Study of Nilotinib as First Line Treatment in Philadelphia Chromosome Positive(Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)

Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2 * First cytogenetic diagnosis of CML-CP with cytogenetic confirmation of Philadelphia chromosome of (9;22) translocations within 6 months. Standard conventional cytogenetic analysis must be performed. * Previously untreated for CML, except for hydroxyurea and/or anagrelide (except imatinib treatment for max. 31 days long) * Adequate end organ function with following laboratory criteria: total bilirubin \< 1.5 x upper limit of normal (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \< 2.5 x upper limit of normal (ULN); creatinine \< 1.5 x upper limit of normal (ULN); serum amylase and lipase ≤ 1.5 x upper limit of normal (ULN); alkaline phosphatase ≤ 2.5 x upper limit of normal (ULN) unless considered tumor related * Serum potassium, magnesium, and phosphorus levels are equal or above the lower limit of normal prior to the first dose of study medication Exclusion Criteria: * Treatment with tyrosine kinase inhibitor(s) prior to study (in emergent cases where the patient requires disease management while awaiting study start, commercial supplies of imatinib at any dose may be prescribed to the patient but for no longer than 31 days in duration) * Known cytopathologically confirmed Central Nervous System CNS infiltration * Impaired cardiac function * Severe or uncontrolled medical conditions (i.e. uncontrolled diabetes, active or uncontrolled infection) * Acu…