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CompletedNCT00260065Updated May 20, 2013Results posted

A Study of Decitabine Given to Adults With Advanced-Stage Myelodysplastic Syndromes

A Phase 2 interventional study of Decitabine in Myelodysplastic Syndrome, sponsored by Eisai Inc.. Completed at 21 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-05-20.

Sponsored by Eisai Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
99
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine the overall response rate in patients with myelodysplastic syndromes (MDS) given a daily dosing schedule of decitabine.

02

Conditions studied

  • Myelodysplastic Syndrome

Keywords

  • Myelodysplastic Syndrome
  • Decitabine
  • Dacogen
  • MGI Pharma
03

In context

Preleukemia

1,317 studies on the registry are indexed under Preleukemia; 57 are open to participants now.

This study's enrollment of 99 is above the median of 36 across 1,060 interventional studies indexed under Preleukemia.

Browse Preleukemia studies →

Lead sponsor

Eisai Inc. is the lead sponsor of 360 studies on the registry; 7 are open to participants now.

Of its 81 completed or terminated interventional studies of FDA-regulated products, 54 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Must sign an Institutional Review Board (IRB) -approved informed consent form.
  2. Must be 18 years of age or older.
  3. Must have a diagnosis for MDS fitting any of the recognized French-American-British (FAB) classifications and International Prognostic Scoring System (IPSS) greater than or equal to 0.5 as determined by Complete Blood Count (CBC), bone marrow assessment, and cytogenetics within 28 days of receiving study drug. If FAB classification is Refractory anemia (RA) or Refractory anemia with ringed sideroblasts (RARS), then must be red cell transfusion dependent, defined as needing red cells more frequently than once every 4 weeks.
  4. If receiving erythropoietin(Procrit), must have been on a stable dose for at least 8 weeks before first dose of study drug.
  5. If receiving darbepoetin(Aranesp), must have been on a stable dose for at least 12 weeks before first dose of study drug.

Exclusion criteria

Exclusion Criteria:

  1. Must not have a diagnosis of Acute Myeloid Leukemia (AML) or other progressive malignant disease.
  2. Must not have received any investigational agent within the 30 days preceding the first dose of study drug.
  3. Must not have uncontrolled cardiac disease or uncontrolled congestive heart failure.
  4. Must not have an active viral or bacterial infection.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
99 participants (actual)

Study arms

  • Experimental
    1

    Drug: Decitabine

Interventions

  • DrugDecitabine

    20mg/m\^2, IV on days 1-5 of each 28 day cycle; until progression, death or unacceptable toxicity develops.

    Also known as: Dacogen

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Achieved Overall Response

    Overall Response = complete remission (disappearance of all target lesions) + partial remission (at least 30% decrease in the sum of the longest diameters of target lesions)

    Time frame: 1 year

Secondary outcomes

  1. Best Response and Overall Improvement

    Overall Improvement = complete remission + marrow complete remission + partial remission + hematologic improvement (CR+mCR+PR+HI)

    Time frame: 1 year

07

Results

Posted Sep 4, 2009

Participant flow

Participant flow — Overall Study
MilestoneDecitabine 20 mg/m2 Intravenous
Started99
Completed6
Not completed93
Withdrew: Progressive disease22
Withdrew: Adverse event17
Withdrew: Death13
Withdrew: Withdrawal by subject13
Withdrew: Physician decision19
Withdrew: Not otherwise specified8
Withdrew: Medication noncompliance1

Outcome measures

PrimaryNumber of Participants Who Achieved Overall Response

Overall Response = complete remission (disappearance of all target lesions) + partial remission (at least 30% decrease in the sum of the longest diameters of target lesions)

Time frame:
1 year
Reported as:
Number · participants
Number of Participants Who Achieved Overall Response
participantsDecitabine 20 mg/m2 Intravenous
Number of Participants Who Achieved Overall Response33
Statistical analysis
  • Decitabine 20 mg/m2 Intravenous · Percentage of participants: 33 · 95% CI 24.2 to 43.5
SecondaryBest Response and Overall Improvement

Overall Improvement = complete remission + marrow complete remission + partial remission + hematologic improvement (CR+mCR+PR+HI)

Time frame:
1 year
Reported as:
Number · Participants
Best Response and Overall Improvement
ParticipantsDecitabine 20 mg/m2 Intravenous
Overall Improvement51
Complete Remission (CR)17
Marrow Complete Remission (mCR)16
Partial Remission (PR)0
Hematologic Improvement (HI)18
Statistical analysis
  • Decitabine 20 mg/m2 Intravenous · Percentage of participants: 52 · 95% CI 41.3 to 61.7

