跳至主要内容
临床试验/NCT01074047
NCT01074047已完成3 期

A Phase 3, Multicenter, Randomized, Open-Label, Study of Azacitidine (Vidaza®) Versus Conventional Care Regimens for the Treatment of Older Subjects With Newly Diagnosed Acute Myeloid Leukemia

Celgene112 个研究点 分布在 8 个国家目标入组 488 人开始时间: 2010年6月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
Celgene
入组人数
488
试验地点
112
主要终点
Kaplan-Meier Estimates for Overall Survival

研究概览

简要总结

The purpose of this study is to compare the effect of azacitidine (Vidaza) to conventional care regimens on overall survival in elderly AML patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Diagnosis of one of the following
  • Newly diagnosed de novo acute myeloid leukemia (AML)
  • AML secondary to myelodysplastic syndromes (MDS)
  • AML secondary to exposure to leukemogenic therapy or agents with primary malignancy in remission for at least 2 years
  • Bone marrow blasts >30%
  • Age ≥ 65 years
  • Easter Cooperative Oncology Group (ECOG) 0-2

排除标准

  • Previous cytotoxic or biologic treatment for AML (except hydroxyurea)
  • Previous treatment with azacitidine, decitabine or cytarabine
  • Prior use of targeted therapy agents (e.g., FLT3 inhibitors, other kinase inhibitors)
  • AML French American British subtype (FAB M3)
  • AML associated with inv(16), t(8;21), t(16;16), t(15:17), or t(9;22) karyotypes
  • Prior bone marrow or stem cell transplantation
  • Candidate for allogeneic bone marrow or stem cell transplant
  • Diagnosis of malignant disease within the previous 12 months (excluding base cell carcinoma, "in-situ" carcinoma of the cervix or breast or other local malignancy excised or irradiated with a high probability of cure)
  • Malignant hepatic tumors
  • Uncontrolled systemic infection
  • Active viral infection with Human Immunodeficiency Virus (HIV) or Hepatitis type B or C
  • Use of any experimental drug or therapy within 28 days prior to Day 1

研究组 & 干预措施

Azacitidine

Experimental

Azacitidine daily for 7 days for 28 day cycles until disease progression or unacceptable toxicity

干预措施: Azacitidine (Drug)

Conventional Care Regimen

Active Comparator

Conventional Care Regimen

干预措施: Conventional Care Regimen (Drug)

结局指标

主要结局

Kaplan-Meier Estimates for Overall Survival

时间窗: Day 1 (randomization) to 40 months

Overall Survival was defined as the time from randomization to death from any cause. Overall survival was calculated by the formula: date of death - date of randomization + 1. Participants surviving at the end of the follow-up period or who withdrew consent to follow-up were censored at the date of last contact. Participants who were lost to follow-up were censored at the date last known alive.

