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Efficacy of Oral Azacitidine Plus Best Supportive Care as Maintenance Therapy in Subjects With Acute Myeloid Leukemia (AML) in Complete Remission (QUAZAR AML-001)

Primary Purpose

Leukemia, Myeloid, Acute

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Oral Azacitidine
Placebo
Sponsored by
Celgene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia, Myeloid, Acute focused on measuring Maintenance therapy, AML, Acute Myeloid Leukemia, Oral Azacitidine, Best supportive care, Complete remission

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Male or female participants ≥ 55 years of age
  2. Newly diagnosed, histologically confirmed de novo acute myeloid leukemia (AML) or AML secondary to prior myelodysplastic disease or CMML (Chronic myelomonocytic leukemia)
  3. First complete remission (CR)/ complete remission with incomplete blood count recovery (CRi) with induction therapy with intensive chemotherapy with or without consolidation therapy within 4 months (+/- 7 days of achieving CR or CRi)
  4. Eastern Cooperative Oncology Group (ECOG) performance status - 0, 1, 2, 3

Key Inclusion Criteria in the Extended Phase of the study:

At the Investigator's discretion and with approval of the sponsor, participants meeting all of the following eligibility criteria are eligible to enter the extension phase:

  1. All participants randomized into the oral azacitidine or placebo arm and are continuing in either the treatment phase or follow-up phase of the CC-486-AML-001 study;

    • Participants randomized to oral azacitidine treatment arm and continuing in the treatment phase demonstrating clinical benefit as assessed by the investigator are eligible to receive oral azacitidine in the extension phase (EP);
    • Participants randomized into placebo arm of the study will not receive oral azacitidine in the EP, but will be followed for survival in the EP;
    • Participants currently in the follow-up phase will continue to be followed for survival in the EP;
  2. Participants who have signed the informed consent for the EP of the study;
  3. Participants who do not meet any of the criteria for study discontinuation

Key Exclusion Criteria:

  1. AML with inversion (inv)(16), translocation = t(8;21), t(16;16), t(15;17), or t(9;22) or molecular evidence of such translocations
  2. Prior bone marrow or stem cell transplantation
  3. Have achieved CR/CRi following therapy with hypomethylating agents
  4. Diagnosis of malignant disease within the previous 12 months
  5. Proven central nervous system (CNS) leukemia

Sites / Locations

  • Arizona Oncology Associates, P.C.
  • Providence St Joseph Medical Center Cancer Center
  • City Of Hope
  • University of California San Francisco Fresno Campus
  • University of Southern California Norris Cancer Center
  • Ucla
  • Local Institution - 050
  • Sharp Memorial Hospital
  • Stanford Cancer Center
  • Innovative Clinical Research Institute
  • Rocky Mountain Cancer Center
  • The Hospital of Central Connecticut
  • George Washington University Cancer Center
  • University Of Florida
  • Mount Sinai Comprehensive Cancer Center
  • University of Florida Health Cancer Center at Orlando Health
  • Northwestern University Medical Center
  • Loyola University Chicago
  • Cancer Care and Hematology Specialists of Chicagoland, P.C. - Niles, IL
  • Indiana University Cancer Center
  • Franciscan St. Francis Health
  • Kansas University Medical Center
  • University Of Louisville
  • Norton Cancer Institute Louisville Oncology
  • Tulane University Medical Center
  • Ochsner Medical Center - Jefferson Highway
  • Beth Israel Deaconess Medical Center
  • University of Massachusetts
  • Local Institution - 037
  • Kansas City VA Medical Center University of Kansas Medical Center
  • Washington University School Of Medicine
  • University Of Nebraska Medical Center
  • John Theurer Cancer Center at Hackensack University Medical Center
  • Cancer Institute of New Jersey
  • Winthrop University Hospital
  • Mt. Sinai Medical Center
  • Columbia University Irving Medical Center
  • Local Institution - 002
  • University of Rochester Medical Center
  • Local Institution - 014
  • Duke University Medical Center
  • Local Institution - 025
  • Local Institution - 016
  • University of Oklahoma Peggy and Charles Stephenson Cancer Center
  • Kaiser Permanente Northwest Oncology Hematology
  • Lancaster General Hospital
  • UPMC Cancer Pavillion
  • Greenville Hospital System
  • Sarah Cannon Research Inst
  • Vanderbilt University Medical Center
  • University Of Texas Southwestern Medical Center
  • Brooke-Army Medical Center
  • MD Anderson Cancer Center
  • Cancer Care Centers of South Texas - Loop
  • Methodist Hospital
  • VA Commonwealth University - Massey Cancer Center
  • Swedish Cancer Inst
  • Yakima Valley Memorial Hospital/ North Star Lodge
  • Froedtert Hospital BMT Medical College of Wisconsin
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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Oral Azacitidine

Placebo

Arm Description

300 mg oral azacitidine on days 1 to 14 of each 28-day treatment cycle.

Identically matching placebo tablets on days 1 to 14 of each 28-day treatment cycle.

Outcomes

Primary Outcome Measures

Kaplan-Meier (K-M) Estimate for Overall Survival (OS)
Overall survival was defined as time from randomization to death from any cause; participants surviving at the end of the follow-up period, or who withdraw consent, or who were lost to follow up were censored at the date last known alive.

