Trial Outcomes & Findings for A Study of Decitabine Given Subcutaneously to Adults With Low or Intermediate-1 Risk Myelodysplastic Syndromes (MDS) (NCT NCT00619099)

NCT ID: NCT00619099

Last Updated: 2013-10-24

Results Overview

Defined as proportion of patients having complete remission (CR), partial remission (PR), marrow complete remission (mCR), or hematologic improvement. Based on Modified International Working Group Response Criteria for Altering Natural History of Myelodysplastic Syndromes. Complete Remission: Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines. Persistent dysplasia will be noted. Peripheral blood Hgb ≥ 11 g/dL; Platelets ≥ 100 X 109/L; Neutrophils ≥ 1.0 X 109/Lb; Blasts 0%. Partial Remission: All CR criteria if abnormal before treatment except: Bone marrow blasts decreased by ≥ 50% over pretreatment but still \> 5%. Marrow Complete Remission: Bone marrow: ≤ 5% myeloblasts and decrease by ≥ 50% over pretreatment. Peripheral blood: if hematological improvement responses, they will be noted in addition to marrow CR. HI Improvement: shown in increases in hemoglobin, platelet and neutrophil response.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

67 participants

Primary outcome timeframe

Up to one year

Results posted on

2013-10-24

Participant Flow

This study was recruited at 5 centers in U.S. during the period of Jun 2008 to Aug 2011.

Participant milestones

Participant milestones
Measure
Schedule A: SQ 3 Consecutive Days
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.
Schedule B: SQ Once Every 7 Days
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.
Overall Study
STARTED
44
23
Overall Study
Received at Least 2 Cycles of Treatment
43
22
Overall Study
COMPLETED
11
4
Overall Study
NOT COMPLETED
33
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Schedule A: SQ 3 Consecutive Days
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.
Schedule B: SQ Once Every 7 Days
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.
Overall Study
Progressive Disease
7
5
Overall Study
Allogeneic Bone Marrow Transplantation
2
1
Overall Study
Adverse Event
4
3
Overall Study
Emergence of Clinically Significant Lab
1
2
Overall Study
Withdrawal by Subject
10
2
Overall Study
Physician Decision
9
6

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Schedule A: SQ 3 Consecutive Days
n=43 Participants
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.
Schedule B: SQ Once Every 7 Days
n=22 Participants
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.
Total
n=65 Participants
Total of all reporting groups
Age Continuous
66.9 years
STANDARD_DEVIATION 14.39 • n=5 Participants
70.5 years
STANDARD_DEVIATION 9.86 • n=7 Participants
68.2 years
STANDARD_DEVIATION 13.07 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
2 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
20 Participants
n=7 Participants
45 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
42 Participants
n=5 Participants
20 Participants
n=7 Participants
62 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
35 Participants
n=5 Participants
20 Participants
n=7 Participants
55 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to one year

Population: Modified Intent to Treat (mITT) Population

Defined as proportion of patients having complete remission (CR), partial remission (PR), marrow complete remission (mCR), or hematologic improvement. Based on Modified International Working Group Response Criteria for Altering Natural History of Myelodysplastic Syndromes. Complete Remission: Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines. Persistent dysplasia will be noted. Peripheral blood Hgb ≥ 11 g/dL; Platelets ≥ 100 X 109/L; Neutrophils ≥ 1.0 X 109/Lb; Blasts 0%. Partial Remission: All CR criteria if abnormal before treatment except: Bone marrow blasts decreased by ≥ 50% over pretreatment but still \> 5%. Marrow Complete Remission: Bone marrow: ≤ 5% myeloblasts and decrease by ≥ 50% over pretreatment. Peripheral blood: if hematological improvement responses, they will be noted in addition to marrow CR. HI Improvement: shown in increases in hemoglobin, platelet and neutrophil response.

