CClinicalTrials.gg
Status unknownNCT02698124PURPLE-DUpdated Mar 7, 2016

Decitabine for Chemotherapy Unfit Korean AML Patients in Real Practice

An observational study in Acute Myeloid Leukemia, Elderly and Intensive Chemotherapy Unfit, sponsored by Ulsan University Hospital. Status unknown at 1 site in Korea, Republic of. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2016-03-07.

Sponsored by Ulsan University Hospital · Observational

The sponsor has not verified this record recently (last verified Mar 2016), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
136
Ages
65 Years and older
Sex
All
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Study summary

Prospective multicenter, open-lab el, observational, single arm study of decitabine. Subjects will be elderly patients with newly diagnosed, treatment-naïve AML who are unfit to receive and not candidate for intensive induction chemotherapy (iIC)

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Conditions studied

  • Acute Myeloid Leukemia
  • Elderly
  • Intensive Chemotherapy Unfit
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In context

Leukemia

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

This study's planned enrollment of 136 is above the median of 120 across 744 observational studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Ulsan University Hospital is the lead sponsor of 26 studies on the registry; 5 are open to participants now.

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

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

elderly patients with previously untreated AML who are ufit to receive and not considered candidates for iIC at the time of enrollment

Inclusion criteria

  1. Newly diagnosed and therapy-naïve AML (bone marrow or peripheral blood blast counts ≥20%)
  2. 65 years of age or older
  3. Taking informed consent with signature and date
  4. Not eligible for iIC based on either:

i) ≥75 years of age ii) comorbidity iii) secondary AML iv) poor performance (ECOG ≥2) v) Poor-risk by NCCN Guideline version 1.2015 vi) subject's choice (refusal for iIC) investigator's judgement incompatible with iIC

Exclusion criteria

Exclusion Criteria:

  1. Candidate for iIC at the time of enrollment
  2. Promyelocytic leukemia, or AML with t(15;17) or PML/RARα rearrangement
  3. AML with t(9;22) or BCR/ABL rearrangement
  4. Leukemia central nervous system involvement
  5. Extramedullary myeloid sarcoma without bone marrow involvement
  6. Prior treatment with decitabine or azacitidine of any cause
  7. Any leukemia-specific therapy, except for hydroxyurea for reducing leukemic cells prior decitabine
  8. Second malignancy currently requiring active therapy except breast or prostate cancer stable on or responding to endocrine therapy, or curatively resected non-melanoma skin cancer or intraepithelial cancer
  9. Premenopausal woman
  10. Severe active infection
  11. Uncontrolled bleeding Hypersensitivity to decitabine
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Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
136 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Decitabine

    Decitabine 20mg/m2 will be given IV daily on Days 1-5 in 28-day cycles. Treatment should be given for at least 4 cycles in the absence of unacceptable toxicity or disease progression requiring alternative therapy. Beyond 4 cycles, treatment should continue as long as the subject continues to benefit based on investigator's judgment of no definitive progression.

    Drug: Decitabine

Interventions

  • DrugDecitabine
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What researchers measure

Primary outcomes

  1. The rate of complete remission

    The rate of complete remission and complete remission with incomplete platelet recovery (CRp) will be measured by 4 cycles of decitabine treatment.

    Time frame: after 4 cycles of decitabine treatment (about 4 months)

Secondary outcomes

  1. The rate of composite CR

    CR+CRp+ CR with incomplete blood count recovery (CRi)

    Time frame: after 4 cycles of decitabine treatment (about 4 months)

  2. Clinical benefit rate

    cCR(CR+CRp+CRi)+ partial remission (PR)+ stable disease (SD)

    Time frame: after 4 cycles of decitabine treatment (about 4 months)

  3. Change of quality of life scale using EQ-5D-3L

    Quality of life measurement by EQ-5D will be compared between pre- and post-decitabine therapy.

    Time frame: after 4 cycles of decitabine treatment (about 4 months)

  4. Change of quality of life scale using EORTC QLQ-C30

    Quality of life measurement by EORTC QLQ-C30 will be compared between pre- and post-decitabine therapy.