Secondary Outcome Measures

Kaplan-Meier Estimate of Relapse Free Survival (RFS)
RFS was defined as the time from the date of randomization to the date of documented relapse or death from any cause, whichever occurred first. Participants who were still alive without documented relapse, or who were lost to follow-up or withdrew consent without documented relapse, were censored at the date of their last bone marrow assessment, prior to receiving any other therapy for AML. Documented relapse was defined as the earliest date of the following: ≥ 5% bone marrow blasts (myeloblasts) from Central Pathology report, or appearance of > 0% blasts in the peripheral blood with a later bone marrow confirmation (bone marrow blast [myeloblasts] ≥ 5%) within 100 days, or at least 2 peripheral blasts ≥ 5% within 30 days.
Kaplan-Meier Estimate of Time to Relapse
Time to relapse was defined as the interval (in months) from the date of randomization to the date of documented relapse. Estimates of relapse rate were based on the cumulative incidence function from a competing risk analysis with death as a competing risk for relapse from complete remission (CR)/ complete remission with incomplete blood count recovery (CRi). Documented relapse was defined as, the earliest date of the following: ≥ 5% bone marrow blasts (myeloblasts) from Central Pathology report, or appearance of > 0% blasts in the peripheral blood with a later bone marrow confirmation (bone marrow blast [myeloblasts] ≥ 5%) within 100 days, or at least 2 peripheral blasts ≥ 5% within 30 days.
Kaplan-Meier Estimates of Time to Discontinuation From Treatment
Time to discontinuation from treatment was assessed and defined as the interval from the date of randomization to the date of discontinuation from study drug. Participants who were receiving treatment at the time of study closure were censored at the date of last visit. Estimates of relapse rate were based on the cumulative incidence function from a competing risk analysis with death as a competing risk for relapse from CR/ CRi.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
TEAEs include AEs that started between first dose date and 28 days after the last dose of study drug. A serious adverse event (SAE) is: Death Life-threatening event Inpatient hospitalization or prolongation of existing hospitalization Persistent or significant disability or incapacity Congenital anomaly or birth defect Other important medical event The severity of AEs were assessed by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0: Grade 1 (Mild): asymptomatic/mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 (Moderate): minimal, local or noninvasive intervention indicated; limiting age-appropriate activities of daily living. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care Grade 4: Life-threatening; urgent intervention indicated. Grade 5: Death due to AE.
Mean Change in the Functional Assessment of Chronic Illness Therapy (FACIT-Fatigue Scale V 4.0) Score From Baseline
The functional assessment of chronic illness therapy (FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all; 4 = very much. The scores range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, then subscores were prorated.
Mean Change in the European Quality of Life-Five Dimensions-Three Levels (EQ-5D-3L) Score From Baseline
The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The instrument is scored using the United Kingdom (UK) index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Percentage of Participants Experiencing a Clinically Meaningful Change (Improvement, No Change and Deterioration) in the FACIT-Fatigue Scale From Baseline
A clinically meaningful improvement or worsening was defined as at least 3 points of improvement or worsening from baseline, respectively, for FACIT-Fatigue. The functional assessment of chronic illness therapy (FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all; 4 = very much. The scores range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, then subscores were prorated.
Percentage of Participants Experiencing a Clinically Meaningful Change (Improvement, No Change and Deterioration) in the EQ-5D-3L Scale From Baseline
The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The instrument is scored using the United Kingdom (UK) index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Time to Definitive Clinically Meaningful Deterioration for ≥ 2 Consecutive Visits as Measured Using the Functional Assessment of Chronic Illness Therapy (FACIT-Fatigue Scale V 4.0)
Clinically meaningful deterioration was defined as at least 3 points of deterioration from baseline for at least 2 consecutive visits for the FACIT--Fatigue. The FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all to 4 = very much. The scores that range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, subscores were prorated.
Time to Definitive Clinically Meaningful Deterioration for ≥ 2 Consecutive Visits as Measured Using the EQ-5D HRQoL Scale
Clinically meaningful deterioration was defined at least 0.10 point of deterioration from baseline for at least 2 consecutive visits for the EQ-5D Health Utility Index. The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The EQ-5D-3L is scored using the UK index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Healthcare Resource Utilization (HRU): Rate of Hospital Events Per Person Year
HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU is a key component to understand treatment costs and budget impact of new treatments from a provider perspective.
Healthcare Resource Utilization (HRU): Number of Days Hospitalized Per Person-Year
HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU is a key component to understand treatment costs and budget impact of new treatments from a provider perspective.

Full Information

First Posted
November 21, 2012
Last Updated
July 24, 2023
Sponsor
Celgene
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1. Study Identification

Unique Protocol Identification Number
NCT01757535
Brief Title
Efficacy of Oral Azacitidine Plus Best Supportive Care as Maintenance Therapy in Subjects With Acute Myeloid Leukemia (AML) in Complete Remission
Acronym
QUAZAR AML-001
Official Title
A Phase 3, 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 Subjects With Acute Myeloid Leukemia in Complete Remission
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 24, 2013 (Actual)
Primary Completion Date
July 15, 2019 (Actual)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celgene

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study enrolled 472 participants, aged 55 or older, with a diagnosis of de novo acute myeloid leukemia (AML) or AML secondary to prior myelodysplastic disease or chronic myelomonocytic leukemia (CMML), and who have achieved first complete remission (CR)/ complete remission with incomplete blood count recovery (CRi) following induction with or without consolidation chemotherapy. The study is amended to include an extension phase (EP). The EP allows participants who are currently receiving oral azacitidine and who are demonstrating clinical benefit as assessed by the investigator, to continue receiving oral azacitidine after unblinding by sponsor until the participant meets the criteria for study discontinuation or until oral azacitidine becomes commercially available and reimbursed. In addition, all participants in the placebo arm and participants who had been discontinued from the treatment phase (irrespective of randomization arm) and continuing in the follow-up phase will be followed for survival in the EP.
Detailed Description
This is an international, multicenter, placebo-controlled, Phase 3 study with a double-blind, randomized, parallel-group design in subjects with de novo AML or AML secondary to prior diagnosis of myelodysplastic syndromes (MDS) or chronic myelomonocytic leukemia (CMML) aged ≥ 55 years, who are in first CR/CRi following induction therapy with or without consolidation chemotherapy. The study consists of 3 phases; the pre-randomization phase (screening phase), the treatment phase, and the follow-up phase. The study is amended to include an extension phase (EP). The EP allows participants who are currently receiving oral azacitidine and who are demonstrating clinical benefit as assessed by the Investigator, to continue receiving oral azacitidine after unblinding by sponsor until they meet the criteria for study discontinuation or until oral azacitidine becomes commercially available and reimbursed. In addition, all participants in the placebo arm and participants who had been discontinued from the treatment phase (irrespective of randomization arm) and continuing in the follow-up phase will be followed for survival in the EP.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia, Myeloid, Acute
Keywords
Maintenance therapy, AML, Acute Myeloid Leukemia, Oral Azacitidine, Best supportive care, Complete remission

