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NCT00946647 · OUTCOME

Hematologic Improvement (HI) for Myeloid Dysplastic Syndromes(MDS)/Chronic Myelomonocytic Leukemia (CMML) Patients Per Investigator (Phase Llb)

A Phase Ib/IIb, Open-label, Multi-center, Study of Oral Panobinostat Administered With 5-Azacitidine (in Adult Patients With Myelodysplastic Syndromes (MDS), Chronic Myelomonocytic Leukemia (CMML), or Acute Myeloid Leukemia (AML). · Source last updated 2020-08-04

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
48 months

What was measured

Hematologic response consists of Erythroid response (HI-E), Platelet response (HI-P) and Neutrophil response (HI-N). HI-E: Hgb increase by ≥ 1.5 g/dL over pretreatment \& relevant reduction of units of RBC transfusions by an absolute number of at least 4 units of PRBCs/8 weeks compared with the pretreatment transfusion number in the previous 8 weeks. Only RBC transfusions given for a Hgb of ≤ 9.0 g/dL pretreatment will count in the RBC transfusion response evaluation. HI-P: Absolute increase of ≥ 30 x 109/L over pretreatment or patients starting with ≥ 20 x 109/L platelets OR increase from \<20 x 109/L at pretreatment to \> 20 x 109/L and by at least 100%. HI-N: At least 100% increase and an absolute increase \> 0.5 x 109/L over pretreatment value.

Analysis population: Full analysis set: Consisted of all patients who were randomized to one of the two treatment arms

Groups in this outcome

Panobinostat + 5-Azacytidine

In phase II: Panobinostat : Rapid Phase II doses at 30 mg delivered orally at Day 3, Day 5, Day 8, Day 10, Day 12, Day 15. In both phases, dose of 5-Azacytidine was 75 mg/m\^2, subcutaneously Daily for Day 1 to Day 7.

5-Azacytidine

The dose of 5-Aza was fixed at 75 mg/m2/day for 7 days in Week 1 of each cycle. 5-Aza was sourced locally, except in 4 countries (Hungary, Switzerland, UK, and Spain, for which a central purchase was used by Novartis. Dose of 5-Azacytidine : 75 mg/m\^2 subcutaneously daily from Day 1 to Day 7.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Panobinostat + 5-Azacytidine31
5-Azacytidine29

Reported measurements

Erythroid response (HI-E)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Panobinostat + 5-Azacytidine25.8Not reported11.944.6Not reported
5-Azacytidine31.0Not reported15.350.8Not reported
Platelet response (HI-P)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Panobinostat + 5-Azacytidine35.5Not reported19.254.6Not reported
5-Azacytidine24.1Not reported10.343.5Not reported
Neutrophil response (HI-N)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Panobinostat + 5-Azacytidine19.4Not reported7.537.5Not reported
5-Azacytidine13.8Not reported3.931.7Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        11.9
        upper Limit
        44.6
        value
        25.8
      2. group Id
        OG001
        lower Limit
        15.3
        upper Limit
        50.8
        value
        31.0
    title
    Erythroid response (HI-E)
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        19.2
        upper Limit
        54.6
        value
        35.5
      2. group Id
        OG001
        lower Limit
        10.3
        upper Limit
        43.5
        value
        24.1
    title
    Platelet response (HI-P)
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        7.5
        upper Limit
        37.5
        value
        19.4
      2. group Id
        OG001
        lower Limit
        3.9
        upper Limit
        31.7
        value
        13.8
    title
    Neutrophil response (HI-N)
denoms
  1. counts
    1. group Id
      OG000
      value
      31
    2. group Id
      OG001
      value
      29
    units
    Participants
description
Hematologic response consists of Erythroid response (HI-E), Platelet response (HI-P) and Neutrophil response (HI-N). HI-E: Hgb increase by ≥ 1.5 g/dL over pretreatment \& relevant reduction of units of RBC transfusions by an absolute number of at least 4 units of PRBCs/8 weeks compared with the pretreatment transfusion number in the previous 8 weeks. Only RBC transfusions given for a Hgb of ≤ 9.0 g/dL pretreatment will count in the RBC transfusion response evaluation. HI-P: Absolute increase of ≥ 30 x 109/L over pretreatment or patients starting with ≥ 20 x 109/L platelets OR increase from \<20 x 109/L at pretreatment to \> 20 x 109/L and by at least 100%. HI-N: At least 100% increase and an absolute increase \> 0.5 x 109/L over pretreatment value.
dispersion Type
95% Confidence Interval
groups
  1. description
    In phase II: Panobinostat : Rapid Phase II doses at 30 mg delivered orally at Day 3, Day 5, Day 8, Day 10, Day 12, Day 15. In both phases, dose of 5-Azacytidine was 75 mg/m\^2, subcutaneously Daily for Day 1 to Day 7.
    id
    OG000
    title
    Panobinostat + 5-Azacytidine
  2. description
    The dose of 5-Aza was fixed at 75 mg/m2/day for 7 days in Week 1 of each cycle. 5-Aza was sourced locally, except in 4 countries (Hungary, Switzerland, UK, and Spain, for which a central purchase was used by Novartis. Dose of 5-Azacytidine : 75 mg/m\^2 subcutaneously daily from Day 1 to Day 7.
    id
    OG001
    title
    5-Azacytidine
param Type
NUMBER
population Description
Full analysis set: Consisted of all patients who were randomized to one of the two treatment arms
reporting Status
POSTED
time Frame
48 months
title
Hematologic Improvement (HI) for Myeloid Dysplastic Syndromes(MDS)/Chronic Myelomonocytic Leukemia (CMML) Patients Per Investigator (Phase Llb)
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice