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NCT03306264 · OUTCOME

Time to Reach Maximum Plasma Concentration (Tmax) of Decitabine, Cedazuridine, and Cedazuridine-epimer

Study of ASTX727 vs IV Decitabine in Participants With MDS, CMML, and AML · Source last updated 2024-08-27

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

Measure
MEDIAN
Unit
hours
Interval / dispersion
Full Range
Time frame
ASTX727: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24 hours post-dose on Days 1, 2 and 5 of Cycle 1 and 2; Decitabine: Pre-dose, 0.25, 0.5, 1, 1.08, 1.5, 2, 3, 4, 6, 8 hours post-dose on Days 1 and 5 of Cycle 1 and 2 (each cycle= 28 days)

What was measured

Summarized data of Tmax on Day 1, 2 and 5 respectively for Cycle 1 and 2 has been reported for ASTX727. Similarly, summarized data of Tmax on Day 1 and 5 respectively for Cycle 1 and 2 has been reported for IV Decitabine.

Analysis population: Overall PK Analysis Set included participants not included in Primary Endpoint PK Analysis Set, received any amount of study treatment, complied with protocol sufficiently to ensure PK samples were collected, provided sufficient samples to measure available plasma concentrations for decitabine. Overall number of participants analyzed:Number of participants evaluable for this outcome measure. Number analyzed:Number of participants evaluable for this outcome measure at specified time point.

Groups in this outcome

MDS or CMML: IV Decitabine

Participants with MDS or CMML received decitabine 20 mg/m\^2 IV injection, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days).

MDS or CMML: ASTX727

Participants with MDS or CMML received ASTX727 tablet, containing the fixed-dose combination of 35 mg decitabine and 100 mg cedazuridine, given by mouth, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days). From cycle 3, participants received ASTX727 tablet, once daily, on Days 1 to 5 of each 28-day cycle until disease progression, unacceptable toxicity, participant discontinued treatment, or was withdrawn from the study.

AML: IV Decitabine

Participants with AML received decitabine 20 mg/m\^2 IV injection, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days).

AML: ASTX727

Participants with AML received ASTX727 tablet, containing the fixed-dose combination of 35 mg decitabine and 100 mg cedazuridine, given by mouth, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days). From cycle 3, participants received ASTX727 tablet, once daily, on Days 1 to 5 of each 28-day cycle until disease progression, unacceptable toxicity, participant discontinued treatment, or was withdrawn from the study.

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

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine122
MDS or CMML: ASTX727128
AML: IV Decitabine72
AML: ASTX72779

Reported measurements

Decitabine: Day 1

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine122
MDS or CMML: ASTX727128
AML: IV Decitabine72
AML: ASTX72778
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: IV Decitabine0.98Not reported0.231.27Not reported
MDS or CMML: ASTX7271.00Not reported0.483.00Not reported
AML: IV Decitabine0.98Not reported0.252.00Not reported
AML: ASTX7271.00Not reported0.252.02Not reported
Decitabine: Day 2

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727128
AML: IV Decitabine0
AML: ASTX72776
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7271.00Not reported0.472.00Not reported
AML: ASTX7271.00Not reported0.253.00Not reported
Decitabine: Day 5

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine122
MDS or CMML: ASTX727124
AML: IV Decitabine70
AML: ASTX72776
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: IV Decitabine0.97Not reported0.251.62Not reported
MDS or CMML: ASTX7271.00Not reported0.253.00Not reported
AML: IV Decitabine0.98Not reported0.001.17Not reported
AML: ASTX7271.00Not reported0.473.00Not reported
Cedazuridine: Day 1

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727128
AML: IV Decitabine0
AML: ASTX72778
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.00Not reported1.507.97Not reported
AML: ASTX7273.98Not reported1.478.00Not reported
Cedazuridine: Day 2

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727128
AML: IV Decitabine0
AML: ASTX72778
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.01Not reported0.527.88Not reported
AML: ASTX7274.00Not reported1.007.88Not reported
Cedazuridine: Day 5

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727126
AML: IV Decitabine0
AML: ASTX72777
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.00Not reported1.506.12Not reported
AML: ASTX7273.98Not reported1.008.00Not reported
Cedazuridine-epimer: Day 1

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727128
AML: IV Decitabine0
AML: ASTX72779
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.08Not reported1.507.97Not reported
AML: ASTX7274.00Not reported1.508.03Not reported
Cedazuridine-epimer: Day 2

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727128
AML: IV Decitabine0
AML: ASTX72778
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.03Not reported0.527.88Not reported
AML: ASTX7274.00Not reported1.507.88Not reported
Cedazuridine-epimer: Day 5

