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NCT03268954 · OUTCOME

Duration of Red Blood Cells (RBCs) and Duration of Platelet-transfusion Independence and Duration of Red Blood Cells (RBCs) and Platelet-transfusion Independence

Pevonedistat Plus Azacitidine Versus Single-Agent Azacitidine as First-Line Treatment for Participants With Higher-Risk Myelodysplastic Syndromes (HR MDS), Chronic Myelomonocytic Leukemia (CMML), or Low-Blast Acute Myelogenous Leukemia (AML) · Source last updated 2025-10-29

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

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
Up to approximately 42 months

What was measured

Duration of RBC and platelet transfusion independence was defined as the longest time between the last RBC and/or platelet transfusion before the start of the RBC and/or platelet transfusion-independent period and the first RBC and/or platelet transfusion after the start of the transfusion-independent period, which occurs \>= 8 weeks later.

Analysis population: ITT Population included all participants who were randomized. Number analyzed is the number of participants who achieved transfusion independence for the specified category, with data available for analysis.

Groups in this outcome

Azacitidine 75 mg/m^2

Participants were administered azacitidine 75 mg/m\^2 IV or SC injection on Days 1 to 5, Days 8 and 9, in 28-day treatment cycles until disease progression or unacceptable toxicity or up to a maximum of 63 cycles.

Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^2

Participants were administered azacitidine 75 mg/m\^2 IV or SC injection on Days 1 to 5, Days 8 and 9 and pevonedistat 20 mg/m\^2 IV infusion, on Days 1, 3, and 5 in 28-day treatment cycles until disease progression or unacceptable toxicity or up to a maximum of 63 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
Azacitidine 75 mg/m^2227
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^2227

Reported measurements

Duration of RBC Transfusion Independence

Analysis denominator · Participants

GroupSource count
Azacitidine 75 mg/m^258
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^258
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Azacitidine 75 mg/m^215.6Not reported10.1828.09Not reported
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^213.5Not reported9.0716.66Not reported
Duration of Platelet Transfusion Independence

Analysis denominator · Participants

GroupSource count
Azacitidine 75 mg/m^222
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^215
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Azacitidine 75 mg/m^214.9Not reported5.0923.23Not reported
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^211.6Not reported2.7316.26Not reported
Duration of Transfusion Independence

Analysis denominator · Participants

GroupSource count
Azacitidine 75 mg/m^263
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^259
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Azacitidine 75 mg/m^212.0Not reported8.9019.48Not reported
Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^213.5Not reported10.3816.66Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.715
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.119
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of RBC Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.774
    p Value Comment
    P-value comparing duration of RBC or platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low-blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    1.231
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.567
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.147
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of Platelet Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.801
    p Value Comment
    P-value comparing duration of platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    1.533
    statistical Method
    Log Rank
  3. ci Lower Limit
    0.580
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.614
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.450
    p Value Comment
    P-value comparing duration of RBC or platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low-blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    0.968
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.715
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.119
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of RBC Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.774
    p Value Comment
    P-value comparing duration of RBC or platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low-blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    1.231
    statistical Method
    Log Rank
  2. ci Lower Limit
    0.567
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    4.147
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of Platelet Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.801
    p Value Comment
    P-value comparing duration of platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    1.533
    statistical Method
    Log Rank
  3. ci Lower Limit
    0.580
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.614
    estimate Comment
    HR:unadjusted Cox Proportional Hazard regression;stratification(low-blast AML,IPSS-R risk groups=very high,high,intermediate for HRMDS/CMML),treatment as factor.HR\<1:longer duration of transfusion independence in combination arm than azacitidine arm.
    group Description
    Duration of Transfusion Independence
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    =0.450
    p Value Comment
    P-value comparing duration of RBC or platelet transfusion between treatment groups was based on 1-sided log-rank test stratified by low-blast AML, IPSS-R risk groups of very high, high, or intermediate for HR MDS/CMML.
    param Type
    Hazard Ratio (HR)
    param Value
    0.968
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        10.18
        upper Limit
        28.09
        value
        15.6
      2. group Id
        OG001
        lower Limit
        9.07
        upper Limit
        16.66
        value
        13.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        58
      2. group Id
        OG001
        value
        58
      units
      Participants
    title
    Duration of RBC Transfusion Independence
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        5.09
        upper Limit
        23.23
        value
        14.9
      2. group Id
        OG001
        lower Limit
        2.73
        upper Limit
        16.26
        value
        11.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        22
      2. group Id
        OG001
        value
        15
      units
      Participants
    title
    Duration of Platelet Transfusion Independence
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        8.90
        upper Limit
        19.48
        value
        12.0
      2. group Id
        OG001
        lower Limit
        10.38
        upper Limit
        16.66
        value
        13.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        63
      2. group Id
        OG001
        value
        59
      units
      Participants
    title
    Duration of Transfusion Independence
denoms
  1. counts
    1. group Id
      OG000
      value
      227
    2. group Id
      OG001
      value
      227
    units
    Participants
description
Duration of RBC and platelet transfusion independence was defined as the longest time between the last RBC and/or platelet transfusion before the start of the RBC and/or platelet transfusion-independent period and the first RBC and/or platelet transfusion after the start of the transfusion-independent period, which occurs \>= 8 weeks later.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants were administered azacitidine 75 mg/m\^2 IV or SC injection on Days 1 to 5, Days 8 and 9, in 28-day treatment cycles until disease progression or unacceptable toxicity or up to a maximum of 63 cycles.
    id
    OG000
    title
    Azacitidine 75 mg/m^2
  2. description
    Participants were administered azacitidine 75 mg/m\^2 IV or SC injection on Days 1 to 5, Days 8 and 9 and pevonedistat 20 mg/m\^2 IV infusion, on Days 1, 3, and 5 in 28-day treatment cycles until disease progression or unacceptable toxicity or up to a maximum of 63 cycles.
    id
    OG001
    title
    Pevonedistat 20 mg/m^2 + Azacitidine 75 mg/m^2
param Type
MEDIAN
population Description
ITT Population included all participants who were randomized. Number analyzed is the number of participants who achieved transfusion independence for the specified category, with data available for analysis.
reporting Status
POSTED
time Frame
Up to approximately 42 months
title
Duration of Red Blood Cells (RBCs) and Duration of Platelet-transfusion Independence and Duration of Red Blood Cells (RBCs) and Platelet-transfusion Independence
type
SECONDARY
unit Of Measure
months

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Preserved source evidence · Not medical advice