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Trial · NCT04971226

A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CP

NCT04971226, Phase 3, Active not recruiting, Novartis Pharmaceuticals; results first posted 2025-03-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CP. Trials, record NCT04971226. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04971226

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Trial

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

Title
A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CP
NCT number
NCT04971226
Status
Active not recruiting
Phases
Phase 3
Enrollment
405 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Chronic Myeloid Leukemia (CML) Philadelphia Chromosome Positive
Interventions
Imatinib, Nilotinib, Bosutinib, Dasatinib, Asciminib
First posted
2021-07-21
Last updated
2026-08-28
Results first posted
2025-03-10
Limitations and caveats
Adverse Events data were not collected from the 4 participants who are not included in the Safety Set as they did not receive any treatment.

Source ClinicalTrials.gov

Registered outcomes33

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKIAt 48 weeks
Molecular response is assessed using BCR-ABL1 transcript levels measured by realtime quantitative polymerase chain reaction. MMR is defined as a ratio BCR-ABL/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).
PrimaryPercentage of Participants With Major Molecular Response (MMR) at Week 48 - Asciminib (Imatinib Stratum) vs Investigator Selected TKI (Imatinib Stratum)At 48 weeks
Molecular response is assessed using BCR-ABL1 transcript levels measured by realtime quantitative polymerase chain reaction. MMR is defined as a ratio BCR-ABL1/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).
SecondaryMajor Molecular Response at Week 96at 96 weeks (96 weeks after last patient first dose)
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MMR is defined as a ratio BCR-ABL/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).
SecondaryTime to Discontinuation of Study Treatment Due to Adverse Events (TTDAE)96 weeks after last patient first dose
TTDAE is defined as the time from the date of first dose of study treatment to the date of discontinuation of study treatment due to Adverse Event (AE). For patients ongoing without study treatment discontinuation, on or prior to the analysis cut-off date, the time will be censored at the at the analysis cut-off date.
SecondaryMajor Molecular Response at Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MMR is defined as a ratio BCR-ABL/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).
SecondaryMajor Molecular Response by Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MMR is defined as a ratio BCR-ABL/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).
SecondaryMR4.0 at Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MR4.0 is defined as a ratio BCR-ABL/ABL ≤0.01% on the international scale (ie, at least 4 log reduction from a standardized baseline value).
SecondaryMR4.5 at All Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MR4.5 is defined as a ratio BCR-ABL/ABL ≤0.0032% on the international scale (ie, at least 4.5 log reduction from a standardized baseline value).
SecondaryMR4.0 by Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MR4.0 is defined as a ratio BCR-ABL/ABL ≤0.01% on the international scale (ie, at least 4 log reduction from a standardized baseline value).
SecondaryMR4.5 by All Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
Molecular response is assessed using BCR-ABL transcript levels measured by realtime quantitative polymerase chain reaction. MR4.5 is defined as a ratio BCR-ABL/ABL ≤0.0032% on the international scale (ie, at least 4.5 log reduction from a standardized baseline value).

Outcomes33

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKIAt 48 weeksThe Full Analysis Set (FAS) comprised of all participants to whom study treatment has been assigned by randomization.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMajor Molecular Response at Week 96at 96 weeks (96 weeks after last patient first dose)
SECONDARYTime to Discontinuation of Study Treatment Due to Adverse Events (TTDAE)96 weeks after last patient first dose
SECONDARYMajor Molecular Response at Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYMajor Molecular Response by Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYMR4.0 at Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYMR4.5 at All Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYMR4.0 by Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYMR4.5 by All Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years
SECONDARYComplete Hematological Response (CHR) at All Scheduled Data Collection Time PointsPlanned total follow-up duration of 5 years

Results by group314

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKIAsciminib (All Asciminib )136Participants
Percentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKIInvestigator Selected TKI (All Comparators)100Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Asciminib (All Asciminib )Complete cytogenetic response (CCyR)1Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Investigator Selected TKI (All Comparators)Complete cytogenetic response (CCyR)0Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Asciminib (All Asciminib )Partial cytogenetic response (PCyR)1Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Investigator Selected TKI (All Comparators)Partial cytogenetic response (PCyR)0Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Asciminib (All Asciminib )Minor cytogenetic response (mCyR)0Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Investigator Selected TKI (All Comparators)Minor cytogenetic response (mCyR)0Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Asciminib (All Asciminib )Minimal cytogenetic response0Participants
Percentage of Participants With Complete Cytogenic Response (CCyR) by Week 48 & Week 96Investigator Selected TKI (All Comparators)Minimal cytogenetic response0Participants

Participant flow20

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAsciminib (Imatinib Stratum)101
Overall StudySTARTEDAsciminib (2nd Generation TKI Stratum)100
Overall StudySTARTEDInvestigator Selected TKI (Imatinib Stratum)102
Overall StudySTARTEDInvestigator Selected TKI (2nd Generation TKI Stratum102
Overall StudyParticipants Not TreatedAsciminib (Imatinib Stratum)1
Overall StudyParticipants Not TreatedAsciminib (2nd Generation TKI Stratum)0
Overall StudyParticipants Not TreatedInvestigator Selected TKI (Imatinib Stratum)2
Overall StudyParticipants Not TreatedInvestigator Selected TKI (2nd Generation TKI Stratum1
Overall StudyTreatedAsciminib (Imatinib Stratum)100
Overall StudyTreatedAsciminib (2nd Generation TKI Stratum)100

Adverse events452

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersAsciminib (All Asciminib)23200
otherAnaemiaBlood and lymphatic system disordersImatinib2699
otherAnaemiaBlood and lymphatic system disorders2nd Generation TKI23102
otherAnaemiaBlood and lymphatic system disordersAll Comparators49201
otherLeukopeniaBlood and lymphatic system disordersAsciminib (All Asciminib)16200
otherLeukopeniaBlood and lymphatic system disordersImatinib1299
otherLeukopeniaBlood and lymphatic system disorders2nd Generation TKI7102
otherLeukopeniaBlood and lymphatic system disordersAll Comparators19201
otherNeutropeniaBlood and lymphatic system disordersAsciminib (All Asciminib)21200
otherNeutropeniaBlood and lymphatic system disordersImatinib1599

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAsciminib (All Asciminib)0200
Total, all-cause mortalityImatinib099
Total, all-cause mortality2nd Generation TKI0102
Total, all-cause mortalityAll Comparators0201
Total, other adverse eventsAsciminib (All Asciminib)177200
Total, other adverse eventsImatinib8999
Total, other adverse events2nd Generation TKI100102
Total, other adverse eventsAll Comparators189201
Total, serious adverse eventsAsciminib (All Asciminib)22200
Total, serious adverse eventsImatinib1299

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36524980DERIVEDPubMed
38820078DERIVEDPubMed
41397287DERIVEDPubMed
42339511DERIVEDPubMed

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 comparisons2

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

ComparisonSource
Asciminib (All Asciminib ) vs Investigator Selected TKI (All Comparators): Percentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKITrial comparisons
Asciminib (Imatinib Stratum) vs Investigator Selected TKI (Imatinib Stratum): Percentage of Participants With Major Molecular Response (MMR) at Week 48 - Asciminib (Imatinib Stratum) vs Investigator Selected TKI (Imatinib Stratum)
Trial comparisons

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/NCT04971226

GET https://conductscience.org/api/trials/v1/NCT04971226/registered?page=2