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
472 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oral Azacitidine
Arm Type
Experimental
Arm Description
300 mg oral azacitidine on days 1 to 14 of each 28-day treatment cycle.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Identically matching placebo tablets on days 1 to 14 of each 28-day treatment cycle.
Intervention Type
Drug
Intervention Name(s)
Oral Azacitidine
Other Intervention Name(s)
CC-486; Onureg®
Intervention Description
300 mg oral azacitidine on days 1 to 14 of each 28-day treatment cycle.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Identically matching placebo tablets on days 1 to 14 of each 28-day treatment cycle.
Primary Outcome Measure Information:
Title
Kaplan-Meier (K-M) Estimate for Overall Survival (OS)
Description
Overall survival was defined as time from randomization to death from any cause; participants surviving at the end of the follow-up period, or who withdraw consent, or who were lost to follow up were censored at the date last known alive.
Time Frame
Day 1 (randomization) up to data cut off date of 15 July 2019; median follow-up for OS estimated by the reverse K-M method was 41.2 months for all participants.
Secondary Outcome Measure Information:
Title
Kaplan-Meier Estimate of Relapse Free Survival (RFS)
Description
RFS was defined as the time from the date of randomization to the date of documented relapse or death from any cause, whichever occurred first. Participants who were still alive without documented relapse, or who were lost to follow-up or withdrew consent without documented relapse, were censored at the date of their last bone marrow assessment, prior to receiving any other therapy for AML. Documented relapse was defined as the earliest date of the following: ≥ 5% bone marrow blasts (myeloblasts) from Central Pathology report, or appearance of > 0% blasts in the peripheral blood with a later bone marrow confirmation (bone marrow blast [myeloblasts] ≥ 5%) within 100 days, or at least 2 peripheral blasts ≥ 5% within 30 days.
Time Frame
From day 1 (randomization) up to data cut off date of 15 July 2019; approximately 74 months
Title
Kaplan-Meier Estimate of Time to Relapse
Description
Time to relapse was defined as the interval (in months) from the date of randomization to the date of documented relapse. Estimates of relapse rate were based on the cumulative incidence function from a competing risk analysis with death as a competing risk for relapse from complete remission (CR)/ complete remission with incomplete blood count recovery (CRi). Documented relapse was defined as, the earliest date of the following: ≥ 5% bone marrow blasts (myeloblasts) from Central Pathology report, or appearance of > 0% blasts in the peripheral blood with a later bone marrow confirmation (bone marrow blast [myeloblasts] ≥ 5%) within 100 days, or at least 2 peripheral blasts ≥ 5% within 30 days.
Time Frame
Day 1 (randomization) to the date of the data cut off date of 15 July 2019; approximately 74 months
Title
Kaplan-Meier Estimates of Time to Discontinuation From Treatment
Description
Time to discontinuation from treatment was assessed and defined as the interval from the date of randomization to the date of discontinuation from study drug. Participants who were receiving treatment at the time of study closure were censored at the date of last visit. Estimates of relapse rate were based on the cumulative incidence function from a competing risk analysis with death as a competing risk for relapse from CR/ CRi.
Time Frame
From day 1 (randomization) up to data cut off date of 15 July 2019; approximately 74 months
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Description
TEAEs include AEs that started between first dose date and 28 days after the last dose of study drug. A serious adverse event (SAE) is: Death Life-threatening event Inpatient hospitalization or prolongation of existing hospitalization Persistent or significant disability or incapacity Congenital anomaly or birth defect Other important medical event The severity of AEs were assessed by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0: Grade 1 (Mild): asymptomatic/mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 (Moderate): minimal, local or noninvasive intervention indicated; limiting age-appropriate activities of daily living. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care Grade 4: Life-threatening; urgent intervention indicated. Grade 5: Death due to AE.
Time Frame
Day 1 (randomization) to the data cut off date of 15 July 2019; the median treatment duration was 11.6 months (range: 0.5 to 74.3 months) for the oral aza arm and 5.7 months (range: 0.7 to 68.5 months) for the placebo arm.
Title
Mean Change in the Functional Assessment of Chronic Illness Therapy (FACIT-Fatigue Scale V 4.0) Score From Baseline
Description
The functional assessment of chronic illness therapy (FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all; 4 = very much. The scores range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, then subscores were prorated.
Time Frame
Baseline to Cycle 2, Day 1 (C2D1), C3D1, C4D1, C5D1, C6D1, C7D1, C8D1, C9D1C3, C10D1, C11D1, C12D1, C13D1, C14D1, C15D1, C15D1, C16D1, C17D1, C18D1, C19D1, C20D1, C21D1, C22D1, C23D1, C24D1, C25D1 and continued on day 1 at each cycle through C33D1
Title
Mean Change in the European Quality of Life-Five Dimensions-Three Levels (EQ-5D-3L) Score From Baseline
Description
The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The instrument is scored using the United Kingdom (UK) index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Time Frame
Baseline to Cycle 2, Day 1 (C2D1), C3D1, C4D1, C5D1, C6D1, C7D1, C8D1, C9D1C3, C10D1, C11D1, C12D1, C13D1, C14D1, C15D1, C15D1, C16D1, C17D1, C18D1, C19D1, C20D1, C21D1, C22D1, C23D1, C24D1, C25D1 and continued on day 1 at each cycle through C33D1
Title
Percentage of Participants Experiencing a Clinically Meaningful Change (Improvement, No Change and Deterioration) in the FACIT-Fatigue Scale From Baseline
Description
