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NCT01546038 · OUTCOME

Percentage of Participants With Disease-specific Efficacy for Acute Myeloid Leukemia (AML) at Phase 2 Fit and Unfit

A Study To Evaluate PF-04449913 With Chemotherapy In Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome · Source last updated 2020-03-03

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
80% Confidence Interval
Time frame
4 years

What was measured

AML participants,disease specific efficacy measures included:CRi;Morphologic Leukemia Free State(MLFS)(bone marrow\<5%myeloblasts with spicules and no blasts with auer rods,neutrophils\<1000/mcL and platelets\<100,000/mcL);partial remission(PR)(bone marrow myeloblasts decrease to 5-25\&\>=50%decrease from start, neutrophils\>=1000/mcL, platelets\>=100,000/mcL);PR with incomplete blood count recovery(PRi)(bone marrow myeloblasts decrease to 5-25\&\>=50%decrease from start,neutrophils\<1000/mcL or platelets\<100,000/mcL);minor response(MR)(bone marrow myeloblasts decrease to\>=25% from start);stable disease(SD)(bone marrow myeloblasts stable+/-25% from screening value);cytogenetic complete response(CRc)(bone marrow\<5%myeloblasts, neutrophils\>1000/mcL, platelets\>100,000/mcL and normal cytogenetics),molecular complete response(CRm)(bone marrow\<5%myeloblasts, neutrophils\>1000/mcL, platelets\>100,000/mcL and molecular-negative).

Analysis population: AML participants in the Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication, and all randomized participants of Phase 2 Unfit arm.

Groups in this outcome

Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin

Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m\^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m\^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m\^2 administered as a 3-hour IV infusion every 12 hours (2 g/m\^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.

Phase 2 Unfit: Glasdegib 100 mg + LDAC

Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles.

Phase 2 Unfit: LDAC Alone

Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles.

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

Analysis denominator · Participants

GroupSource count
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin64
Phase 2 Unfit: Glasdegib 100 mg + LDAC78
Phase 2 Unfit: LDAC Alone38

Reported measurements

CRi
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin10.9Not reported6.217.7Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC5.1Not reported2.310.0Not reported
Phase 2 Unfit: LDAC Alone2.6Not reported0.39.9Not reported
MLFS
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin7.8Not reported3.814.0Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC2.6Not reported0.76.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.05.9Not reported
PR
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin1.6Not reported0.25.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC6.4Not reported3.211.6Not reported
Phase 2 Unfit: LDAC Alone2.6Not reported0.39.9Not reported
PRi
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin1.6Not reported0.25.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC1.3Not reported0.14.9Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.05.9Not reported
MR
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin10.9Not reported6.217.7Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC6.4Not reported3.211.6Not reported
Phase 2 Unfit: LDAC Alone10.5Not reported4.719.9Not reported
SD
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin6.3Not reported2.812.1Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC16.7Not reported11.323.4Not reported
Phase 2 Unfit: LDAC Alone21.1Not reported12.731.9Not reported
CRc
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin35.9Not reported27.944.7Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC11.5Not reported7.117.6Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.05.9Not reported
CRm
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin37.5Not reported29.446.2Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC16.7Not reported11.323.4Not reported
Phase 2 Unfit: LDAC Alone2.6Not reported0.39.9Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        6.2
        upper Limit
        17.7
        value
        10.9
      2. group Id
        OG001
        lower Limit
        2.3
        upper Limit
        10.0
        value
        5.1
      3. group Id
        OG002
        lower Limit
        0.3
        upper Limit
        9.9
        value
        2.6
    title
    CRi
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3.8
        upper Limit
        14.0
        value
        7.8
      2. group Id
        OG001
        lower Limit
        0.7
        upper Limit
        6.7
        value
        2.6
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        5.9
        value
        0.0
    title
    MLFS
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.2
        upper Limit
        5.9
        value
        1.6
      2. group Id
        OG001
        lower Limit
        3.2
        upper Limit
        11.6
        value
        6.4
      3. group Id
        OG002
        lower Limit
        0.3
        upper Limit
        9.9
        value
        2.6
    title
    PR
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.2
        upper Limit
        5.9
        value
        1.6
      2. group Id
        OG001
        lower Limit
        0.1
        upper Limit
        4.9
        value
        1.3
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        5.9
        value
        0.0
    title
    PRi
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        6.2
        upper Limit
        17.7
        value
        10.9
      2. group Id
        OG001
        lower Limit
        3.2
        upper Limit
        11.6
        value
        6.4
      3. group Id
        OG002
        lower Limit
        4.7
        upper Limit
        19.9
        value
        10.5
    title
    MR
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.8
        upper Limit
        12.1
        value
        6.3
      2. group Id
        OG001
        lower Limit
        11.3
        upper Limit
        23.4
        value
        16.7
      3. group Id
        OG002
        lower Limit
        12.7
        upper Limit
        31.9
        value
        21.1
    title
    SD
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        27.9
        upper Limit
        44.7
        value
        35.9
      2. group Id
        OG001
        lower Limit
        7.1
        upper Limit
        17.6
        value
        11.5
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        5.9
        value
        0.0
    title
    CRc
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        29.4
        upper Limit
        46.2
        value
        37.5
      2. group Id
        OG001
        lower Limit
        11.3
        upper Limit
        23.4
        value
        16.7
      3. group Id
        OG002
        lower Limit
        0.3
        upper Limit
        9.9
        value
        2.6
    title
    CRm
denoms
  1. counts
    1. group Id
      OG000
      value
      64
    2. group Id
      OG001
      value
      78
    3. group Id
      OG002
      value
      38
    units
    Participants
description
AML participants,disease specific efficacy measures included:CRi;Morphologic Leukemia Free State(MLFS)(bone marrow\<5%myeloblasts with spicules and no blasts with auer rods,neutrophils\<1000/mcL and platelets\<100,000/mcL);partial remission(PR)(bone marrow myeloblasts decrease to 5-25\&\>=50%decrease from start, neutrophils\>=1000/mcL, platelets\>=100,000/mcL);PR with incomplete blood count recovery(PRi)(bone marrow myeloblasts decrease to 5-25\&\>=50%decrease from start,neutrophils\<1000/mcL or platelets\<100,000/mcL);minor response(MR)(bone marrow myeloblasts decrease to\>=25% from start);stable disease(SD)(bone marrow myeloblasts stable+/-25% from screening value);cytogenetic complete response(CRc)(bone marrow\<5%myeloblasts, neutrophils\>1000/mcL, platelets\>100,000/mcL and normal cytogenetics),molecular complete response(CRm)(bone marrow\<5%myeloblasts, neutrophils\>1000/mcL, platelets\>100,000/mcL and molecular-negative).
dispersion Type
80% Confidence Interval
groups
  1. description
    Participants received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m\^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m\^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m\^2 administered as a 3-hour IV infusion every 12 hours (2 g/m\^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.
    id
    OG000
    title
    Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin
  2. description
    Participants received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles.
    id
    OG001
    title
    Phase 2 Unfit: Glasdegib 100 mg + LDAC
  3. description
    Participants received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles.
    id
    OG002
    title
    Phase 2 Unfit: LDAC Alone
param Type
NUMBER
population Description
AML participants in the Full analysis set: all enrolled participants of Phase 2 Fit arm who received at least 1 dose of study medication, and all randomized participants of Phase 2 Unfit arm.
reporting Status
POSTED
time Frame
4 years
title
Percentage of Participants With Disease-specific Efficacy for Acute Myeloid Leukemia (AML) at Phase 2 Fit and Unfit
type
SECONDARY
unit Of Measure
Percentage of participants

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