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CompletedNCT00739388Updated Apr 10, 2013

Azacitidine in Treating Patients With Newly Diagnosed Previously Untreated or Secondary Acute Myeloid Leukemia Who Are Unsuitable For Intensive Chemotherapy

A Phase 2 interventional study of azacytidine in Leukemia, sponsored by Swiss Group for Clinical Cancer Research. Completed at 11 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-04-10.

Sponsored by Swiss Group for Clinical Cancer Research · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
47
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing.

PURPOSE: This phase II trial is studying how well azacitidine works in treating patients with acute myeloid leukemia who are unsuitable for treatment with intensive chemotherapy.

Read the detailed description

OBJECTIVES:

Primary

  • To evaluate the efficacy of azacitidine in patients with newly diagnosed or untreated acute myeloid leukemia who are unsuitable for induction type chemotherapy because of age or relevant comorbidities.

Secondary

  • To evaluate survival and adverse events.

OUTLINE: This is a multicenter study.

Patients receive azacitidine subcutaneously on days 1-5. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed every 3 months for 1 year and then every 6 months for 1 year.

02

Conditions studied

  • Leukemia

Keywords

  • adult acute myeloid leukemia with 11q23 (MLL) abnormalities
  • adult acute myeloid leukemia with inv(16)(p13;q22)
  • adult acute myeloid leukemia with t(16;16)(p13;q22)
  • adult acute myeloid leukemia with t(8;21)(q22;q22)
  • secondary acute myeloid leukemia
  • untreated adult acute myeloid leukemia
  • adult acute myeloblastic leukemia without maturation (M1)
  • adult acute myeloblastic leukemia with maturation (M2)
  • adult acute myelomonocytic leukemia (M4)
  • adult acute monoblastic leukemia (M5a)
  • adult acute monocytic leukemia (M5b)
  • adult erythroleukemia (M6a)
  • adult pure erythroid leukemia (M6b)
  • adult acute megakaryoblastic leukemia (M7)
03

In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 47 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Swiss Group for Clinical Cancer Research is the lead sponsor of 107 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of 1 of the following:

    • De novo acute myeloid leukemia (AML)
    • AML secondary to prior hematological disease or cytotoxic treatment
  • Newly diagnosed or untreated disease
  • At least 20% blasts in the blood or bone marrow or extramedullary disease
  • Must be considered unsuitable for intensive chemotherapy due to ≥ 1 of the following:

    • High age or frail for the biologic age
    • Relevant comorbidities
    • Unwilling to undergo intensive chemotherapy
  • No chronic myelogenous leukemia or acute promyelocytic leukemia

PATIENT CHARACTERISTICS:

  • WHO performance status 0-3
  • Bilirubin ≤ 3 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2.5 times ULN
  • AST ≤ 2.5 times ULN
  • Serum creatinine ≤ 2.5 times ULN
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 12 months after completion of study treatment
  • Patient compliance and geographic proximity allow proper staging and follow-up
  • No NYHA class III-IV heart failure or relevant cardiac arrhythmia
  • No active hematological/oncological disease other than AML
  • No psychiatric disorder precluding understanding of information on trial related topics or giving informed consent
  • No serious underlying medical condition in the judgment of the investigator, which could impair the ability of the patient to participate in the trial, including but not limited to, any of the following:

    • Active autoimmune disease
    • Uncontrolled diabetes
    • Active uncontrolled infection
    • HIV infection
    • Active chronic hepatitis B or C infection
  • No known allergy or hypersensitivity to azacitidine or mannitol

PRIOR CONCURRENT THERAPY:

  • No prior treatment for AML
  • No prior azacitidine or decitabine
  • No other concurrent experimental or investigational drugs or anticancer therapy
  • More than 30 days since participation in another clinical trial
  • No concurrent growth factors for use in afebrile and asymptomatic patients except to treat neutropenic infection
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Arm: 5-azacytidine

    5-azacytidine 100 mg/m2/day s.c. on days 1-5 of a 28-day cycle.

    Drug: azacytidine

Interventions

  • Drugazacytidine

    100 mg/m2/day s.c. on days 1-5 of a 28-day cycle

    Also known as: Azacitidine, 5-azacytidine, Vidaza

06

What researchers measure

Primary outcomes

  1. Best response (complete or partial response)

    Time frame: within 6 months

Secondary outcomes

  1. Time to response

    Time frame: is defined as the time from trial registration until the date the criteria for either CR or PR are first met

  2. Response duration

    Time frame: is defined as the time from the date when the criteria for either CR or PR were first met until the date of relapse or death from any cause.

  3. Best response status

    Time frame: within 6 months

  4. Time to hematological improvement (HI)

    Time frame: is calculated for patients with HI and is defined as the time from trial registration until the date the criteria for HI are first met.

  5. Duration of HI

    Time frame: is defined as the time from the date when the criteria for HI were first met until the date of relapse or death from any cause.

  6. Event-free survival

    Time frame: is defined as the time from trial registration until progression, relapse or death from any cause, whichever occurs first.

  7. Overall survival

    Time frame: is defined as the time from trial registration until death from any cause.

  8. Adverse events according to NCI CTCAE v3.0

    Time frame: according to NCI CTCAE v3.0

  9. Adjusted hospitalization time

    Time frame: is defined as the time (nights) spent in hospital as a proportion of treatment duration (days).

07

Study locations

11 sites
  • Kantonspital Aarau
    Aarau, CH-5001, Switzerland
  • Kantonsspital Baden
    Baden, CH-5404, Switzerland
  • Universitaetsspital-Basel
    Basel, CH-4031, Switzerland
  • Oncology Institute of Southern Switzerland
    Bellinzona, CH-6500, Switzerland
  • Inselspital Bern
    Bern, CH-3010, Switzerland
  • Spitalzentrum Biel
    Biel, CH-2500, Switzerland
  • Centre Hospitalier Universitaire Vaudois
    Lausanne, CH-1011, Switzerland
  • Kantonsspital, Luzerne
    Luzerne, CH-6000, Switzerland
  • Kantonsspital - St. Gallen
    St. Gallen, CH-9007, Switzerland
  • Hopitaux Universitaires de Geneve
    Thonex-Geneve, CH-1226, Switzerland
  • UniversitaetsSpital Zuerich
    Zurich, CH-8091, Switzerland
08

References and documents

Publications

  • Passweg JR, Pabst T, Blum S, Bargetzi M, Li Q, Heim D, Stussi G, Gregor M, Leoncini L, Meyer-Monard S, Brauchli P, Chalandon Y; Swiss Group for Clinical Cancer Research (SAKK). Azacytidine for acute myeloid leukemia in elderly or frail patients: a phase II trial (SAKK 30/07). Leuk Lymphoma. 2014 Jan;55(1):87-91. doi: 10.3109/10428194.2013.790540. Epub 2013 May 2. PubMed 23547838 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00739388
Lead sponsor
Swiss Group for Clinical Cancer Research
Responsible party
Sponsor
First posted
Aug 21, 2008
Start date
Jul 2008
Primary completion
Jan 2010
Completion
Nov 2012
Last update
Apr 10, 2013

Study contacts

Jakob Passweg, Prof
study chair · Hopitaux Universitaires de Geneve
Sabine Blum, MD
study chair · Centre Hospitalier Universitaire Vaudois

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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