Efficacy of Oral Azacitidine Plus Best Supportive Care as Maintenance Therapy in Subjects With Acute Myeloid Leukemia (AML) in Complete Remission (QUAZAR AML-001)
Leukemia, Myeloid, Acute
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
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
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
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- University of Rochester Medical Center
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- Duke University Medical Center
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- 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
Experimental
Placebo Comparator
Oral Azacitidine
Placebo
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.