Analysis denominator · Participants

GroupSource count
MDS or CMML: IV Decitabine0
MDS or CMML: ASTX727126
AML: IV Decitabine0
AML: ASTX72777
Values in hours · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
MDS or CMML: ASTX7273.08Not reported1.008.05Not reported
AML: ASTX7274.00Not reported1.538.00Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.23
        upper Limit
        1.27
        value
        0.98
      2. group Id
        OG001
        lower Limit
        0.48
        upper Limit
        3.00
        value
        1.00
      3. group Id
        OG002
        lower Limit
        0.25
        upper Limit
        2.00
        value
        0.98
      4. group Id
        OG003
        lower Limit
        0.25
        upper Limit
        2.02
        value
        1.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        122
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        72
      4. group Id
        OG003
        value
        78
      units
      Participants
    title
    Decitabine: Day 1
  2. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        0.47
        upper Limit
        2.00
        value
        1.00
      2. group Id
        OG003
        lower Limit
        0.25
        upper Limit
        3.00
        value
        1.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        76
      units
      Participants
    title
    Decitabine: Day 2
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.25
        upper Limit
        1.62
        value
        0.97
      2. group Id
        OG001
        lower Limit
        0.25
        upper Limit
        3.00
        value
        1.00
      3. group Id
        OG002
        lower Limit
        0.00
        upper Limit
        1.17
        value
        0.98
      4. group Id
        OG003
        lower Limit
        0.47
        upper Limit
        3.00
        value
        1.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        122
      2. group Id
        OG001
        value
        124
      3. group Id
        OG002
        value
        70
      4. group Id
        OG003
        value
        76
      units
      Participants
    title
    Decitabine: Day 5
  4. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        1.50
        upper Limit
        7.97
        value
        3.00
      2. group Id
        OG003
        lower Limit
        1.47
        upper Limit
        8.00
        value
        3.98
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        78
      units
      Participants
    title
    Cedazuridine: Day 1
  5. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        0.52
        upper Limit
        7.88
        value
        3.01
      2. group Id
        OG003
        lower Limit
        1.00
        upper Limit
        7.88
        value
        4.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        78
      units
      Participants
    title
    Cedazuridine: Day 2
  6. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        1.50
        upper Limit
        6.12
        value
        3.00
      2. group Id
        OG003
        lower Limit
        1.00
        upper Limit
        8.00
        value
        3.98
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        126
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        77
      units
      Participants
    title
    Cedazuridine: Day 5
  7. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        1.50
        upper Limit
        7.97
        value
        3.08
      2. group Id
        OG003
        lower Limit
        1.50
        upper Limit
        8.03
        value
        4.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        79
      units
      Participants
    title
    Cedazuridine-epimer: Day 1
  8. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        0.52
        upper Limit
        7.88
        value
        3.03
      2. group Id
        OG003
        lower Limit
        1.50
        upper Limit
        7.88
        value
        4.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        128
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        78
      units
      Participants
    title
    Cedazuridine-epimer: Day 2
  9. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        1.00
        upper Limit
        8.05
        value
        3.08
      2. group Id
        OG003
        lower Limit
        1.53
        upper Limit
        8.00
        value
        4.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        126
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        77
      units
      Participants
    title
    Cedazuridine-epimer: Day 5
denoms
  1. counts
    1. group Id
      OG000
      value
      122
    2. group Id
      OG001
      value
      128
    3. group Id
      OG002
      value
      72
    4. group Id
      OG003
      value
      79
    units
    Participants
description
Summarized data of Tmax on Day 1, 2 and 5 respectively for Cycle 1 and 2 has been reported for ASTX727. Similarly, summarized data of Tmax on Day 1 and 5 respectively for Cycle 1 and 2 has been reported for IV Decitabine.
dispersion Type
Full Range
groups
  1. description
    Participants with MDS or CMML received decitabine 20 mg/m\^2 IV injection, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days).
    id
    OG000
    title
    MDS or CMML: IV Decitabine
  2. description
    Participants with MDS or CMML received ASTX727 tablet, containing the fixed-dose combination of 35 mg decitabine and 100 mg cedazuridine, given by mouth, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days). From cycle 3, participants received ASTX727 tablet, once daily, on Days 1 to 5 of each 28-day cycle until disease progression, unacceptable toxicity, participant discontinued treatment, or was withdrawn from the study.
    id
    OG001
    title
    MDS or CMML: ASTX727
  3. description
    Participants with AML received decitabine 20 mg/m\^2 IV injection, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days).
    id
    OG002
    title
    AML: IV Decitabine
  4. description
    Participants with AML received ASTX727 tablet, containing the fixed-dose combination of 35 mg decitabine and 100 mg cedazuridine, given by mouth, once daily, on Days 1 to 5 in cycle 1 or 2 (each cycle = 28 days). From cycle 3, participants received ASTX727 tablet, once daily, on Days 1 to 5 of each 28-day cycle until disease progression, unacceptable toxicity, participant discontinued treatment, or was withdrawn from the study.
    id
    OG003
    title
    AML: ASTX727
param Type
MEDIAN
population Description
Overall PK Analysis Set included participants not included in Primary Endpoint PK Analysis Set, received any amount of study treatment, complied with protocol sufficiently to ensure PK samples were collected, provided sufficient samples to measure available plasma concentrations for decitabine. Overall number of participants analyzed:Number of participants evaluable for this outcome measure. Number analyzed:Number of participants evaluable for this outcome measure at specified time point.
reporting Status
POSTED
time Frame
ASTX727: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 24 hours post-dose on Days 1, 2 and 5 of Cycle 1 and 2; Decitabine: Pre-dose, 0.25, 0.5, 1, 1.08, 1.5, 2, 3, 4, 6, 8 hours post-dose on Days 1 and 5 of Cycle 1 and 2 (each cycle= 28 days)
title
Time to Reach Maximum Plasma Concentration (Tmax) of Decitabine, Cedazuridine, and Cedazuridine-epimer
type
SECONDARY
unit Of Measure
hours

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Preserved source evidence · Not medical advice