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NCT01074047 · OUTCOME

Number of Participants With Adverse Events (AEs)

Study of Vidaza Versus Conventional Care Regimens for the Treatment of Acute Myeloid Leukemia (AML) · Source last updated 2017-08-29

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

Measure
NUMBER
Unit
participants
Interval / dispersion
Not reported
Time frame
Day 1 (randomization) up to last visit completed; final data cut off of 28 Feb 2017

What was measured

AEs = any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, regardless of cause. Serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded based upon the participants symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity according to the following scale: Grade 1 = Mild - transient or mild discomfort; no medical intervention required; Grade 2 = Moderate - mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death

Analysis population: Safety population = all randomized participants who received at least 1 dose of study drug and had 1 post-dose safety assessment. Because the BSC only regimen consisted of blood products or antibiotics given as needed, those assigned to BSC only were included in the safety population if they had at least 1 post-randomization safety assessment.

Groups in this outcome

Azacitidine (AZA)

Azacitidine 75 mg/m2/day by subcutaneous injection \[SC\] for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.

Conventional Care Regimen #3 Best Supportive Care Only

Best supportive care included red blood cell (RBC) or whole blood transfusions, fresh frozen plasma transfusions, platelet transfusions, antibiotic and/or antifungal therapy, and nutritional support.

Conventional Care Regimen #2 Low-dose Cytarabine

Low-dose cytarabine 20 mg SC injection twice a day (BID) for 10 days, every 28 days (optimally for at least 4 cycles) until the end of the study, unless participants were discontinued from the treatment. Best supportive care as needed, including antibiotics and transfusions, per physicians discretion.

Conventional Care Regimen #1 Intensive Chemotherapy

Induction Therapy included Cytarabine 100-200 mg/m\^2 as a continuous intravenous infusion (IV) for 7 days plus daunorubicin 45 to 60 mg/m\^² daily IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m\^² IV daily for 3 days as an alternative to daunorubicin (Cycle 1). Consolidation Therapy (Cycle 2 and 3) Cytarabine 100-200 mg/m\^2 as a continuous IV infusion for a total of 3 to 7 days plus daunorubicin 45 to 60 mg/m\^² daily or Idarubicin 9-12 mg/m\^² IV daily on Days 1 and 2. The first consolidation therapy started between Day 28 and Day 70 from commencement of induction therapy, upon recovery of absolute neutrophil count (ANC) to at least 1.0 x 10\^9/L and platelets to at least 75 x 10\^9/L. The second consolidation cycle, if given, started between Day 28 and Day 70 from commencement of the first consolidation therapy. Participants could receive BSC as needed, including antibiotics and transfusions, physicians discretion.

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

Analysis denominator · Participants

GroupSource count
Azacitidine (AZA)236
Conventional Care Regimen #3 Best Supportive Care Only40
Conventional Care Regimen #2 Low-dose Cytarabine153
Conventional Care Regimen #1 Intensive Chemotherapy42

