An Efficacy and Safety Study of Azacitidine Subcutaneous in Combination With Durvalumab (MEDI4736) in Previously Untreated Adults With Higher-Risk Myelodysplastic Syndromes (MDS) or in Elderly Patients With Acute Myeloid Leukemia (AML)
Part of paid clinical trials in New Haven, Connecticut.
- Sponsor
- Celgene
- Study ID
- NCT02775903
- Phase
- PHASE2
- Status
- Completed
Conditions
- Leukemia, Myeloid, Acute
- Myelodysplastic Syndromes
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Azacitidine — DRUGAdministered by subcutaneous injection on Days 1 to 7 of each 4-week treatment cycle.
- Durvalumab — BIOLOGICALAdministered by intravenous infusion on Day 1 of every 4-week treatment cycle.
Study Details
The primary objective of this study is to evaluate the efficacy of subcutaneous azacitidine in combination with durvalumab as compared with subcutaneous azacitidine alone in adults with previously untreated, higher risk MDS who are not eligible for HSCT or in adults ≥ 65 years old with previously untreated AML who are not eligible for HSCT, with intermediate or poor cytogenetic risk.
Key Dates
- Start date
- Jun 3, 2016
- Status verified
- Feb 2023
- Primary completion
- Dec 31, 2018
- Completion
- Dec 27, 2021
Study Design
- Enrollment
- 213 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Azacitidine + DurvalumabParticipants received 75 mg/m² subcutaneous azacitidine for 7 days every 4 weeks (Q4W) in combination with 1500 mg intravenous durvalumab on Day 1 of every 4 week cycle for at least 6 cycles. Participants who benefited from treatment may have continued treatment until loss of that benefit, disease progression or other treatment discontinuation criterion were met.
- Active Comparator: Azacitidine AloneParticipants received 75 mg/m² subcutaneous azacitidine for 7 days every 4 weeks for at least 6 cycles. Participants who benefited from treatment may have continued treatment until loss of that benefit, disease progression or other treatment discontinuation criterion were met.
Primary Outcome Measure
MDS Cohort: Overall Response Rate [ Time Frame: Response was assessed following every 3 treatment cycles until treatment discontinuation; median duration of treatment was 239 days (AZA) and 215 days (DUR) in the AZA + DUR group and 210 days in the AZA alone group. ]
Locations (12)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Yale Cancer Center | New Haven | Connecticut | 06520 | - |
| Georgetown University Hospital | Washington D.C. | District of Columbia | 20007 | - |
| University of Florida | Gainesville | Florida | 32610 | - |
| Moffitt Cancer Center | Tampa | Florida | 33612 | - |
| University of Chicago | Chicago | Illinois | 60637 | - |
| Hackensack University Medical Center | Hackensack | New Jersey | 07601 | - |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | - |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | - |
| Duke University Medical Center | Durham | North Carolina | 27705 | - |
| Avera Cancer Institute | Sioux Falls | South Dakota | 57105 | - |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37203 | - |
| University of Texas- MD Anderson | Houston | Texas | 77230 | - |
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