall
Cytogenetic response (CyR) is the percentage of Philadelphia positive metaphases (among at least 20 metaphase cells in Bone Marrow) with Complete Cytogenetic Response (CCyR) being 0 percent. Time to CCyR (months) = (date of first CCyR or censoring - date of randomization + 1) / 30.4375. Time to first CCyR was evaluated using the Kaplan-Meier method.
SecondaryTime to First Complete Hematological Response (CHR)]60 months overall
Complete Hematological Response (CHR) is defined is where all of the following criteria must be present for ≥4 weeks: White Blood Cell (WBC) count \<10 x 109/L, Platelet count \<450 x 109/L, Basophils \<5%, No blasts and promyelocytes in Peripheral Blood (PB), (Myelocytes + metamyelocytes) \< 5% in PB and No evidence of extramedullary involvement. Time to CHR (months) = (date of first CHR or censoring - date of randomization + 1) / 30.4375. Time to first CHR was evaluated using the Kaplan-Meier method.
SecondaryEstimated Rate of Event Free Survival (EFS) in Two Treatment Arms60 months over all
EFS on treatment was defined as time between randomization and either (1) death due to any cause during study treatment, (2) progression to accelerated phase (AP) or blast crisis (BC) on treatment, (3) loss of complete hematological response (CHR), or (4) loss of major cytogenic response (MCyR) while on treatment. Estimated rate of EFS was analyzed by Kaplan-Meier estimate (percent probability and 95% Confidence interval).
SecondaryEstimated Rate of Progression Free Survival (PFS) in Two Treatment Arms60 months over all and follow up period
PFS on study which was defined as time between randomization and either (1) death due to any cause on treatment of during follow-up after discontinuation of treatment or (2) progression to accelerated phase (AP) or blast crisis (BC) on treatment during follow-up after discontinuation of study treatment. Estimated rate of PFS was analyzed by Kaplan-Meier estimate (percent probability and 95% Confidence interval).

Outcomes19

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Major Molecular Response (MMR) Rates at 12 Months12 monthsIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 Months24, 36 and 42 monthsIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Complete Cytogenetic Response (CCyR) Rate at 12, 24, 36, 42 Months12, 24, 36, 42 monthsIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Complete Hematological Response (CHR) Rates at 12, 24, 36, and 42 Months12, 24, 36, and 42 monthsIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percentage of participantsNUMBER
SECONDARYPercentage of Patients With Undetectable Levels of Bcr-Abl (A Fusion Gene of the Breakpoint Cluster Region [Bcr] Gene and Abelson Proto-oncogene [Abl] Genes) Transcripts12 , 24, 36 and 42 monthsIntent-to-treat (ITT) population consisted of all patients who were randomized into the study.Percentage of PartcipantsNUMBER
SECONDARYTime to First Major Molecular Response42 months overallIntent-to-treat (ITT) population consisted of all patients who were randomized to the study treatment.MonthsMEDIAN
SECONDARYTime to First Complete Cytogenetic Response60 months overallIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.MonthsMEDIAN
SECONDARYTime to First Complete Hematological Response (CHR)]60 months overallIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.MonthsMEDIAN
SECONDARYEstimated Rate of Event Free Survival (EFS) in Two Treatment Arms60 months over allIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percent probabilityNUMBER
SECONDARYEstimated Rate of Progression Free Survival (PFS) in Two Treatment Arms60 months over all and follow up periodIntent-to-treat (ITT) population consisted of all patients who are randomized into the study.Percent probabilityNUMBER

Results by group138

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Major Molecular Response (MMR) Rates at 12 MonthsImatinib 400 mg38.9Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 12 MonthsImatinib 800 mg45.1Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 400 mg24 months53.5Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 800 mg24 months50.8Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 400 mg36 months52.2Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 800 mg36 months49.8Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 400 mg42 months51.6Percentage of participants
Percentage of Participants With Major Molecular Response (MMR) Rates at 24, 36, and 42 MonthsImatinib 800 mg42 months50.2Percentage of participants
Percentage of Participants With Complete Cytogenetic Response (CCyR) Rate at 12, 24, 36, 42 MonthsImatinib 400 mg12 months66.9Percentage of Participants
Percentage of Participants With Complete Cytogenetic Response (CCyR) Rate at 12, 24, 36, 42 MonthsImatinib 800 mg12 months70.2Percentage of Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDImatinib 400 mg157
Overall StudySTARTEDImatinib 800 mg319
Overall StudySafety PopulationImatinib 400 mg157
Overall StudySafety PopulationImatinib 800 mg316
Overall StudyCOMPLETEDImatinib 400 mg14
Overall StudyCOMPLETEDImatinib 800 mg35
Overall StudyNOT COMPLETEDImatinib 400 mg143
Overall StudyNOT COMPLETEDImatinib 800 mg284

Adverse events602

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersImatinib 400mg41157
otherAnaemiaBlood and lymphatic system disordersImatinib 800mg120316
otherLeukopeniaBlood and lymphatic system disordersImatinib 400mg20157
otherLeukopeniaBlood and lymphatic system disordersImatinib 800mg51316
otherNeutropeniaBlood and lymphatic system disordersImatinib 400mg38157
otherNeutropeniaBlood and lymphatic system disordersImatinib 800mg107316
otherThrombocytopeniaBlood and lymphatic system disordersImatinib 400mg36157
otherThrombocytopeniaBlood and lymphatic system disordersImatinib 800mg111316
otherConjunctival haemorrhageEye disordersImatinib 400mg8157
otherConjunctival haemorrhageEye disordersImatinib 800mg19316

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityImatinib 400mg
Total, all-cause mortalityImatinib 800mg
Total, other adverse eventsImatinib 400mg157157
Total, other adverse eventsImatinib 800mg315316
Total, serious adverse eventsImatinib 400mg42157
Total, serious adverse eventsImatinib 800mg121316

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22315495DERIVEDPubMed
23515925DERIVEDPubMed
24859364DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Imatinib 400mg vs Imatinib 800mg: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00124748

GET https://conductscience.org/api/trials/v1/NCT00124748/results?page=2