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Characteristics and Outcomes of Acute Myeloid Leukemia (AML) Patients Treated With Oral-Azacitidine Maintenance Therapy in France

Active, not recruiting
Conditions
Acute Myeloid Leukemia (AML)
Interventions
Registration Number
NCT06565975
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to collect and evaluate real-world data to describe the outcomes, patient characteristics, safety profile and treatment patterns of oral azacitidine prescribed as maintenance treatment after frontline treatment or second remission for acute myeloid leukemia in France.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
112
Inclusion Criteria
  • Participants who initiated oral azacitidine maintenance therapy during early access program (EAP) in France (January 29, 2021 to July 13, 2022) or during the 6 months post-EAP (from July 14, 2022, to January 2014, 2023) inside the marketing authorization label "adult patients with acute myeloid leukaemia (AML) who achieved complete remission (CR) or complete remission with incomplete blood count recovery (CRi) following induction therapy with or without consolidation treatment and who are not candidates for, including those who choose not to proceed to, hematopoietic stem cell transplantation (HSCT)."

  • Participants with histologically confirmed diagnosis of de novo AML, or therapy-related AML, or secondary AML

  • Participants who received frontline treatment after diagnosis of AML and achieved complete remission (CR), CR with incomplete blood count recovery (Cri), or CR with partial hematology recovery (CRh) after one or subsequent lines of therapy in case of relapse

  • Participant is at least 18 years of age at the time of initial diagnosis of AML

  • Participants alive or deceased at the time of data collection

  • Physician has access to the complete medical record for the patient, including any transferred records from other facilities (if applicable); patient's medical record must at least include the following:

    • Date of diagnosis of AML
    • Frontline therapy(ies) received, and treatment start dates
    • Date(s) of first documented evidence of response
    • Oral azacitidine start and (if applicable) stop date
    • Documentation (yes/no) of relapse on oral azacitidine, where applicable
  • Participants who do not object to the data collection

Exclusion Criteria
  • Participants who initiated maintenance with oral azacitidine after January 14, 2023
  • Participant who initiated maintenance with oral azacitidine before January 14, 2023, outside of the marketing authorization label

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Participants that received maintenance treatment of oral azacitidineOral azacitidine-
Primary Outcome Measures
NameTimeMethod
Participant real-world relapse-free survival (rw-RFS)Up to date of documented relapse or death assessed up to 41 months
Participant overall survival (OS)Up to date of documented death assessed up to 41 months
Participant relapsed-free survival (RFS)From date of achieved complete remission up to 41 months
Participant overall survival (OS) from the time of complete remission achievementFrom date of achieved complete remission up to 41 months
Participant relapse rate6 and 12 months
Time to treatment discontinuation (TTD)Up to 41 months
Secondary Outcome Measures
NameTimeMethod
Minimal residual disease status (MRD)Baseline
Participant acute myeloid (AML) classification as per World Health OrganizationBaseline
Participant bone marrow blast percentageBaseline
Participant blood test resultsBaseline
Participant treatment historyBaseline
Participant response type at the initiation of maintenance therapyUp to 41 months

Response types include: complete remission (CR), incomplete blood count recovery (Cri) or CR with partial hematology recovery (CRh)

Oral azacitidine treatment regimenUp to 41 months
Participant baseline demographicsBaseline
Participant cytogenetic and mutational risk categoryBaseline
Participant hemoglobin levelsBaseline
Criteria to define complete remission (CR), incomplete blood count recovery (Cri), and CR with partial hematology recovery (CRh) at time of initiation of oral azacitidineBaseline
Type of acute myeloid (AML)Baseline

AML types include: de novo, or secondary AML (therapy-related AML, or secondary to a myeloid disorder)

Participant cytogenetic abnomalitiesBaseline
Participant gene mutation statusBaseline
Participant Eastern Cooperative Oncology Group or Karnofsky scoreBaseline
Participant diagnosis history of other hematological disordersBaseline
Reason for stem cell transplant ineligibility post initial frontline treatmentBaseline
First versus subsequent remission at the time of initiation of treatment with oral azacitidineBaseline
Concomitant support treatment received with oral azacitidineUp to 41 months
Duration of oral azacitidine treatmentUp to 41 months
Reason for oral azacitidine treatment discontinuationUp to 41 months
Treatments/procedures following oral azacitidine cessationUp to 41 months
Participant adverse events (AEs)Up to 41 months

Trial Locations

Locations (1)

Kappa Sante

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Paris, France

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