Outcome measures

Outcome measures
Measure
Schedule A: SQ 3 Consecutive Days
n=43 Participants
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.
Schedule B: SQ Once Every 7 Days
n=22 Participants
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.
The Overall Improvement Rate
Overall Improvement Rate
23.3 Percentage of Participants
22.7 Percentage of Participants
The Overall Improvement Rate
Complete Response
16.3 Percentage of Participants
0 Percentage of Participants
The Overall Improvement Rate
Marrow Complete Response
0 Percentage of Participants
4.5 Percentage of Participants
The Overall Improvement Rate
Partial Response
0 Percentage of Participants
4.5 Percentage of Participants
The Overall Improvement Rate
Hematologic Improvement
7.0 Percentage of Participants
13.6 Percentage of Participants

Adverse Events

Schedule A: SQ 3 Consecutive Days

Serious events: 18 serious events
Other events: 43 other events
Deaths: 0 deaths

Schedule B: SQ Once Every 7 Days

Serious events: 10 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Schedule A: SQ 3 Consecutive Days
n=43 participants at risk
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.
Schedule B: SQ Once Every 7 Days
n=22 participants at risk
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.
Blood and lymphatic system disorders
Febrile neutropenia
4.7%
2/43
0.00%
0/22
Blood and lymphatic system disorders
Anemia
0.00%
0/43
4.5%
1/22
Infections and infestations
Cellulitis
2.3%
1/43
4.5%
1/22
Infections and infestations
Streptococcal bacteremia
2.3%
1/43
0.00%
0/22
Infections and infestations
Diverticulitis
2.3%
1/43
0.00%
0/22
Infections and infestations
Respiratory syncytial virus infection
2.3%
1/43
0.00%
0/22
Infections and infestations
Neutropenia sepsis
2.3%
1/43
0.00%
0/22
Infections and infestations
Pseudomonal sepsis
2.3%
1/43
0.00%
0/22
Infections and infestations
Sinusitis
2.3%
1/43
0.00%
0/22
Infections and infestations
Pneumonia
2.3%
1/43
9.1%
2/22
Infections and infestations
Infection worsening
2.3%
1/43
0.00%
0/22
Infections and infestations
Sepsis
0.00%
0/43
4.5%
1/22
Infections and infestations
Pneumonitis
0.00%
0/43
4.5%
1/22
Infections and infestations
Appendicitis
0.00%
0/43
4.5%
1/22
Infections and infestations
Escherichia bacteremia
0.00%
0/43
4.5%
1/22
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
2.3%
1/43
0.00%
0/22
Musculoskeletal and connective tissue disorders
Back pain
2.3%
1/43
0.00%
0/22
Musculoskeletal and connective tissue disorders
Arthralgia
2.3%
1/43
0.00%
0/22
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/43
4.5%
1/22
Eye disorders
Conjunctival hemorrhage
2.3%
1/43
0.00%
0/22
Eye disorders
Retinal hemorrhage
2.3%
1/43
0.00%
0/22
Renal and urinary disorders
Urinary tract obstruction
2.3%
1/43
0.00%
0/22
Renal and urinary disorders
Bladder obstruction
0.00%
0/43
4.5%
1/22
Metabolism and nutrition disorders
Dehydration
2.3%
1/43
4.5%
1/22
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome worsening
0.00%
0/43
4.5%
1/22
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukemia
0.00%
0/43
4.5%
1/22
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
2.3%
1/43
0.00%
0/22
Nervous system disorders
Cerebral hemorrhage
0.00%
0/43
4.5%
1/22
Gastrointestinal disorders
Gastroenteritis
2.3%
1/43
0.00%
0/22
Gastrointestinal disorders
Rectal hemorrhage
2.3%
1/43
0.00%
0/22
Gastrointestinal disorders
Abdominal pain
4.7%
2/43
0.00%
0/22
Gastrointestinal disorders
Vomiting
2.3%
1/43
0.00%
0/22
Gastrointestinal disorders
Gastrointestinal hemorrhage
4.7%
2/43
0.00%
0/22
Cardiac disorders
Cardiac failure congestive
2.3%
1/43
0.00%
0/22
Cardiac disorders
Angina pectoris
2.3%
1/43
0.00%
0/22
Cardiac disorders
Angina unstable
2.3%
1/43
0.00%
0/22
Hepatobiliary disorders
Bile duct obstruction
0.00%
0/43
4.5%
1/22
General disorders
Pyrexia
2.3%
1/43
4.5%
1/22
Injury, poisoning and procedural complications
Transfusion reaction
2.3%
1/43
0.00%
0/22
Injury, poisoning and procedural complications
Head injury
2.3%
1/43
0.00%
0/22
Injury, poisoning and procedural complications
Subdural hematoma
0.00%
0/43
4.5%
1/22
Injury, poisoning and procedural complications
Wound dehiscence
0.00%
0/43
4.5%
1/22
Psychiatric disorders
Confusional state
0.00%
0/43
4.5%
1/22
Surgical and medical procedures
Stem cell transplant
2.3%
1/43
0.00%
0/22
Vascular disorders
Aortic Aneurysm
0.00%
0/43
4.5%
1/22