A clinically meaningful improvement or worsening was defined as at least 3 points of improvement or worsening from baseline, respectively, for FACIT-Fatigue. The functional assessment of chronic illness therapy (FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all; 4 = very much. The scores range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, then subscores were prorated.
Time Frame
Baseline to Cycle 2, Day 1 (C2D1), C3D1, C4D1, C5D1, C6D1, C7D1, C8D1, C9D1C3, C10D1, C11D1, C12D1, C13D1, C14D1, C15D1, C15D1, C16D1, C17D1, C18D1, C19D1, C20D1, C21D1, C22D1, C23D1, C24D1, C25D1 and continued on day 1 at each cycle through C33D1
Title
Percentage of Participants Experiencing a Clinically Meaningful Change (Improvement, No Change and Deterioration) in the EQ-5D-3L Scale From Baseline
Description
The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The instrument is scored using the United Kingdom (UK) index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Time Frame
Baseline to Cycle 2, Day 1 (C2D1), C3D1, C4D1, C5D1, C6D1, C7D1, C8D1, C9D1C3, C10D1, C11D1, C12D1, C13D1, C14D1, C15D1, C15D1, C16D1, C17D1, C18D1, C19D1, C20D1, C21D1, C22D1, C23D1, C24D1, C25D1 and continued on day 1 at each cycle through C33D1
Title
Time to Definitive Clinically Meaningful Deterioration for ≥ 2 Consecutive Visits as Measured Using the Functional Assessment of Chronic Illness Therapy (FACIT-Fatigue Scale V 4.0)
Description
Clinically meaningful deterioration was defined as at least 3 points of deterioration from baseline for at least 2 consecutive visits for the FACIT--Fatigue. The FACIT-Fatigue Scale V 4.0) is a subscale of the FACIT-F and has been validated in the oncology setting. The FACIT-Fatigue Scale is a short, 13-item, self-administered tool that measures the level of fatigue in an individual during usually daily activities over the past week. The level of fatigue is measured on a 5-point Likert scale (0 = not at all to 4 = very much. The scores that range from 0 to 52, with higher scores indicating less fatigue. If there were missing items, but the participant answered at least 50% of the items, subscores were prorated.
Time Frame
From day 1 (randomization) up to data cut off date of 15 July 2019; approximately 74 months
Title
Time to Definitive Clinically Meaningful Deterioration for ≥ 2 Consecutive Visits as Measured Using the EQ-5D HRQoL Scale
Description
Clinically meaningful deterioration was defined at least 0.10 point of deterioration from baseline for at least 2 consecutive visits for the EQ-5D Health Utility Index. The EQ-5D-3L is a self-administered questionnaire consisting of 5 questions, pertaining to specific health dimensions (ie, mobility, self-care, pain, usual activities, and anxiety/depression) and a health status scale. Each question has 3 levels of severity, corresponding to no problems, moderate problems and severe problems. Canadian population sample weights were used to derive health utility scores. A higher utility score represents a better health state. A clinically meaningful improvement or worsening was defined as at least 0.08 points of improvement or 0.10 points of worsening from baseline, respectively, for the EQ-5D-3L Health Utility Index. The EQ-5D-3L is scored using the UK index ranges from -0.594 to 1, where 0 equates to death and 1 equates to full health; -0.594 is considered 'worse than death'.
Time Frame
From day 1 (randomization) up to data cut off date of 15 July 2019; approximately 74 months
Title
Healthcare Resource Utilization (HRU): Rate of Hospital Events Per Person Year
Description
HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU is a key component to understand treatment costs and budget impact of new treatments from a provider perspective.
Time Frame
Day 1 (randomization) to the date of the data cut off date of 15 July 2019; approximately 74 months
Title
Healthcare Resource Utilization (HRU): Number of Days Hospitalized Per Person-Year
Description
HRU is defined as any consumption of healthcare resources directly or indirectly related to the treatment of the patient. HRU is a key component to understand treatment costs and budget impact of new treatments from a provider perspective.
Time Frame
Day 1 (randomization) to the date of the data cut off date of 15 July 2019; approximately 74 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male or female participants ≥ 55 years of age Newly diagnosed, histologically confirmed de novo acute myeloid leukemia (AML) or AML secondary to prior myelodysplastic disease or CMML (Chronic myelomonocytic leukemia) First complete remission (CR)/ complete remission with incomplete blood count recovery (CRi) with induction therapy with intensive chemotherapy with or without consolidation therapy within 4 months (+/- 7 days of achieving CR or CRi) Eastern Cooperative Oncology Group (ECOG) performance status - 0, 1, 2, 3 Key Inclusion Criteria in the Extended Phase of the study: At the Investigator's discretion and with approval of the sponsor, participants meeting all of the following eligibility criteria are eligible to enter the extension phase: All participants randomized into the oral azacitidine or placebo arm and are continuing in either the treatment phase or follow-up phase of the CC-486-AML-001 study; Participants randomized to oral azacitidine treatment arm and continuing in the treatment phase demonstrating clinical benefit as assessed by the investigator are eligible to receive oral azacitidine in the extension phase (EP); Participants randomized into placebo arm of the study will not receive oral azacitidine in the EP, but will be followed for survival in the EP; Participants currently in the follow-up phase will continue to be followed for survival in the EP; Participants who have signed the informed consent for the EP of the study; Participants who do not meet any of the criteria for study discontinuation Key Exclusion Criteria: AML with inversion (inv)(16), translocation = t(8;21), t(16;16), t(15;17), or t(9;22) or molecular evidence of such translocations Prior bone marrow or stem cell transplantation Have achieved CR/CRi following therapy with hypomethylating agents Diagnosis of malignant disease within the previous 12 months Proven central nervous system (CNS) leukemia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Oncology Associates, P.C.
