drugset / Trial / NCT02103478
Pharmacokinetic Guided Dose Escalation and Dose Confirmation With Oral Decitabine and Oral Cytidine Deaminase Inhibitor (CDAi) in Patients With Myelodysplastic Syndromes (MDS)
RandomizedSequentialOpen-labelTreatment
Summary
This first-in-human, 3-stage, open-label study evaluated the safety and pharmacokinetics of ASTX727, as well as determined the dose for later stages.
Timeline
- Start
- 2014-10-28
- Primary completion
- 2018-06-05
- Completion
- 2019-12-04
Publications
- Garcia-Manero G, Griffiths EA, Steensma DP, Roboz GJ, Wells R, McCloskey J, Odenike O, DeZern AE, Yee K, Busque L, O'Connell C, Michaelis LC, Brandwein J, Kantarjian H, Oganesian A, Azab M, Savona MR. Oral cedazuridine/decitabine for MDS and CMML: a phase 2 pharmacokinetic/pharmacodynamic randomized crossover study. Blood. 2020 Aug 6;136(6):674-683. doi: 10.1182/blood.2019004143.
- Savona MR, Odenike O, Amrein PC, Steensma DP, DeZern AE, Michaelis LC, Faderl S, Harb W, Kantarjian H, Lowder J, Oganesian A, Azab M, Garcia-Manero G. An oral fixed-dose combination of decitabine and cedazuridine in myelodysplastic syndromes: a multicentre, open-label, dose-escalation, phase 1 study. Lancet Haematol. 2019 Apr;6(4):e194-e203. doi: 10.1016/S2352-3026(19)30030-4.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | ASTX727 Dose Escalation | Small molecule | 20 mg | Oral |
| Subject | ASTX727 Dose Escalation | Small molecule | 20 mg/m2 | Oral |
| Subject | ASTX727 Dose Escalation | Small molecule | 30 mg | Oral |
| Subject | ASTX727 Dose Escalation | Small molecule | 35 mg | Oral |
| Subject | ASTX727 Dose Escalation | Small molecule | 40 mg | Oral |
| Subject | Cedazuridine | Small molecule | 40 mg | — |
| Subject | Cedazuridine | Small molecule | 100 mg | — |