Other adverse events

Other adverse events
Measure
Schedule A: SQ 3 Consecutive Days
n=43 participants at risk
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.
Schedule B: SQ Once Every 7 Days
n=22 participants at risk
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.
Blood and lymphatic system disorders
Anemia
55.8%
24/43
40.9%
9/22
Blood and lymphatic system disorders
Febrile neutropenia
7.0%
3/43
0.00%
0/22
Blood and lymphatic system disorders
Leukopenia
41.9%
18/43
45.5%
10/22
Blood and lymphatic system disorders
Neutropenia
62.8%
27/43
68.2%
15/22
Blood and lymphatic system disorders
Thrombocytopenia
41.9%
18/43
54.5%
12/22
Eye disorders
Vision blurred
4.7%
2/43
9.1%
2/22
Gastrointestinal disorders
Abdominal pain
7.0%
3/43
13.6%
3/22
Gastrointestinal disorders
Constipation
14.0%
6/43
27.3%
6/22
Gastrointestinal disorders
Diarrhea
16.3%
7/43
27.3%
6/22
Gastrointestinal disorders
Hematochezia
0.00%
0/43
9.1%
2/22
Gastrointestinal disorders
Hemorrhoids
0.00%
0/43
9.1%
2/22
Gastrointestinal disorders
Mouth hemorrhage
0.00%
0/43
9.1%
2/22
Gastrointestinal disorders
Nausea
27.9%
12/43
13.6%
3/22
Gastrointestinal disorders
Oral pain
9.3%
4/43
0.00%
0/22
Gastrointestinal disorders
Vomiting
9.3%
4/43
9.1%
2/22
General disorders
Asthenia
11.6%
5/43
9.1%
2/22
General disorders
Chills
9.3%
4/43
0.00%
0/22
General disorders
Edema peripheral
16.3%
7/43
22.7%
5/22
General disorders
Fatigue
39.5%
17/43
45.5%
10/22
General disorders
Injection site pain
16.3%
7/43
18.2%
4/22
General disorders
Injection site reaction
2.3%
1/43
9.1%
2/22
General disorders
Pyrexia
32.6%
14/43
27.3%
6/22
Hepatobiliary disorders
Hyperbilirubinemia
7.0%
3/43
4.5%
1/22
Infections and infestations
Cellulitis
4.7%
2/43
9.1%
2/22
Infections and infestations
Nasopharyngitis
7.0%
3/43
4.5%
1/22
Infections and infestations
Pneumonia
7.0%
3/43
13.6%
3/22
Infections and infestations
Sinusitis
7.0%
3/43
4.5%
1/22
Infections and infestations
Upper respiratory tract infection
2.3%
1/43
13.6%
3/22
Infections and infestations
Urinary tract infection
16.3%
7/43
4.5%
1/22
Injury, poisoning and procedural complications
Contusion
14.0%
6/43
18.2%
4/22
Injury, poisoning and procedural complications
Fall
7.0%
3/43
4.5%
1/22
Injury, poisoning and procedural complications
Muscle strain
0.00%
0/43
9.1%
2/22
Injury, poisoning and procedural complications
Transfusion reaction
7.0%
3/43
0.00%
0/22
Investigations
Alanine aminotransferase increased
9.3%
4/43
4.5%
1/22
Investigations
Aspartate aminotransferase increased
11.6%
5/43
9.1%
2/22
Investigations
Blood creatinine increased
9.3%
4/43
18.2%
4/22
Investigations
Blood urea increased
4.7%
2/43
18.2%
4/22
Investigations
Cardiac murmur
11.6%
5/43
22.7%
5/22
Investigations
Transaminases increased
0.00%
0/43
9.1%
2/22
Investigations
Weight decreased
16.3%
7/43
22.7%
5/22
Investigations
Weight increased
4.7%
2/43
13.6%
3/22
Metabolism and nutrition disorders
Decreaed appetite
11.6%
5/43
40.9%
9/22
Metabolism and nutrition disorders
Dehydration
