A Study of Decitabine Given Subcutaneously to Adults With Low or Intermediate-1 Risk Myelodysplastic Syndromes (MDS)

NCT ID: NCT00619099

Last Updated: 2013-10-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Brief Summary

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The purpose of this study is to determine the effectiveness and safety of two different dose schedules of DACOGEN® (decitabine) for Injection in patients with Myelodysplastic Syndromes (MDS).

Detailed Description

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This is a randomized open-label Phase 2 efficacy and safety study of two (2) subcutaneous (SQ) dosing schedules of decitabine in subjects with Low or Intermediate 1 Risk MDS. This study will be conducted in up to 6 study centers in the United States.

The primary efficacy outcome is the overall improvement rate. These two doses will be administered subcutaneously. The probability that one schedule is superior to the other will be estimated, and the level of toxicity for each schedule will also be evaluated.

Conditions

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Myelodysplastic Syndrome

Keywords

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Myelodysplastic Syndrome Decitabine Dacogen MGI PHARMA, Inc.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

decitabine

Intervention Type DRUG

Schedule A: decitabine will be administered subcutaneously (SQ) daily for 3 consecutive days (Days 1 to 3) every 28 days. The dose will be 20 mg/m\^2/day. One course will be considered 28 days.

2

Group Type EXPERIMENTAL

decitabine

Intervention Type DRUG

Schedule B: decitabine will be administered SQ every 7 days for 21 days (Days 1, 8, and 15) followed by 7 days without an administration of decitabine. The dose will be 20 mg/m\^2/day. One course will be considered 28 days.

Interventions

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decitabine

Schedule A: decitabine will be administered subcutaneously (SQ) daily for 3 consecutive days (Days 1 to 3) every 28 days. The dose will be 20 mg/m\^2/day. One course will be considered 28 days.

Intervention Type DRUG

decitabine

Schedule B: decitabine will be administered SQ every 7 days for 21 days (Days 1, 8, and 15) followed by 7 days without an administration of decitabine. The dose will be 20 mg/m\^2/day. One course will be considered 28 days.

Intervention Type DRUG

Other Intervention Names

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Dacogen Dacogen

Eligibility Criteria

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Inclusion Criteria

Each patient must meet the following criteria to be enrolled in this study:

1. Male or female patients age 18 years and older.
2. Patients must sign an institutional review board (IRB)-approved informed consent form, and understand the investigational nature of this study and its potential hazards prior to initiation of any study-specific procedures or treatment.
3. Must have Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
4. Adequate renal and hepatic function (creatinine \< 2 times upper limit of normal, total bilirubin of \< 2 times upper limit of normal, and AST and ALT ≤ 2 times upper limit of normal) unless proven to be related to disease infiltration.
5. Female patients need a negative serum or urine pregnancy test within 7 days prior to study drug administration (applies only if patient is of childbearing potential. Non-childbearing is defined as ≥ 1 year postmenopausal or surgically sterilized).
6. Women of childbearing potential and men must use contraception. Men and women must continue birth control for the duration of the study.
7. Patients with Low or Intermediate-1 Risk MDS by the International Prognostic Scoring System (IPSS) classification.

Exclusion Criteria

Patients who meet any of the following criteria will be excluded from the study:

1. Women who are pregnant or nursing.
2. Those who have received prior therapy with decitabine.
3. Prior therapy with azacitidine (Vidaza®).
4. Those who received growth factor support or lenalidomide in the 30 days prior to the first dose of decitabine.
5. Those who have received an investigational agent 30 days prior to the first dose of decitabine.
6. Patients with active, uncontrolled, systemic infection considered opportunistic, life threatening or clinically significant; or any severe, concurrent disease, which, in the judgment of the Investigator and after discussion with the Sponsor and Primary Investigator, would make the patient inappropriate for study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Gabrail Cancer Center

Canton, Ohio, United States

Site Status

Landmark Medical Center

Woonsocket, Rhode Island, United States

Site Status

Sarah Cannon Research

Nashville, Tennessee, United States

Site Status

M. D. Anderson

Houston, Texas, United States

Site Status

Countries

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United States

References

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Garcia-Manero G, Jabbour E, Borthakur G, Faderl S, Estrov Z, Yang H, Maddipoti S, Godley LA, Gabrail N, Berdeja JG, Nadeem A, Kassalow L, Kantarjian H. Randomized open-label phase II study of decitabine in patients with low- or intermediate-risk myelodysplastic syndromes. J Clin Oncol. 2013 Jul 10;31(20):2548-53. doi: 10.1200/JCO.2012.44.6823. Epub 2013 Jun 3.

Reference Type DERIVED
PMID: 23733767 (View on PubMed)

Other Identifiers

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DACO-026

Identifier Type: -

Identifier Source: org_study_id