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85016
Country
United States
Facility Name
Providence St Joseph Medical Center Cancer Center
City
Burbank
State/Province
California
ZIP/Postal Code
91505
Country
United States
Facility Name
City Of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010-301
Country
United States
Facility Name
University of California San Francisco Fresno Campus
City
Fresno
State/Province
California
ZIP/Postal Code
93701
Country
United States
Facility Name
University of Southern California Norris Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Ucla
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-6956
Country
United States
Facility Name
Local Institution - 050
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Sharp Memorial Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Stanford Cancer Center
City
Stanford
State/Province
California
ZIP/Postal Code
94305-582
Country
United States
Facility Name
Innovative Clinical Research Institute
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Facility Name
Rocky Mountain Cancer Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218-1210
Country
United States
Facility Name
The Hospital of Central Connecticut
City
Southington
State/Province
Connecticut
ZIP/Postal Code
06489
Country
United States
Facility Name
George Washington University Cancer Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States
Facility Name
University Of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
Mount Sinai Comprehensive Cancer Center
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
University of Florida Health Cancer Center at Orlando Health
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Northwestern University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Loyola University Chicago
City
Maywood
State/Province
Illinois
ZIP/Postal Code
60153
Country
United States
Facility Name
Cancer Care and Hematology Specialists of Chicagoland, P.C. - Niles, IL
City
Niles
State/Province
Illinois
ZIP/Postal Code
60714
Country
United States
Facility Name
Indiana University Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202-528
Country
United States
Facility Name
Franciscan St. Francis Health
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46237
Country
United States
Facility Name
Kansas University Medical Center
City
Westwood
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
Facility Name
University Of Louisville
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Norton Cancer Institute Louisville Oncology
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
Facility Name
Tulane University Medical Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Ochsner Medical Center - Jefferson Highway
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121-2483
Country
United States
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
University of Massachusetts
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States
Facility Name
Local Institution - 037
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Kansas City VA Medical Center University of Kansas Medical Center
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64128
Country
United States
Facility Name
Washington University School Of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
University Of Nebraska Medical Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198-7680
Country
United States
Facility Name
John Theurer Cancer Center at Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
Winthrop University Hospital
City
Mineola
State/Province
New York
ZIP/Postal Code
11501-3893
Country
United States
Facility Name
Mt. Sinai Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Columbia University Irving Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Local Institution - 002
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Local Institution - 014
City
Valhalla
State/Province
New York
ZIP/Postal Code
10595
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Local Institution - 025
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Local Institution - 016
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
University of Oklahoma Peggy and Charles Stephenson Cancer Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Kaiser Permanente Northwest Oncology Hematology
City
Portland
State/Province
Oregon
ZIP/Postal Code
97227
Country
United States
Facility Name
Lancaster General Hospital
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17604
Country
United States
Facility Name
UPMC Cancer Pavillion
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Greenville Hospital System
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
Sarah Cannon Research Inst
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-5505
Country
United States
Facility Name
University Of Texas Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-9068
Country
United States
Facility Name
Brooke-Army Medical Center
City
Fort Sam Houston
State/Province
Texas
ZIP/Postal Code
78234
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Cancer Care Centers of South Texas - Loop
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78217
Country
United States
Facility Name
Methodist Hospital
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
VA Commonwealth University - Massey Cancer Center
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298-0037
Country
United States
Facility Name
Swedish Cancer Inst
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Yakima Valley Memorial Hospital/ North Star Lodge
City
Yakima
State/Province
Washington
ZIP/Postal Code
98902
Country
United States
Facility Name
Froedtert Hospital BMT Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226-3522
Country
United States
Facility Name
Local Institution - 510
City
Wollongong
State/Province
New South Wales
ZIP/Postal Code
2500
Country
