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NCT Number: NCT05197426

A Study to Compare the Efficacy and Safety of Oral Azacitidine Plus Best Supportive Care Versus Best Supportive Care as Maintenance Therapy in Japanese Participants With Acute Myeloid Leukemia (AML) in Complete Remission

The purpose of this study is to assess the efficacy and safety of oral azacitidine plus best supportive care versus best supportive care as maintenance therapy in a cohort of Japanese participants ≥ 55 years of age with Acute Myeloid Leukemia (AML) and in complete remission/complete remission with incomplete blood count recovery after conventional induction chemotherapy with or without consolidation chemotherapy.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Local Institution - 0017, Nagoya, Aichi-ken, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ≥ 55 years of age inclusive at the time of signing the informed consent
  • Newly diagnosed, histologically confirmed de novo Acute Myeloid Leukemia (AML) or AML secondary to prior myelodysplastic syndrome (MDS) or chronic myelomonocytic leukemia (CMML)
  • Should have undergone induction therapy with intensive chemotherapy with or without consolidation therapy as recommended in appropriate guideline(s) or equivalent regimen according to institutional standard: having achieved first complete remission (CR)/complete remission with incomplete blood count recovery (CRi) status within 4 months prior to starting study therapy

Exclusion criteria

  • Suspected or proven acute promyelocytic leukemia; or AML with previous hematologic disorder such as chronic myeloid leukemia or myeloproliferative neoplasms, excluding MDS and CMML
  • Prior bone marrow or stem cell transplantation
  • Received therapy with hypomethylating agents for MDS and went on to develop AML within four months of discontinuing the therapy with hypomethylating agents
  • Have achieved CR/CRi following therapy with hypomethylating agents

Other protocol-defined inclusion/exclusion criteria apply

Treatment and study plan

Oral Azacitidine

Drug

Specified dose on specified days

Other names: CC-486, BMS-986345, Onureg

Placebo

Other

Specified dose of specified days

Primary outcomes

  1. Recurrence Free Survival (RFS)

    Time frame: Approximately 17.7 months

    The time from randomization to the date of documented relapse after CR or CRi per central review, or death from any cause, whichever occurs first. Participants who are still alive without documented relapse after CR or CRi, or who were lost to follow-up without documented relapse, will be censored at the date of their last response assessment.

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: Approximately 17.7 months

    The time from randomization to death from any cause and will be calculated using the randomization date and date of death, or date of last follow-up for censored participants. All participants will be followed until dropout, death, or study termination. Participants who dropout or are alive at study termination will have their OS times censored at the time of last contact, as appropriate.

  2. Time to Relapse From CR or CRi

    Time frame: Approximately 17.7 months

    The interval from the date of randomization to the date of documented relapse after CR or CRi, as defined according to the IWG AML response criteria. Time to relapse will be analyzed using a competing risk analysis where death without documented relapse is treated as a competing risk for relapse from CR/CRi. Similar censoring rules as in primary analysis of RFS will be applied.

  3. Time to Discontinuation

    Time frame: Approximately 17.7 months

    The interval from the date of randomization to the date of discontinuation from IP. Subjects who are ongoing in treatment at the time of study closure will be censored at the date of last visit.

  4. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    Time frame: Approximately 17.7 months

  5. Number of Participants With Clinically Significant Changes in Physical Examination

    Time frame: Approximately 17.7 months

    Number of participants with clinically significant changes in physical examination

  6. Number of Participants With Clinically Significant Changes in Vital Signs

    Time frame: Approximately 17.7 months

    Vital signs include the following: systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, temperature and weight.

  7. Number of Participants With Clinically Significant Changes in Clinical Laboratory Examinations

    Time frame: Approximately 17.7 months

  8. Number of Participants Who Received Concomitant Medication

    Time frame: Approximately 17.7 months

    Concomitant medications are defined as non-study medications that are started after the date of randomization but before the end of the study treatment period or started on or before the date of randomization but ended or remain ongoing during the study treatment period.

  9. Mean Change From Baseline in Facit-Fatigue Scale

    Time frame: From C1D1 to C12D1 (approximately 336 days)

    The FACIT-Fatigue Scale is a short, 13-item, easy-to-administer tool that measures an individual's level of fatigue during usual daily activities over the past week. The level of fatigue is measured on a five-point Likert scale (0 = not at all fatigued to 4 = very much fatigued). It has scores that range from 0 to 52, with higher scores indicating less fatigue. Quality of life (QoL)scores on these FACIT scales significantly decline as patient performance status worsens.

  10. Mean Change From Baseline in EQ-5D-5L

    Time frame: From C1D1 to C12D1 (approximately 336 days)

    The European Quality of Life 5D-5L Scale (EQ-5D-5L) assesses general health-related quality of life. Health is defined in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded so that a '1' indicates no problem, and '5' indicates the most serious problem. The responses for the 5 dimensions are combined in a 5-digit number. The EQ-5D-5L health utility index (HUI) is assessed using the Crosswalk algorithm for France based on the individual responses to the 5 EQ-5D-5L domains ranging from -0.530 to 1.000. The smallest change considered clinically meaningful, is defined as a score difference of 0.08 points. The lower the score the better.

  11. Pharmacokinetic Evaluation: CMax

    Time frame: on C1D1 (after first dose on day 1)

    Cmax is defined as maximum plasma concentration of the drug.

  12. Pharmacokinetic Evaluation: Tmax

    Time frame: on C1D1 (after first dose on day 1)

    Tmax is defined is the time to maximum plasma concentration

  13. Pharmacokinetic Evaluation: AUC(0-T)

    Time frame: on C1D1 (after first dose on day 1)

    Area under the plasma concentration time-curve. AUC from time 0 to the last time of quantifiable concentration.

  14. Pharmacokinetic Evaluation: AUC(INF)

    Time frame: on C1D1 (after first dose on day 1)

  15. Pharmacokinetic Evaluation: T-Half

    Time frame: on C1D1 (after first dose on day 1)

    the time required for the amount or concentration of a drug to decrease by one-half

  16. Pharmacokinetic Evaluation: CLT/F(INF)

    Time frame: on C1D1 (after first dose on day 1)

    the volume of plasma from which a substance is completely removed per unit time.

  17. Pharmacokinetic Evaluation: Vz/F

    Time frame: on C1D1 (after first dose on day 1)

    the amount of drug in the body to the concentration of drug measured in a biological fluid

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

A Phase 2, Randomized, Double-Blind, Placebo-controlled Study to Compare Efficacy and Safety of Oral Azacitidine Plus Best Supportive Care Versus Best Supportive Care as Maintenance Therapy in Japanese Subjects With Acute Myeloid Leukemia in Complete Remission

Important dates

Study start
2022
Primary completion
2025
Study completion
2026
First posted
Jan 19, 2022
Registry last updated
Feb 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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