Phase 2
N=37
An Efficacy and Safety Study of Decitabine in Participants With Myelodysplastic Syndrome (MDS)
Myelodysplastic Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT00744757 ↗Enrolled (actual)
37
Serious AEs
75.7%
Results posted
Aug 2013
Primary outcome: Primary: Percentage of Participants With Response — 23.5 Percentage of Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Decitabine (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Johnson & Johnson Taiwan Ltd
- Primary completion
- Sep 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Response |
23.5 | — |
| SECONDARY Percentage of Participants With Hematologic Treatment Response |
5.9; 8.8; 2.9; 17.2; 27.6; 6.9 | — |
| SECONDARY Percentage of Participants With Cytogenetic Response |
22.2; 0.0; 20.0; 25.0; 18.2; 27.3 | — |
| SECONDARY Time to Acute Myeloid Leukemia (AML) Progression or Death |
22.8 | — |
| SECONDARY Overall Survival |
22.8 | — |
| SECONDARY Percentage of Participants With Transfusion Dependency |
100 | — |
| SECONDARY Percentage of Participants With Transfusion Independency |
27 | — |
| SECONDARY Duration for Hospitalization |
9.0; 15.4; 13.3; 27.1; 22.5; 7.5 | — |
| SECONDARY Number of Events Which Led to Hospitalization |
10; 4; 1; 1; 4; 16 | — |
| SECONDARY Quality of Life Assessment |
4.4; 4.9; 4.3; 4.5 | — |
Summary
The purpose of this study is to evaluate the response rate of decitabine in previously treated and untreated Taiwanese participants with Myelodysplastic Syndrome (MDS - a disease associated with decreased production of blood cells, blood cells are produced but do not mature normally).
Eligibility Criteria
Inclusion Criteria
- Participants with documented pathological (bone marrow, no longer than 30 days before first dosing in study) evidence of Myelodysplastic syndromes (MDS) or of chronic myelomonocytic leukemia (CMML) by World health organisation classification
- Participants with international prognostic scoring system (IPSS) score equal to 0.5 or more (only for participants for whom IPSS is applicable)
- Participants with an Eastern oncology cooperative group (ECOG) performance status of 0-2
- Participants with adequate hepatic (liver) and renal (kidney) function as measured by pre-treatment laboratory criteria within 21 days of starting treatment with decitabine
- Participants must have recovered from toxic effects of previous therapy and not receiving any chemotherapy for a minimum of 4 weeks (6 weeks if the participants has been treated with a nitrosoureas) before to the first dose of study drug
Exclusion Criteria
- Participants with a diagnosis of acute myeloid leukemia (AML) (greater than 30 percent bone marrow blasts)
- Participants with AML with multilineage dysplasia (abnormal development or cell growth) following MDS (20-30 percent bone marrow blasts) can be enrolled. For these latter participants an observation period of 1 month is necessary to exclude those participants with rapid progression to full blown AML
- Participants with previous treatment with azacitadine or decitabine or hematopoietic stem cell transplantation less than 1 year prior to study enrollment
- Participants with past history of malignancy and received any treatment for this before malignancy within the last 3 years, except for superficial bladder cancer, basal cell or squamous cell carcinoma of the skin, cervical intraepithelial neoplasia (CIN) or prostate intraepithelial neoplasia (PIN)
- Participants with known hepatitis B (surface antigen-positive) or active hepatitis C infection
Data sourced from ClinicalTrials.gov (NCT00744757). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.