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Nilotinib

Phase 3

Chronic Myeloid Leukemia (CML) Philadelphia Chromosome Positive | Small molecule | Oncology |Novartis AG|Last Updated: Jun 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment405
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04971226A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CPPHASE3 ACTIVE NOT_RECRUITING 405Oct 6, 2021Jan 18, 2031Jun 8, 2026110 United States, Australia +27
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Study Endpoints
Primary Endpoints
Percentage of Participants With Major Molecular Response (MMR) at Week 48 - Ascimimib vs. Investigator Selected TKI
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-ABL/ABL ≤0.1% on the international scale (ie, at least 3 log reduction from a standardized baseline value).

Percentage 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).

Secondary Endpoints
Major Molecular Response at Week 96
at 96 weeks (96 weeks after last patient first dose)
Time to Discontinuation of Study Treatment Due to Adverse Events (TTDAE)
96 weeks after last patient first dose
Major Molecular Response at Scheduled Data Collection Time Points
Planned total follow-up duration of 5 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AsciminibEXPERIMENTALPatients will take asciminib 80 mg QD under fasting conditions on ongoing basis; Patients will be randomized 1:1 asciminib versus Investigator selected TKIs
Investigator selected TKIsACTIVE_COMPARATORPatients will take on ongoing basis the Investigator selected TKIs that will include one of the below treatments: Imatinib 400 mg QD administered with food Nilotinib 300 mg BID administered under fasting conditions Dasatinib 100 mg QD administered with or without a meal Bosotunib 400 mg QD administered with food
Interventions
NameTypeDescription
ImatinibDRUGComes in 100 mg and 400 mg tablets and taken orally
NilotinibDRUGComes in 150 mg and 200 mg capsules and taken orally
BosutinibDRUGComes in 100 mg and 400 mg tablets and taken orally
DasatinibDRUGComes in 20 mg, 50 mg, 70 mg and 100 mg tablets and taken orally
AsciminibDRUGComes in 40 mg tablets and taken orally
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites110

Inclusion Criteria for treatment period: Participants eligible for inclusion in this study must meet all of the following criteria: * Male or female patients ≥ 18 years of age. * Participants with CML-CP within 3 months of diagnosis. * Diagnosis of CML-CP (ELN 2020 criteria) with cytogenetic confi...

Countries:United StatesAustraliaAustriaBelgiumBulgariaCanadaChinaCzechiaDenmarkFinlandFranceGermanyHungaryIndiaIsraelItalyJapanMalaysiaNetherlandsNorwayPortugalSingaporeSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 8, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 8, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 5, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 5, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 5, 2026NCT04971226lastUpdatePostDate: changed
LOWJun 5, 2026NCT04971226lastUpdatePostDate: changed
LOWMay 26, 2026NCT04971226Enrollment: 406 → 405
LOWMay 24, 2026NCT04971226studyFirstPostDate: changed