2.3%
1/43
9.1%
2/22
Metabolism and nutrition disorders
Hyperglycemia
23.3%
10/43
13.6%
3/22
Metabolism and nutrition disorders
Hyperkalemia
7.0%
3/43
22.7%
5/22
Metabolism and nutrition disorders
Hyperuricemia
2.3%
1/43
13.6%
3/22
Metabolism and nutrition disorders
Hypoglycemia
7.0%
3/43
0.00%
0/22
Metabolism and nutrition disorders
Hypokalemia
7.0%
3/43
13.6%
3/22
Metabolism and nutrition disorders
Hypomagnesemia
7.0%
3/43
4.5%
1/22
Musculoskeletal and connective tissue disorders
Arthralgia
27.9%
12/43
13.6%
3/22
Musculoskeletal and connective tissue disorders
Back pain
9.3%
4/43
9.1%
2/22
Musculoskeletal and connective tissue disorders
Bone pain
2.3%
1/43
13.6%
3/22
Musculoskeletal and connective tissue disorders
Joint swelling
9.3%
4/43
9.1%
2/22
Musculoskeletal and connective tissue disorders
Muscle spasms
9.3%
4/43
4.5%
1/22
Musculoskeletal and connective tissue disorders
Muscular weakness
9.3%
4/43
9.1%
2/22
Musculoskeletal and connective tissue disorders
Pain in extremity
11.6%
5/43
13.6%
3/22
Nervous system disorders
Dizziness
25.6%
11/43
27.3%
6/22
Nervous system disorders
Headache
18.6%
8/43
9.1%
2/22
Nervous system disorders
Hypoaesthesia
11.6%
5/43
9.1%
2/22
Nervous system disorders
Memory impairment
4.7%
2/43
9.1%
2/22
Nervous system disorders
Somnolence
7.0%
3/43
0.00%
0/22
Nervous system disorders
Tremor
4.7%
2/43
9.1%
2/22
Psychiatric disorders
Anxiety
7.0%
3/43
0.00%
0/22
Psychiatric disorders
Insomnia
11.6%
5/43
13.6%
3/22
Renal and urinary disorders
Hematuria
7.0%
3/43
13.6%
3/22
Respiratory, thoracic and mediastinal disorders
Cough
11.6%
5/43
27.3%
6/22
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/43
9.1%
2/22
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.3%
7/43
36.4%
8/22
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.0%
3/43
9.1%
2/22
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
11.6%
5/43
9.1%
2/22
Skin and subcutaneous tissue disorders
Actinic keratosis
2.3%
1/43
9.1%
2/22
Skin and subcutaneous tissue disorders
Dry skin
2.3%
1/43
13.6%
3/22
Skin and subcutaneous tissue disorders
Ecchymosis
2.3%
1/43
13.6%
3/22
Skin and subcutaneous tissue disorders
Erythema
7.0%
3/43
4.5%
1/22
Skin and subcutaneous tissue disorders
Hyperhidrosis
7.0%
3/43
0.00%
0/22
Skin and subcutaneous tissue disorders
Night sweats
7.0%
3/43
18.2%
4/22
Skin and subcutaneous tissue disorders
Petechiae
7.0%
3/43
13.6%
3/22
Skin and subcutaneous tissue disorders
Pruritis
14.0%
6/43
13.6%
3/22
Skin and subcutaneous tissue disorders
Rash
9.3%
4/43
4.5%
1/22
Skin and subcutaneous tissue disorders
Skin lesion
4.7%
2/43
13.6%
3/22
Surgical and medical procedures
Sinus operation
9.3%
4/43
0.00%
0/22
Vascular disorders
Hypertension
7.0%
3/43
0.00%
0/22
Vascular disorders
Hypotension
9.3%
4/43
13.6%
3/22
Vascular disorders
Orthostatic hypotension
7.0%
3/43
0.00%
0/22

Additional Information

Erhan Berrack, M.D.

Eisai Inc.

Phone: 888-422-4743

Results disclosure agreements

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