    Time frame: after 4 cycles of decitabine treatment (about 4 months)

  5. Number of participants with treatment-related adverse events as assessed by CTCAE v4.03

    CTCAE version 4.03

    Time frame: until 4 cycles of decitabine treatment (about 4 months)

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Study locations

1 site
  • Ulsan University Hospital
    Ulsan, 682714, Korea, Republic of
    • Hawk Kim, M.D., Ph.D. · Contact · kimhawkmd@gmail.com · +82-52-250-8892
    • Hawk Kim, M.D., Ph.D. · Principal investigator
    • Jae-Cheol Cho, M.D., Ph.D. · Sub investigator
    • Yunsuk Choi, M.D., Ph.D. · Sub investigator
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References and documents

Publications

  • Kantarjian HM, Thomas XG, Dmoszynska A, Wierzbowska A, Mazur G, Mayer J, Gau JP, Chou WC, Buckstein R, Cermak J, Kuo CY, Oriol A, Ravandi F, Faderl S, Delaunay J, Lysak D, Minden M, Arthur C. Multicenter, randomized, open-label, phase III trial of decitabine versus patient choice, with physician advice, of either supportive care or low-dose cytarabine for the treatment of older patients with newly diagnosed acute myeloid leukemia. J Clin Oncol. 2012 Jul 20;30(21):2670-7. doi: 10.1200/JCO.2011.38.9429. Epub 2012 Jun 11. PubMed 22689805 ↗
  • Blum W, Garzon R, Klisovic RB, Schwind S, Walker A, Geyer S, Liu S, Havelange V, Becker H, Schaaf L, Mickle J, Devine H, Kefauver C, Devine SM, Chan KK, Heerema NA, Bloomfield CD, Grever MR, Byrd JC, Villalona-Calero M, Croce CM, Marcucci G. Clinical response and miR-29b predictive significance in older AML patients treated with a 10-day schedule of decitabine. Proc Natl Acad Sci U S A. 2010 Apr 20;107(16):7473-8. doi: 10.1073/pnas.1002650107. Epub 2010 Apr 5. PubMed 20368434 ↗
  • Mims A, Walker AR, Huang X, Sun J, Wang H, Santhanam R, Dorrance AM, Walker C, Hoellerbauer P, Tarighat SS, Chan KK, Klisovic RB, Perrotti D, Caligiuri MA, Byrd JC, Chen CS, James Lee L, Jacob S, Mrozek K, Bloomfield CD, Blum W, Garzon R, Schwind S, Marcucci G. Increased anti-leukemic activity of decitabine via AR-42-induced upregulation of miR-29b: a novel epigenetic-targeting approach in acute myeloid leukemia. Leukemia. 2013 Apr;27(4):871-8. doi: 10.1038/leu.2012.342. Epub 2012 Nov 26. PubMed 23178755 ↗
  • Suzuki H, Maruyama R, Yamamoto E, Kai M. DNA methylation and microRNA dysregulation in cancer. Mol Oncol. 2012 Dec;6(6):567-78. doi: 10.1016/j.molonc.2012.07.007. Epub 2012 Aug 10. PubMed 22902148 ↗
  • Kim Y, Cheong JW, Kim YK, Eom JI, Jeung HK, Kim SJ, Hwang D, Kim JS, Kim HJ, Min YH. Serum microRNA-21 as a potential biomarker for response to hypomethylating agents in myelodysplastic syndromes. PLoS One. 2014 Feb 4;9(2):e86933. doi: 10.1371/journal.pone.0086933. eCollection 2014. PubMed 24503739 ↗
  • Castoro RJ, Dekmezian M, Saraf AJ, Watanabe Y, Chung W, Adhab SE, et al. MicroRNA 124 and Its Role in Response to Epigenetic Therapy in Patients with Acute Mylogenous Leukemia and Myelodysplastic Syndrome. American Society of Hematology 2008; Abstract No. 598
  • Cheson BD, Bennett JM, Kopecky KJ, Buchner T, Willman CL, Estey EH, Schiffer CA, Doehner H, Tallman MS, Lister TA, Lo-Coco F, Willemze R, Biondi A, Hiddemann W, Larson RA, Lowenberg B, Sanz MA, Head DR, Ohno R, Bloomfield CD; International Working Group for Diagnosis, Standardization of Response Criteria, Treatment Outcomes, and Reporting Standards for Therapeutic Trials in Acute Myeloid Leukemia. Revised recommendations of the International Working Group for Diagnosis, Standardization of Response Criteria, Treatment Outcomes, and Reporting Standards for Therapeutic Trials in Acute Myeloid Leukemia. J Clin Oncol. 2003 Dec 15;21(24):4642-9. doi: 10.1200/JCO.2003.04.036. Erratum In: J Clin Oncol. 2004 Feb 1;22(3):576. LoCocco, Francesco [corrected to Lo-Coco, Francesco]. PubMed 14673054 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02698124
Lead sponsor
Ulsan University Hospital
Collaborators
The Korean Society of Hematology, AML/MDS Working Party
Responsible party
Hawk Kim (Professor, Ulsan University Hospital) — Principal investigator
First posted
Mar 3, 2016
Start date
Mar 2016
Primary completion
Aug 2019 (estimated)
Completion
Dec 2022 (estimated)
Last update
Mar 7, 2016

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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