Australia
Facility Name
Local Institution - 509
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Facility Name
Local Institution - 508
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
SA 5000
Country
Australia
Facility Name
Local Institution - 511
City
Bedford Park
State/Province
South Australia
ZIP/Postal Code
5042
Country
Australia
Facility Name
Local Institution - 504
City
Woodville South
State/Province
South Australia
ZIP/Postal Code
5011
Country
Australia
Facility Name
Local Institution - 503
City
Heidelberg
ZIP/Postal Code
3084
Country
Australia
Facility Name
Local Institution - 502
City
Hobart
ZIP/Postal Code
7000
Country
Australia
Facility Name
Local Institution - 507
City
Liverpool
ZIP/Postal Code
2170
Country
Australia
Facility Name
Local Institution - 500
City
Melbourne
ZIP/Postal Code
3004
Country
Australia
Facility Name
Local Institution - 505
City
Perth
ZIP/Postal Code
6000
Country
Australia
Facility Name
Local Institution - 512
City
Perth
ZIP/Postal Code
6000
Country
Australia
Facility Name
Local Institution - 506
City
St Leonards
ZIP/Postal Code
2065
Country
Australia
Facility Name
Local Institution - 501
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Facility Name
Local Institution - 271
City
Graz
ZIP/Postal Code
73013
Country
Austria
Facility Name
Local Institution - 270
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Facility Name
Local Institution - 274
City
Vienna
ZIP/Postal Code
1130
Country
Austria
Facility Name
Local Institution - 273
City
Vienna
ZIP/Postal Code
1190
Country
Austria
Facility Name
Local Institution - 272
City
Wien
ZIP/Postal Code
1140
Country
Austria
Facility Name
Local Institution - 300
City
Brugge
ZIP/Postal Code
8000
Country
Belgium
Facility Name
Local Institution - 301
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Local Institution - 302
City
Mons
ZIP/Postal Code
7000
Country
Belgium
Facility Name
Local Institution - 233
City
Curitiba
State/Province
Paraná
ZIP/Postal Code
81520-060
Country
Brazil
Facility Name
Local Institution - 231
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90035-903
Country
Brazil
Facility Name
Local Institution - 232
City
Rio de Janeiro
ZIP/Postal Code
20230-130
Country
Brazil
Facility Name
Local Institution - 230
City
Sao Paulo
ZIP/Postal Code
05651-901
Country
Brazil
Facility Name
Local Institution - 234
City
São Paulo
ZIP/Postal Code
01308-050
Country
Brazil
Facility Name
Local Institution - 605
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
Facility Name
Local Institution - 600
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E OV9
Country
Canada
Facility Name
Local Institution - 601
City
Saint John
State/Province
New Brunswick
ZIP/Postal Code
E2L 4L2
Country
Canada
Facility Name
Local Institution - 603
City
St John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1B3V6
Country
Canada
Facility Name
Local Institution - 604
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 2Y9
Country
Canada
Facility Name
Local Institution - 607
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Facility Name
Local Institution - 608
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2W 1S6
Country
Canada
Facility Name
Local Institution - 602
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4J 1C5
Country
Canada
Facility Name
Local Institution - 320
City
Brno
State/Province
Jihomoravský Kraj
ZIP/Postal Code
625 00
Country
Czechia
Facility Name
Local Institution - 321
City
Praha
ZIP/Postal Code
128 08
Country
Czechia
Facility Name
Local Institution - 322
City
Praha
ZIP/Postal Code
128 20
Country
Czechia
Facility Name
Local Institution - 361
City
Helsinki
ZIP/Postal Code
290
Country
Finland
Facility Name
Local Institution - 362
City
Tampere
ZIP/Postal Code
33521
Country
Finland
Facility Name
Local Institution - 360
City
Turku
ZIP/Postal Code
20521
Country
Finland
Facility Name
Local Institution - 456
City
Amiens
ZIP/Postal Code
80054
Country
France
Facility Name
Local Institution - 465
City
Argenteuil
ZIP/Postal Code
95100
Country
France
Facility Name
Local Institution - 457
City
Bobigny Cedex
ZIP/Postal Code
93009
Country
France
Facility Name
Local Institution - 462
City
Boulognes Sur Mer
ZIP/Postal Code
62200
Country
France
Facility Name
Local Institution - 460
City
Clamart Cedex
ZIP/Postal Code
92141
Country
France
Facility Name
Local Institution - 452
City
Creteil
ZIP/Postal Code
94010
Country
France
Facility Name
Local Institution - 458
City
Le Chesnay Cedex
ZIP/Postal Code
78157
Country
France
Facility Name
Local Institution - 453
City
Lille
ZIP/Postal Code
59037
Country
France
Facility Name
Local Institution - 461
City
Limoges Cedex
ZIP/Postal Code
87042
Country
France
Facility Name
Local Institution - 450
City
Lyon cedex
ZIP/Postal Code
69437
Country
France
Facility Name
Local Institution - 800
City
Paris Cedex 10
ZIP/Postal Code
75475
Country
France
Facility Name
Local Institution - 463
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Local Institution - 454
City
Paris
ZIP/Postal Code
75475
Country
France
Facility Name
Local Institution - 464
City
Pontoise
ZIP/Postal Code
95301
Country
France
Facility Name
Local Institution - 455
City
Rouen
ZIP/Postal Code
76038
Country
France
Facility Name
Local Institution - 459
City
Saint-Cloud
ZIP/Postal Code
92210
Country
France
Facility Name
Local Institution - 451
City
Villejuif CEDEX
ZIP/Postal Code
94805
Country
France
Facility Name
Local Institution - 400
City
Dresden
State/Province
Saxony
ZIP/Postal Code
01307
Country
Germany
Facility Name
Local Institution - 413
City
Berlin
ZIP/Postal Code
12203
Country
Germany
Facility Name
Local Institution - 410
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Facility Name
Local Institution - 406
City
Düsseldorf
ZIP/Postal Code
40225
Country
Germany
Facility Name
Local Institution - 415
City
Erlangen
ZIP/Postal Code
91054
Country
Germany
Facility Name
Local Institution - 404
City
Frankfurt am Main
ZIP/Postal Code
65929
Country
Germany
Facility Name
Local Institution - 412
City
Goch
ZIP/Postal Code
47574
Country
Germany
Facility Name
Local Institution - 405
City
Hannover
ZIP/Postal Code