Reported measurements

At least one Treatment Emergent AE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)234Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only36Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine153Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy42Not reportedNot reportedNot reportedNot reported
At least one TEAE related to study drug
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)188Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine124Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy39Not reportedNot reportedNot reportedNot reported
Grade 3-4 adverse event
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)207Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only26Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine141Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy37Not reportedNot reportedNot reportedNot reported
Grade 3-4 adverse event related to any study drug
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)125Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine90Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy29Not reportedNot reportedNot reportedNot reported
At least one Grade 5 (leading to death) TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)56Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only23Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine38Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy9Not reportedNot reportedNot reportedNot reported
Grade 5 adverse event related to any study drug
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)12Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine10Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy4Not reportedNot reportedNot reportedNot reported
Serious TEAE
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)188Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only30Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine118Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy27Not reportedNot reportedNot reportedNot reported
Serious TEAE related to any study drug
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)87Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine56Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy14Not reportedNot reportedNot reportedNot reported
TEAE leading to discontinuation of study drug
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)110Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine68Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy11Not reportedNot reportedNot reportedNot reported
Study drug-related TEAE leading to discontinuation
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)22Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine20Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy5Not reportedNot reportedNot reportedNot reported
TEAE leading to study drug dose reduction
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)8Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine2Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy2Not reportedNot reportedNot reportedNot reported
TEAE leading to study drug dose interruption
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)116Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine61Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy4Not reportedNot reportedNot reportedNot reported
TEAE causing study drug dose reduction/disruption
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Azacitidine (AZA)13Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #3 Best Supportive Care Only0Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #2 Low-dose Cytarabine7Not reportedNot reportedNot reportedNot reported
Conventional Care Regimen #1 Intensive Chemotherapy0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        234
      2. group Id
        OG001
        value
        36
      3. group Id
        OG002
        value
        153
      4. group Id
        OG003
        value
        42
    title
    At least one Treatment Emergent AE
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        188
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        124
      4. group Id
        OG003
        value
        39
    title
    At least one TEAE related to study drug
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        207
      2. group Id
        OG001
        value
        26
      3. group Id
        OG002
        value
        141
      4. group Id
        OG003
        value
        37
    title
    Grade 3-4 adverse event
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        125
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        90
      4. group Id
        OG003
        value
        29
    title
    Grade 3-4 adverse event related to any study drug
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        56
      2. group Id
        OG001
        value
        23
      3. group Id
        OG002
        value
        38
      4. group Id
        OG003
        value
        9
    title
    At least one Grade 5 (leading to death) TEAE
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        12
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        10
      4. group Id
        OG003
        value
        4
    title
    Grade 5 adverse event related to any study drug
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        188
      2. group Id
        OG001
        value
        30
      3. group Id
        OG002
        value
        118
      4. group Id
        OG003
        value
        27
    title
    Serious TEAE
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        87
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        56
      4. group Id
        OG003
        value
        14
    title
    Serious TEAE related to any study drug
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        110
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        68
      4. group Id
        OG003
        value
        11
    title
    TEAE leading to discontinuation of study drug
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        22
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        20
      4. group Id
        OG003
        value
        5
    title
    Study drug-related TEAE leading to discontinuation
  11. categories
    1. measurements
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        2
    title
    TEAE leading to study drug dose reduction
  12. categories
    1. measurements
      1. group Id
        OG000
        value
        116
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        61
      4. group Id
        OG003
        value
        4
    title
    TEAE leading to study drug dose interruption
denoms
  1. counts
    1. group Id
      OG000
      value
      236
    2. group Id
      OG001
      value
      40
    3. group Id
      OG002
      value
      153
    4. group Id
      OG003
      value
      42
    units
    Participants
description
AEs = any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, regardless of cause. Serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded based upon the participants symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity according to the following scale: Grade 1 = Mild - transient or mild discomfort; no medical intervention required; Grade 2 = Moderate - mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death
groups
  1. description
    Azacitidine 75 mg/m2/day by subcutaneous injection \[SC\] for 7 days every 28 days, with a 21 day rest period (optimally for at least 6 cycles) plus best supportive care as needed, including antibiotics and blood product transfusions, growth factors, per physician's discretion.
    id
    OG000
    title
    Azacitidine (AZA)
  2. description
    Best supportive care included red blood cell (RBC) or whole blood transfusions, fresh frozen plasma transfusions, platelet transfusions, antibiotic and/or antifungal therapy, and nutritional support.
    id
    OG001
    title
    Conventional Care Regimen #3 Best Supportive Care Only
  3. description
    Low-dose cytarabine 20 mg SC injection twice a day (BID) for 10 days, every 28 days (optimally for at least 4 cycles) until the end of the study, unless participants were discontinued from the treatment. Best supportive care as needed, including antibiotics and transfusions, per physicians discretion.
    id
    OG002
    title
    Conventional Care Regimen #2 Low-dose Cytarabine
  4. description
    Induction Therapy included Cytarabine 100-200 mg/m\^2 as a continuous intravenous infusion (IV) for 7 days plus daunorubicin 45 to 60 mg/m\^² daily IV on Days 1, 2 and 3 or Idarubicin 9-12 mg/m\^² IV daily for 3 days as an alternative to daunorubicin (Cycle 1). Consolidation Therapy (Cycle 2 and 3) Cytarabine 100-200 mg/m\^2 as a continuous IV infusion for a total of 3 to 7 days plus daunorubicin 45 to 60 mg/m\^² daily or Idarubicin 9-12 mg/m\^² IV daily on Days 1 and 2. The first consolidation therapy started between Day 28 and Day 70 from commencement of induction therapy, upon recovery of absolute neutrophil count (ANC) to at least 1.0 x 10\^9/L and platelets to at least 75 x 10\^9/L. The second consolidation cycle, if given, started between Day 28 and Day 70 from commencement of the first consolidation therapy. Participants could receive BSC as needed, including antibiotics and transfusions, physicians discretion.
    id
    OG003
    title
    Conventional Care Regimen #1 Intensive Chemotherapy
param Type
NUMBER
population Description
Safety population = all randomized participants who received at least 1 dose of study drug and had 1 post-dose safety assessment. Because the BSC only regimen consisted of blood products or antibiotics given as needed, those assigned to BSC only were included in the safety population if they had at least 1 post-randomization safety assessment.
reporting Status
POSTED
time Frame
Day 1 (randomization) up to last visit completed; final data cut off of 28 Feb 2017
title
Number of Participants With Adverse Events (AEs)
type
SECONDARY
unit Of Measure
participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice