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
Group
Source count
Azacitidine (AZA)
236
Conventional Care Regimen #3 Best Supportive Care Only
40
Conventional Care Regimen #2 Low-dose Cytarabine
153
Conventional Care Regimen #1 Intensive Chemotherapy
42
Reported measurements
At least one Treatment Emergent AE
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
234
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
36
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
153
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
42
Not reported
Not reported
Not reported
Not reported
At least one TEAE related to study drug
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
188
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
124
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
39
Not reported
Not reported
Not reported
Not reported
Grade 3-4 adverse event
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
207
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
26
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
141
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
37
Not reported
Not reported
Not reported
Not reported
Grade 3-4 adverse event related to any study drug
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
125
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
90
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
29
Not reported
Not reported
Not reported
Not reported
At least one Grade 5 (leading to death) TEAE
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
56
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
23
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
38
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
9
Not reported
Not reported
Not reported
Not reported
Grade 5 adverse event related to any study drug
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
12
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
10
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
4
Not reported
Not reported
Not reported
Not reported
Serious TEAE
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
188
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
30
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
118
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
27
Not reported
Not reported
Not reported
Not reported
Serious TEAE related to any study drug
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
87
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
56
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
14
Not reported
Not reported
Not reported
Not reported
TEAE leading to discontinuation of study drug
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
110
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
68
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
11
Not reported
Not reported
Not reported
Not reported
Study drug-related TEAE leading to discontinuation
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
22
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
20
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
5
Not reported
Not reported
Not reported
Not reported
TEAE leading to study drug dose reduction
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
8
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
2
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
2
Not reported
Not reported
Not reported
Not reported
TEAE leading to study drug dose interruption
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
116
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
61
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
4
Not reported
Not reported
Not reported
Not reported
TEAE causing study drug dose reduction/disruption
Values in participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Azacitidine (AZA)
13
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #3 Best Supportive Care Only
0
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #2 Low-dose Cytarabine
7
Not reported
Not reported
Not reported
Not reported
Conventional Care Regimen #1 Intensive Chemotherapy
0
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
value
234
group Id
OG001
value
36
group Id
OG002
value
153
group Id
OG003
value
42
title
At least one Treatment Emergent AE
categories
measurements
group Id
OG000
value
188
group Id
OG001
value
0
group Id
OG002
value
124
group Id
OG003
value
39
title
At least one TEAE related to study drug
categories
measurements
group Id
OG000
value
207
group Id
OG001
value
26
group Id
OG002
value
141
group Id
OG003
value
37
title
Grade 3-4 adverse event
categories
measurements
group Id
OG000
value
125
group Id
OG001
value
0
group Id
OG002
value
90
group Id
OG003
value
29
title
Grade 3-4 adverse event related to any study drug
categories
measurements
group Id
OG000
value
56
group Id
OG001
value
23
group Id
OG002
value
38
group Id
OG003
value
9
title
At least one Grade 5 (leading to death) TEAE
categories
measurements
group Id
OG000
value
12
group Id
OG001
value
0
group Id
OG002
value
10
group Id
OG003
value
4
title
Grade 5 adverse event related to any study drug
categories
measurements
group Id
OG000
value
188
group Id
OG001
value
30
group Id
OG002
value
118
group Id
OG003
value
27
title
Serious TEAE
categories
measurements
group Id
OG000
value
87
group Id
OG001
value
0
group Id
OG002
value
56
group Id
OG003
value
14
title
Serious TEAE related to any study drug
categories
measurements
group Id
OG000
value
110
group Id
OG001
value
0
group Id
OG002
value
68
group Id
OG003
value
11
title
TEAE leading to discontinuation of study drug
categories
measurements
group Id
OG000
value
22
group Id
OG001
value
0
group Id
OG002
value
20
group Id
OG003
value
5
title
Study drug-related TEAE leading to discontinuation
categories
measurements
group Id
OG000
value
8
group Id
OG001
value
0
group Id
OG002
value
2
group Id
OG003
value
2
title
TEAE leading to study drug dose reduction
categories
measurements
group Id
OG000
value
116
group Id
OG001
value
0
group Id
OG002
value
61
group Id
OG003
value
4
title
TEAE leading to study drug dose interruption
denoms
counts
group Id
OG000
value
236
group Id
OG001
value
40
group Id
OG002
value
153
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
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)
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
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
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