次要结局

  • One-year Overall Survival Rate(From Day 1 (randomization) to 40 months)
  • Event-free Survival (EFS)(Day 1 (randomization) to date of treatment failure, progressive disease, relapse after Complete Remission (CR) or Complete remission with incomplete blood count recovery (CRi), death from any cause. Day 1 (randomization) to 40 months)
  • Relapse-Free Survival (RFS) for Participants Who Achieved a Complete Remission (CR) or Complete Remission With Incomplete Blood Count Recovery (CRi)(Day 1 of first documented CR or CRi to the date of relapse, death from any cause, or lost to follow-up. Day 1 (randomization) to 40 months)
  • Percentage of Participants Who Achieved a Morphologic CR + CRi as Determined by the Independent Review Committee (IRC) Based on International Working Group (IWG) Response Criteria for Acute Myeloid Leukemia (AML)(Day 1 (randomization) to 40 months)
  • Duration of Remission Assessed by the IRC Based on Kaplan-Meier Estimates(Day 1 (randomization) to 40 months; date of the first documented CR or CRi until date of first documented relapse.)
  • Number of Participants Who Achieved a Cytogenetic Complete Response (CRc-10) as Determined by the IRC.(Day 1 (randomization) to 40 months)
  • Number of Participants With Adverse Events (AEs)(Day 1 (randomization) up to last visit completed; final data cut off of 28 Feb 2017)
  • Health Related Quality of Life (HRQoL): Change From Baseline in the European Organization for Research and Treatment of Cancer Cancer Quality of Life Questionnaire for Patients With Cancer (EORTC QLQ-C30) Fatigue Domain(Baseline to Cycle 3; at approximately 3 months)
  • Health Related Quality of Life (HRQoL): Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Patients With Cancer (EORTC QLQ-C30) Fatigue Domain(Baseline to End of Study; at approximately 11-12 months)
  • HRQoL: Change From Baseline in the EORTC QLQ-C30 Dyspnea(Baseline to end of study, at approximately 11-12 months)
  • HRQoL: Change From Baseline in the EORTC QLQ-C30 Physical Functioning Domain(Baseline to end of study, at approximately 11-12 months)
  • HRQoL: Change From Baseline in the EORTC QLQ-C30 Global Health Status-/Quality of Life Domain(Baseline to end of study, at approximately 11-12 months)
  • Healthcare Resource Utilization (HRU): Number of Inpatient Hospitalizations(Day 1 (randomization) to 40 months)
  • Healthcare Resource Utilization (HRU): Rate of Inpatient Hospitalizations Per Year(Day 1 (randomization) to 40 months)
  • HRU: Number of Participants Receiving Transfusions(Day 1 (randomization) to 40 months)
  • HRU: Rate of Transfusions Per Patient Year(Day 1 (randomization) to 40 months)
  • Number of Participants in the Extension Phase With Treatment Emergent Adverse Events (TEAEs)(From the date of informed consent for the Extension Phase through to the date of last dose of study drug + 28 days up to last visit completed 24 July 2016; maximum duration of exposure to Azacitidine was 871 days)

研究者

发起方
Celgene
申办方类型
Industry
责任方
Sponsor

研究点 (112)

Loading locations...

相似试验

已完成
不适用
A Phase I/II study of Azacitidine (Vidaza®) in pediatric patients with relapsed high-grade pediatric MDS or JMML.- Pediatric myelodysplatsic syndrome (MDS)-Juvenile myelomonocytic leukemia (JMML)
NL-OMON20806Erasmus MC, Rotterdam, The Netherlands60
进行中(未招募)
不适用
A phase II Study of Azacitidine (Vidaza®) combined to Epoetin beta (NeoRecormon®) in IPSS low-risk and intermediate-1 MDS Patients, resistant to ESA - GFM-Aza-Epo-2008-01Myelodysplastic syndromesMedDRA version: 9.1Level: HLTClassification code 10028536Term: Myelodysplastic syndromes
EUCTR2008-004541-29-FRGroupe Francophone des Myélodysplasies
已完成
3 期
The Efficacy and Safety of Oral Azacitidine Plus Best Supportive Care Versus Placebo and Best Supportive Care in Subjects With Red Blood Cell (RBC) Transfusion-Dependent Anemia and Thrombocytopenia Due to International Prognostic Scoring System (IPSS) Low Risk Myelodysplastic Syndrome (MDS)Myelodysplastic Syndrome
NCT01566695Celgene216
进行中(未招募)
1 期
Azacitidine in children with MDS or JMM
EUCTR2010-022235-10-DEErasmus MC65
进行中(未招募)
1 期
Azacitidine in children with MDS or JMMAdvanced Myelodysplastic Syndromes (MDS) and Juvenile Myelomonocytic Leukemia (JMML)MedDRA version: 17.1Level: LLTClassification code 10054439Term: Juvenile chronic myelomonocytic leukemiaSystem Organ Class: 100000004864MedDRA version: 17.1Level: LLTClassification code 10068361Term: MDSSystem Organ Class: 100000004864
EUCTR2010-022235-10-ESErasmus MC5