Trial Outcomes & Findings for Low-Dose Decitabine in Myelodysplastic Syndrome Post Azacytidine Failure (NCT NCT00113321)

NCT ID: NCT00113321

Last Updated: 2012-08-07

Results Overview

Participants with Overall Response, categorized as 'Complete Response' to represent remission or 'No Complete Response' for lack of remission. Response evaluation after completing one course of therapy (8-12 weeks), then bone marrow aspiration to document remission every 1-3 courses.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Blood tests baseline and after completing 8-12 weeks of therapy

Results posted on

2012-08-07

Participant Flow

Recruitment Period 3/28/05 - 11/7/08; all patients were registered at The University of Texas M.D. Anderson Cancer Center.

Study was terminated due to low accrual.

Participant milestones

Participant milestones
Measure
Decitabine
20 mg/m2 by vein (IV) over 1 hour daily x 5 days.
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low-Dose Decitabine in Myelodysplastic Syndrome Post Azacytidine Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Decitabine
n=16 Participants
20 mg/m2 by vein (IV) over 1 hour daily x 5 days.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
Age, Categorical
>=65 years
15 Participants
n=5 Participants
Age Continuous
75 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: Blood tests baseline and after completing 8-12 weeks of therapy

Population: Treated population (16 patients); No further analysis done since study terminated early due to low accrual.

Participants with Overall Response, categorized as 'Complete Response' to represent remission or 'No Complete Response' for lack of remission. Response evaluation after completing one course of therapy (8-12 weeks), then bone marrow aspiration to document remission every 1-3 courses.

Outcome measures

Outcome measures
Measure
Decitabine
n=16 Participants
20 mg/m2 by vein (IV) over 1 hour daily x 5 days.
Overall Response
Complete Response
3 Participants
Overall Response
No Complete Response
13 Participants

Adverse Events

Decitabine

Serious events: 6 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Decitabine
n=16 participants at risk
20 mg/m2 by vein (IV) over 1 hour daily x 5 days.
General disorders
Death
18.8%
3/16 • Number of events 3 • 2 years 1 month
Infections and infestations
Febrile Neutropenia
12.5%
2/16 • Number of events 3 • 2 years 1 month
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.2%
1/16 • Number of events 1 • 2 years 1 month
Cardiac disorders
Elevated Cardiac Triponin
6.2%
1/16 • Number of events 1 • 2 years 1 month
Blood and lymphatic system disorders
Blood/Bone Marrow (Other) - Spleen
6.2%
1/16 • Number of events 1 • 2 years 1 month

Other adverse events

Other adverse events
Measure
Decitabine
n=16 participants at risk
20 mg/m2 by vein (IV) over 1 hour daily x 5 days.
Skin and subcutaneous tissue disorders
Alopecia
6.2%
1/16 • Number of events 1 • 2 years 1 month
Metabolism and nutrition disorders
Elevated Alanine transaminase (ALT)
18.8%
3/16 • Number of events 3 • 2 years 1 month
Gastrointestinal disorders
Anorexia
43.8%
7/16 • Number of events 7 • 2 years 1 month
Metabolism and nutrition disorders
Elevated aspartate aminotransferase (AST)
43.8%
7/16 • Number of events 7 • 2 years 1 month
Metabolism and nutrition disorders
Elevated Bilirubin
6.2%
1/16 • Number of events 1 • 2 years 1 month
Gastrointestinal disorders
Constipation
6.2%
1/16 • Number of events 1 • 2 years 1 month
Metabolism and nutrition disorders
Elevated Creatinine
6.2%
1/16 • Number of events 1 • 2 years 1 month
Infections and infestations
Febrile Neutropenia
6.2%
1/16 • Number of events 1 • 2 years 1 month
Metabolism and nutrition disorders
Hyperuricemia
12.5%
2/16 • Number of events 2 • 2 years 1 month
Metabolism and nutrition disorders
Metabolic/Laboratory (0ther)
6.2%
1/16 • Number of events 1 • 2 years 1 month
Gastrointestinal disorders
Mucositis
6.2%
1/16 • Number of events 1 • 2 years 1 month
Gastrointestinal disorders
Nausea
31.2%
5/16 • Number of events 5 • 2 years 1 month
General disorders
Pain
6.2%
1/16 • Number of events 1 • 2 years 1 month
Gastrointestinal disorders
Vomiting
25.0%
4/16 • Number of events 4 • 2 years 1 month
Gastrointestinal disorders
Diarrhea
12.5%
2/16 • Number of events 2 • 2 years 1 month

Additional Information

Hagop Kantarjian, M.D., Professor

The University of Texas M. D. Anderson Cancer Center

Phone: 713/792-7026

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place