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NCT01546038 · OUTCOME

Percentage of Participants With Disease-specific Efficacy for Myelodysplastic Syndrome (MDS) 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

For all MDS participants, disease specific efficacy measures included: CRi (bone marrow showing \<5% myeloblasts with platelets \<100,000/mcL or neutrophils \<1000/mcL, including confirmed and unconfirmed responses); PR (repeat bone marrow myeloblasts showing decreased by \>= 50% decrease but still \>5%, peripheral blood showing neutrophils \>= 1,000/mcL, platelets \>= 100,000/mcL and Hgb\>=11g/dL; including confirmed and unconfirmed responses); SD (including confirmed and unconfirmed responses, failure to achieve PR and no evidence of progression for \>8 weeks); marrow complete response (mCR) (bone marrow showing \<=5% myeloblasts and decreased by \>= 50%), partial cytogenetic response (\>=50% reduction of chromosomal abnormality) and complete cytogenetic response (CRc) (disappearance of chromosomal abnormality with no appearance of now ones).

Analysis population: MDS 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/Daunorubicin5
Phase 2 Unfit: Glasdegib 100 mg + LDAC10
Phase 2 Unfit: LDAC Alone6

Reported measurements

mCR
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
PR
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC0.0Not reported0.020.6Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
SD
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC0.0Not reported0.020.6Not reported
Phase 2 Unfit: LDAC Alone33.3Not reported9.366.7Not reported
CRi
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin20.0Not reported2.158.4Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
Unconfirmed SD
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
Unconfirmed CRi
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
mCR (CRi not included)
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin0.0Not reported0.036.9Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
CRc
Values in Percentage of participants · Interval/dispersion: 80% Confidence Interval
GroupValueSpreadLowerUpperComment
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin60.0Not reported24.788.8Not reported
Phase 2 Unfit: Glasdegib 100 mg + LDAC10.0Not reported1.033.7Not reported
Phase 2 Unfit: LDAC Alone0.0Not reported0.031.9Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    mCR
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        0.0
        upper Limit
        20.6
        value
        0.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    PR
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        0.0
        upper Limit
        20.6
        value
        0.0
      3. group Id
        OG002
        lower Limit
        9.3
        upper Limit
        66.7
        value
        33.3
    title
    SD
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.1
        upper Limit
        58.4
        value
        20.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    CRi
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    Unconfirmed SD
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    Unconfirmed CRi
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        36.9
        value
        0.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    mCR (CRi not included)
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        24.7
        upper Limit
        88.8
        value
        60.0
      2. group Id
        OG001
        lower Limit
        1.0
        upper Limit
        33.7
        value
        10.0
      3. group Id
        OG002
        lower Limit
        0.0
        upper Limit
        31.9
        value
        0.0
    title
    CRc
denoms
  1. counts
    1. group Id
      OG000
      value
      5
    2. group Id
      OG001
      value
      10
    3. group Id
      OG002
      value
      6
    units
    Participants
description
For all MDS participants, disease specific efficacy measures included: CRi (bone marrow showing \<5% myeloblasts with platelets \<100,000/mcL or neutrophils \<1000/mcL, including confirmed and unconfirmed responses); PR (repeat bone marrow myeloblasts showing decreased by \>= 50% decrease but still \>5%, peripheral blood showing neutrophils \>= 1,000/mcL, platelets \>= 100,000/mcL and Hgb\>=11g/dL; including confirmed and unconfirmed responses); SD (including confirmed and unconfirmed responses, failure to achieve PR and no evidence of progression for \>8 weeks); marrow complete response (mCR) (bone marrow showing \<=5% myeloblasts and decreased by \>= 50%), partial cytogenetic response (\>=50% reduction of chromosomal abnormality) and complete cytogenetic response (CRc) (disappearance of chromosomal abnormality with no appearance of now ones).
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
MDS 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 Myelodysplastic Syndrome (MDS) at Phase 2 Fit and Unfit
type
SECONDARY
unit Of Measure
Percentage of participants

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