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Decitabine 20 mg/m2 Intravenous—65/99 (65.7%)96/99 (97%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventDecitabine 20 mg/m2 Intravenous
PneumoniaInfections and infestations17/99
Febrile NeutropeniaBlood and lymphatic system disorders13/99
NeutropeniaBlood and lymphatic system disorders12/99
AnaemiaBlood and lymphatic system disorders9/99
Staphylococcal BacteraemiaInfections and infestations7/99
PyrexiaGeneral disorders6/99
PancytopeniaBlood and lymphatic system disorders4/99
Disease ProgressionGeneral disorders4/99
SepsisInfections and infestations4/99
DyspnoeaRespiratory, thoracic and mediastinal disorders4/99
Most frequent other events
Showing 10 of 79
Most frequent other events
EventDecitabine 20 mg/m2 Intravenous
FatigueGeneral disorders46/99
NauseaGastrointestinal disorders40/99
NeutropeniaBlood and lymphatic system disorders38/99
PyrexiaGeneral disorders36/99
AnaemiaBlood and lymphatic system disorders31/99
ConstipationGastrointestinal disorders30/99
DyspnoeaRespiratory, thoracic and mediastinal disorders29/99
DiarrheaGastrointestinal disorders28/99
ThrombocytopeniaBlood and lymphatic system disorders27/99
Oedema PeripheralGeneral disorders27/99

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Decitabine 20 mg/m2 Intravenous
<=18 years0
Between 18 and 65 years15
>=65 years84
Age Continuous
Age Continuous(years)Decitabine 20 mg/m2 Intravenous
Mean70.9 ± 8.78
Sex: Female, Male
Sex: Female, Male(Participants)Decitabine 20 mg/m2 Intravenous
Female28
Male71
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Decitabine 20 mg/m2 Intravenous
American Indian or Alaska Native0
Asian4
Native Hawaiian or Other Pacific Islander0
Black or African American6
White86
More than one race0
Unknown or Not Reported3
Region of Enrollment
Region of Enrollment(participants)Decitabine 20 mg/m2 Intravenous
United States99
08

Study locations

21 sites
  • Birmingham, Alabama 35235, United States
  • Phoenix, Arizona, United States
  • Boca Raton, Florida 33486, United States
  • Fort Myers, Florida, United States
  • Jacksonville, Florida, United States
  • New Port Richey, Florida 34652, United States
  • Griffin, Georgia 30224, United States
  • Chicago, Illinois 60637-1470, United States
  • Maywood, Illinois 60153, United States
  • Rochester, Minnesota 55905, United States
  • Hackensack, New Jersey 07601, United States
  • Buffalo, New York 14263, United States
  • Canton, Ohio 44718, United States
  • Charleston, South Carolina 29406, United States
  • Memphis, Tennessee 38138, United States
  • Houston, Texas 77030, United States
  • Midland, Texas 79701, United States
  • Seattle, Washington 98104, United States
  • La Crosse, Wisconsin 54601, United States
  • Milwaukee, Wisconsin 53215, United States
  • Toronto, Ontario M4N 3M5, Canada
09

References and documents

Publications

  • Jabbour E, Kantarjian H, O'Brien S, Kadia T, Malik A, Welch MA, Teng A, Cortes J, Ravandi F, Garcia-Manero G. Retrospective analysis of prognostic factors associated with response and overall survival by baseline marrow blast percentage in patients with myelodysplastic syndromes treated with decitabine. Clin Lymphoma Myeloma Leuk. 2013 Oct;13(5):592-6. doi: 10.1016/j.clml.2013.05.004. Epub 2013 Jun 20. PubMed 23790798 ↗
  • Jabbour E, Garcia-Manero G, Ravandi F, Faderl S, O'Brien S, Fullmer A, Cortes JE, Wierda W, Kantarjian H. Prognostic factors associated with disease progression and overall survival in patients with myelodysplastic syndromes treated with decitabine. Clin Lymphoma Myeloma Leuk. 2013 Apr;13(2):131-8. doi: 10.1016/j.clml.2012.11.001. Epub 2012 Dec 21. PubMed 23260600 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00260065
Lead sponsor
Eisai Inc.
Responsible party
Sponsor
First posted
Dec 1, 2005
Start date
May 2005
Primary completion
Jun 2008
Completion
Dec 2008
Results posted
Sep 4, 2009
Last update
May 20, 2013

Study contacts

Eisai US Medical Services
study director · Eisai Inc.
View the source record on ClinicalTrials.gov ↗

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