30625
Country
Germany
Facility Name
Local Institution - 408
City
Heilbronn
ZIP/Postal Code
74078
Country
Germany
Facility Name
Local Institution - 414
City
Jena
ZIP/Postal Code
07740
Country
Germany
Facility Name
Local Institution - 403
City
Keil
ZIP/Postal Code
24105
Country
Germany
Facility Name
Local Institution - 402
City
Mannheim
ZIP/Postal Code
68167
Country
Germany
Facility Name
Local Institution - 409
City
Muenchen
ZIP/Postal Code
80804
Country
Germany
Facility Name
Local Institution - 411
City
München
ZIP/Postal Code
81675
Country
Germany
Facility Name
Local Institution - 407
City
Oldenburg
ZIP/Postal Code
26133
Country
Germany
Facility Name
Local Institution - 416
City
Schweiler
ZIP/Postal Code
52249
Country
Germany
Facility Name
Local Institution - 401
City
Ulm
ZIP/Postal Code
89081
Country
Germany
Facility Name
Local Institution - 950
City
Dublin
ZIP/Postal Code
24
Country
Ireland
Facility Name
Local Institution - 951
City
Galway
ZIP/Postal Code
ST46QG
Country
Ireland
Facility Name
Local Institution - 381
City
Beer Sheva
ZIP/Postal Code
84101
Country
Israel
Facility Name
Local Institution - 380
City
Haifa
ZIP/Postal Code
35254
Country
Israel
Facility Name
Local Institution - 383
City
Jerusalem
ZIP/Postal Code
91120
Country
Israel
Facility Name
Local Institution - 382
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
Facility Name
Local Institution - 701
City
Alessandria
ZIP/Postal Code
15121
Country
Italy
Facility Name
Local Institution - 721
City
Bari
ZIP/Postal Code
70124
Country
Italy
Facility Name
Local Institution - 720
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Local Institution - 710
City
Cagliari
ZIP/Postal Code
O9126
Country
Italy
Facility Name
Local Institution - 702
City
Cremona
ZIP/Postal Code
26100
Country
Italy
Facility Name
Local Institution - 708
City
Firenze
ZIP/Postal Code
50129
Country
Italy
Facility Name
Local Institution - 712
City
Genova
ZIP/Postal Code
16132
Country
Italy
Facility Name
Local Institution - 716
City
Lecce
ZIP/Postal Code
73100
Country
Italy
Facility Name
Local Institution - 726
City
Milano
ZIP/Postal Code
20162
Country
Italy
Facility Name
Local Institution - 706
City
Milan
ZIP/Postal Code
20122
Country
Italy
Facility Name
Local Institution - 704
City
Monza
ZIP/Postal Code
20900
Country
Italy
Facility Name
Local Institution - 717
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Local Institution - 725
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Local Institution - 705
City
Orbassano (TO)
ZIP/Postal Code
10043
Country
Italy
Facility Name
Local Institution - 703
City
Palermo
ZIP/Postal Code
90146
Country
Italy
Facility Name
Local Institution - 719
City
Palermo
ZIP/Postal Code
90146
Country
Italy
Facility Name
Local Institution - 724
City
Pesaro
ZIP/Postal Code
31122
Country
Italy
Facility Name
Local Institution - 700
City
Reggio Calabria
ZIP/Postal Code
89100
Country
Italy
Facility Name
Local Institution - 709
City
Roma
ZIP/Postal Code
00161
Country
Italy
Facility Name
Local Institution - 714
City
Roma
ZIP/Postal Code
00168
Country
Italy
Facility Name
Local Institution - 723
City
Roma
ZIP/Postal Code
00189
Country
Italy
Facility Name
Local Institution - 722
City
Rome
ZIP/Postal Code
133
Country
Italy
Facility Name
Local Institution - 715
City
Torino
ZIP/Postal Code
10126
Country
Italy
Facility Name
Local Institution - 718
City
Torino
ZIP/Postal Code
10126
Country
Italy
Facility Name
Local Institution - 711
City
Udine
ZIP/Postal Code
33100
Country
Italy
Facility Name
Local Institution - 707
City
Varese
ZIP/Postal Code
21100
Country
Italy
Facility Name
Local Institution - 535
City
Busan
ZIP/Postal Code
49241
Country
Korea, Republic of
Facility Name
Local Institution - 533
City
Daegu
ZIP/Postal Code
700-721
Country
Korea, Republic of
Facility Name
Local Institution - 536
City
Seoul
ZIP/Postal Code
120-752
Country
Korea, Republic of
Facility Name
Local Institution - 530
City
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Local Institution - 531
City
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
Facility Name
Local Institution - 532
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Local Institution - 750
City
Klaipeda
ZIP/Postal Code
5809
Country
Lithuania
Facility Name
Local Institution - 252
City
Huixquilucan de Degollado
ZIP/Postal Code
52763
Country
Mexico
Facility Name
Local Institution - 251
City
Mexico
ZIP/Postal Code
14080
Country
Mexico
Facility Name
Local Institution - 250
City
Monterrey
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Local Institution - 824
City
Bydgoszcz
ZIP/Postal Code
85-168
Country
Poland
Facility Name
Local Institution - 820
City
Gdansk
ZIP/Postal Code
80-211
Country
Poland
Facility Name
Local Institution - 822
City
Lodz
ZIP/Postal Code
93-510
Country
Poland
Facility Name
Local Institution - 821
City
Warsaw
ZIP/Postal Code
02-776
Country
Poland
Facility Name
Local Institution - 823
City
Wroclaw
ZIP/Postal Code
50-367
Country
Poland
Facility Name
Local Institution - 841
City
Coimbra
ZIP/Postal Code
4200-072
Country
Portugal
Facility Name
Local Institution - 840
City
Lisboa
ZIP/Postal Code
1099-023
Country
Portugal
Facility Name
Local Institution - 843
City
Lisboa
ZIP/Postal Code
1150-314
Country
Portugal
Facility Name
Local Institution - 842
City
Porto
ZIP/Postal Code
4200-072
Country
Portugal
Facility Name
Local Institution - 844
City
Porto
ZIP/Postal Code
4200
Country
Portugal
Facility Name
Local Institution - 971
City
Moscow
ZIP/Postal Code
125101
Country
Russian Federation
Facility Name
Local Institution - 970
City
Nizhniy Novgorod
ZIP/Postal Code
603005
Country
Russian Federation
Facility Name
Local Institution - 972
City
Saint Petersburg
ZIP/Postal Code
196022
Country
Russian Federation
Facility Name
Local Institution - 973
City
St Petersburg
ZIP/Postal Code
197341
Country
Russian Federation
Facility Name
Local Institution - 872
City
Palma de Mallorca
State/Province
Baleares
ZIP/Postal Code
07198
Country
Spain
Facility Name
Local Institution - 869
City
Badalona (Barcelona)
ZIP/Postal Code
8916
Country
Spain
Facility Name
Local Institution - 871
City
Barcelona
