Trial Outcomes & Findings for Decitabine, Cytarabine, GCSF for Refractory AML/MDS (NCT NCT00740181)

NCT ID: NCT00740181

Last Updated: 2022-01-14

Results Overview

Complete Response/Complete Remission: Complete remission (CR) is defined as the presence of all of the following: * Peripheral blood - No leukemic blasts present. * No extramedullary findings of leukemia or disappearance of such (i.e. CNS or soft tissue involvement) * Bone marrow * No Auer rods * Less than 5% blast cells. * CBC and bone marrow criteria must be met within one week of each other. * Hemoglobin 9g/dl or greater * Neutrophil count \>1000 and platelet count \>100,000. * RBC Transfusion free for 2 weeks.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

within 30 days of last treatment

Results posted on

2022-01-14

Participant Flow

9 patients were enrolled beginning April 2009 to February 2010

Participant milestones

Participant milestones
Measure
Chemotherapy
Decitabine 20 mg/m2 IV over 1 hr days 1-5 Cytarabine 20 mg/m2 subcut days 1-5 G-CSF 5mcg/kg subcut days 1-5
Overall Study
STARTED
9
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Decitabine, Cytarabine, GCSF for Refractory AML/MDS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chemotherapy
n=9 Participants
Decitabine 20 mg/m2 IV over 1 hr days 1-5 Cytarabine 20 mg/m2 subcut days 1-5 G-CSF 5mcg/kg subcut days 1-5
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
8 Participants
n=5 Participants
Age, Continuous
73 years
STANDARD_DEVIATION 5 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: within 30 days of last treatment

Complete Response/Complete Remission: Complete remission (CR) is defined as the presence of all of the following: * Peripheral blood - No leukemic blasts present. * No extramedullary findings of leukemia or disappearance of such (i.e. CNS or soft tissue involvement) * Bone marrow * No Auer rods * Less than 5% blast cells. * CBC and bone marrow criteria must be met within one week of each other. * Hemoglobin 9g/dl or greater * Neutrophil count \>1000 and platelet count \>100,000. * RBC Transfusion free for 2 weeks.

Outcome measures

Outcome measures
Measure
Chemotherapy
n=9 Participants
Decitabine 20 mg/m2 IV over 1 hr days 1-5 Cytarabine 20 mg/m2 subcut days 1-5 G-CSF 5mcg/kg subcut days 1-5
Response Rate
1 participants

Adverse Events

Chemotherapy

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Chemotherapy
n=9 participants at risk
Decitabine 20 mg/m2 IV over 1 hr days 1-5 Cytarabine 20 mg/m2 subcut days 1-5 G-CSF 5mcg/kg subcut days 1-5
Investigations
fever
22.2%
2/9 • Number of events 2 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
death within 30 days treatment- disease related
33.3%
3/9 • Number of events 3 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
dyspnea/penumonitis and bilateral infiltrates , death within 30 days of treatment
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
hemmorrhage-brain, pain-neuro(H/A), weakness
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
infection
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
acute respiratory failure- death not related, neutropenic fever - not related
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
infection, neutropenia
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
fever, infection/pulmonary/upper respiratory (pneumonia)
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
PLT, hemorrhage bladder & CHF/L ventricular systolic dysfunction, infection-pulmonary
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
thrombocytopenia, mucositis, dehydration, dysphagia, syncope, anemia
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
hypoxic respiratory failure and septic shock- possibly related
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
thrombocytopenia, hypoxia, pleural effusion
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)
Investigations
syncopal episodes and anemia
11.1%
1/9 • Number of events 1 • Pre-study and prior to each cycle of treatment (on average for 2 cycles, approximately 8-10 weeks)

Other adverse events

Adverse event data not reported

Additional Information

James Butera

Brown Univeristy Oncology Research Group

Phone: 401-863-3000

Results disclosure agreements

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