ZIP/Postal Code
08025
Country
Spain
Facility Name
Local Institution - 870
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Local Institution - 873
City
Caceres
ZIP/Postal Code
10003
Country
Spain
Facility Name
Local Institution - 863
City
Cordoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Local Institution - 867
City
La Coruna
ZIP/Postal Code
15006
Country
Spain
Facility Name
Local Institution - 868
City
Madrid
ZIP/Postal Code
28006
Country
Spain
Facility Name
Local Institution - 866
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Local Institution - 865
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Local Institution - 864
City
Oviedo
ZIP/Postal Code
33006
Country
Spain
Facility Name
Local Institution - 861
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Facility Name
Local Institution - 862
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Local Institution - 860
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Facility Name
Local Institution - 599
City
Beitou District, Taipei City
ZIP/Postal Code
11217
Country
Taiwan
Facility Name
Local Institution - 595
City
Niaosong District Kaohsiung City
ZIP/Postal Code
83301
Country
Taiwan
Facility Name
Local Institution - 596
City
Taichung, Northern Dist.
ZIP/Postal Code
404
Country
Taiwan
Facility Name
Local Institution - 597
City
Tainan, Taiana
ZIP/Postal Code
704
Country
Taiwan
Facility Name
Local Institution - 598
City
Taipei, Zhongzheng Dist.
ZIP/Postal Code
10002
Country
Taiwan
Facility Name
Local Institution - 653
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
Local Institution - 650
City
Ankara
ZIP/Postal Code
06200
Country
Turkey
Facility Name
Local Institution - 651
City
Istanbul
ZIP/Postal Code
34662
Country
Turkey
Facility Name
Local Institution - 652
City
Samsun
ZIP/Postal Code
55139
Country
Turkey
Facility Name
Local Institution - 904
City
Nottingham
State/Province
Nottinghamshire
ZIP/Postal Code
NG5 1PB
Country
United Kingdom
Facility Name
Local Institution - 907
City
Boston
ZIP/Postal Code
PE21 9QS
Country
United Kingdom
Facility Name
Local Institution - 903
City
Brighton East Sussex
ZIP/Postal Code
BN2 5BE
Country
United Kingdom
Facility Name
Local Institution - 902
City
Canterbury Kent
ZIP/Postal Code
CT1 3NG
Country
United Kingdom
Facility Name
Local Institution - 905
City
London
ZIP/Postal Code
NW1 2PG
Country
United Kingdom
Facility Name
Local Institution - 901
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Local Institution - 908
City
London
ZIP/Postal Code
W12 0HS
Country
United Kingdom
Facility Name
Local Institution - 909
City
Maidstone
ZIP/Postal Code
ME16 9QQ
Country
United Kingdom
Facility Name
Local Institution - 900
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Facility Name
Local Institution - 906
City
Romford, Essex
ZIP/Postal Code
RM7 0AG
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
26785287
Citation
Roboz GJ, Montesinos P, Selleslag D, Wei A, Jang JH, Falantes J, Voso MT, Sayar H, Porkka K, Marlton P, Almeida A, Mohan S, Ravandi F, Garcia-Manero G, Skikne B, Kantarjian H. Design of the randomized, Phase III, QUAZAR AML Maintenance trial of CC-486 (oral azacitidine) maintenance therapy in acute myeloid leukemia. Future Oncol. 2016 Feb;12(3):293-302. doi: 10.2217/fon.15.326. Epub 2016 Jan 19.
Results Reference
background
PubMed Identifier
35960871
Citation
Dohner H, Wei AH, Roboz GJ, Montesinos P, Thol FR, Ravandi F, Dombret H, Porkka K, Sandhu I, Skikne B, See WL, Ugidos M, Risueno A, Chan ET, Thakurta A, Beach CL, Lopes de Menezes D. Prognostic impact of NPM1 and FLT3 mutations in patients with AML in first remission treated with oral azacitidine. Blood. 2022 Oct 13;140(15):1674-1685. doi: 10.1182/blood.2022016293.
Results Reference
derived
PubMed Identifier
35437111
Citation
Zhu J, Wu Q, Wang J, Niu T. Cost-effectiveness analysis of azacitidine maintenance therapy in patients with acute myeloid leukemia. Expert Rev Hematol. 2022 Apr;15(4):375-382. doi: 10.1080/17474086.2022.2061456. Epub 2022 May 11.
Results Reference
derived
PubMed Identifier
34995344
Citation
Roboz GJ, Ravandi F, Wei AH, Dombret H, Thol F, Voso MT, Schuh AC, Porkka K, La Torre I, Skikne B, Zhong J, Beach CL, Risueno A, Menezes DL, Ossenkoppele G, Dohner H. Oral azacitidine prolongs survival of patients with AML in remission independently of measurable residual disease status. Blood. 2022 Apr 7;139(14):2145-2155. doi: 10.1182/blood.2021013404.
Results Reference
derived
PubMed Identifier
34454540
Citation
Ravandi F, Roboz GJ, Wei AH, Dohner H, Pocock C, Selleslag D, Montesinos P, Sayar H, Musso M, Figuera-Alvarez A, Safah H, Tse W, Sohn SK, Hiwase D, Chevassut T, Pierdomenico F, La Torre I, Skikne B, Bailey R, Zhong J, Beach CL, Dombret H. Management of adverse events in patients with acute myeloid leukemia in remission receiving oral azacitidine: experience from the phase 3 randomized QUAZAR AML-001 trial. J Hematol Oncol. 2021 Aug 28;14(1):133. doi: 10.1186/s13045-021-01142-x.
Results Reference
derived
PubMed Identifier
33369355
Citation
Wei AH, Dohner H, Pocock C, Montesinos P, Afanasyev B, Dombret H, Ravandi F, Sayar H, Jang JH, Porkka K, Selleslag D, Sandhu I, Turgut M, Giai V, Ofran Y, Kizil Cakar M, Botelho de Sousa A, Rybka J, Frairia C, Borin L, Beltrami G, Cermak J, Ossenkoppele GJ, La Torre I, Skikne B, Kumar K, Dong Q, Beach CL, Roboz GJ; QUAZAR AML-001 Trial Investigators. Oral Azacitidine Maintenance Therapy for Acute Myeloid Leukemia in First Remission. N Engl J Med. 2020 Dec 24;383(26):2526-2537. doi: 10.1056/NEJMoa2004444.
Results Reference
derived
Links:
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
BMS Clinical Trial Information
URL
https://www.bmsstudyconnect.com/s/US/English/USenHome
Description
BMS Clinical Trial Patient Recruiting
URL
https://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm
Description
FDA Safety Alerts and Recalls

Learn more about this trial

Efficacy of Oral Azacitidine Plus Best Supportive Care as Maintenance Therapy in Subjects With Acute Myeloid Leukemia (AML) in Complete Remission

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