Clinical Trial Results:
A Phase 1b/2 Study to Evaluate the Safety and Efficacy Of PF-04449913, An Oral Hedgehog Inhibitor, in Combination With Intensive Chemotherapy, Low Dose Ara-C or Decitabine In Patients With Acute Myeloid Leukemia or High-risk Myelodysplastic Syndrome
Summary
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EudraCT number |
2012-000684-24 |
Trial protocol |
PL ES IT |
Global end of trial date |
04 Mar 2019
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Results information
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Results version number |
v2(current) |
This version publication date |
07 Mar 2020
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First version publication date |
29 Dec 2017
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Other versions |
v1 |
Version creation reason |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
B1371003
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Pfizer, Inc.
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Sponsor organisation address |
235 E 42nd Street, New York, United States, NY 10017
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Public contact |
Pfizer Clinical Trials.gov Call Center, Pfizer, Inc., +1 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Scientific contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer, Inc., +1 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
04 Mar 2019
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
03 Jan 2017
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Global end of trial reached? |
Yes
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Global end of trial date |
04 Mar 2019
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The main objective of this study was to evaluate the safety and efficacy of glasdegib (PF-04449913) when administered in combination with first line treatment regimens for Acute Myeloid Leukemia (AML) and High Risk Myelodysplastic Syndrome (MDS).
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Protection of trial subjects |
This study was conducted in compliance with the ethical principles originating in or derived from the Declaration of Helsinki and in compliance with all International Council for Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines. In addition, all local regulatory requirements were followed, in particular, those affording greater protection to the safety of trial subjects.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
27 Jun 2012
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Long term follow-up planned |
Yes
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Long term follow-up rationale |
Efficacy | ||
Long term follow-up duration |
2 Years | ||
Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
United States: 147
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Country: Number of subjects enrolled |
Italy: 14
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Country: Number of subjects enrolled |
Germany: 43
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Country: Number of subjects enrolled |
Poland: 20
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Country: Number of subjects enrolled |
Spain: 22
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Country: Number of subjects enrolled |
Canada: 9
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Worldwide total number of subjects |
255
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EEA total number of subjects |
99
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
57
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From 65 to 84 years |
190
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85 years and over |
8
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
Phase 1B:Unfit(unfit for intensive chemotherapy)subjects with prior decitabine or azacitidine for high risk MDS or AHD(antecedent hematologic disease)were eligible for the LDAC arm only;with prior cytarabine were eligible for decitabine arm only.Phase 2:Subject's treatment arm assignment was based on the fit or unfit status at screening. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Phase 1B: Glasdegib 100 mg + LDAC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 100 mg were taken orally QD starting on Day 3 of Cycle 1 and continuously for 28-day cycles (starting on Day 1 for all other cycles). Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.
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Investigational medicinal product name |
LDAC (low dose Ara-C)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and solution for solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
LDAC was given at a dose of 20 mg (not adjusted for the subjects weight) subcutaneously (SC) twice daily (morning and evening; approximately 12 hrs apart) on Days 1-10 days of the 28 day cycles.
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Arm title
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Phase 1B: Glasdegib 200 mg + LDAC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
LDAC (low dose Ara-C)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and solution for solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
LDAC was given at a dose of 20 mg (not adjusted for the subjects weight) subcutaneously (SC) twice daily (morning and evening; approximately 12 hrs apart) on Days 1-10 days of the 28 day cycles.
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Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 200 mg were taken orally QD starting on Day 3 of Cycle 1 and continuously for 28-day cycles (starting on Day 1 for all other cycles). Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively.
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Arm title
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Phase 1B: Glasdegib 100 mg + Decitabine | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Decitabine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder for injection
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Routes of administration |
Intravenous use
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Dosage and administration details |
Decitabine was given at a dose of 20 mg/m^2 over a 1 hour IV infusion on Days 1-5 of a 28 day cycle. Dose was recalculated when the weight changes >10%.
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Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 100 mg were taken orally QD starting on Day 2 of Cycle 1 and continuously for 28-day cycles (starting on Day 1 for all other cycles). Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.
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Arm title
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Phase 1B: Glasdegib 200 mg + Decitabine | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Decitabine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder for injection
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Routes of administration |
Intravenous use
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Dosage and administration details |
Decitabine was given at a dose of 20 mg/m^2 over a 1 hour IV infusion on Days 1-5 of a 28 day cycle. Dose was recalculated when the weight changes >10%.
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Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 200 mg were taken orally QD starting on Day 2 of Cycle 1 and continuously for 28-day cycles (starting on Day 1 for all other cycles). Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively.
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Arm title
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Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 100 mg were taken orally QD on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.
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Investigational medicinal product name |
Daunorubicin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder for injection
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Routes of administration |
Intravenous use
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Dosage and administration details |
Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV for each cycle. Daunorubicin was given as close as possible to the administration of glasdegib.
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Investigational medicinal product name |
Cytarabine
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and solvent for solution for infusion
|
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Routes of administration |
Intravenous use
|
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Dosage and administration details |
Cytarabine was given on Days 1 through 7 at a dose of 100 mg/m^2/day by continuous intravenous infusion (CIV) for each cycle of induction, and given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation.
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Arm title
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Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) subject in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glasdegib (PF-04449913)
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
|
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Dosage and administration details |
Glasdegib (PF-04449913) tablets 200 mg were taken orally QD on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. One (1) subject in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21.
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Investigational medicinal product name |
Daunorubicin
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder for injection
|
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Routes of administration |
Intravenous use
|
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Dosage and administration details |
Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV for each cycle. Daunorubicin was given as close as possible to the administration of glasdegib.
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Investigational medicinal product name |
Cytarabine
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and solvent for solution for infusion
|
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Routes of administration |
Intravenous use
|
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Dosage and administration details |
Cytarabine was given on Days 1 through 7 at a dose of 100 mg/m^2/day by continuous intravenous infusion (CIV) for each cycle of induction, and given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation.
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Arm title
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Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glasdegib (PF-04449913)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
|
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Routes of administration |
Oral use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
Glasdegib (PF-04449913) tablets 100 mg were taken orally QD on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.
|
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Investigational medicinal product name |
Daunorubicin
|
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Investigational medicinal product code |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Pharmaceutical forms |
Powder for injection
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV for each cycle. Daunorubicin was given as close as possible to the administration of glasdegib.
|
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Investigational medicinal product name |
Cytarabine
|
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Investigational medicinal product code |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Other name |
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Pharmaceutical forms |
Powder and solvent for solution for infusion
|
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Routes of administration |
Intravenous use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
Cytarabine was given on Days 1 through 7 at a dose of 100 mg/m^2/day by continuous intravenous infusion (CIV) for each cycle of induction, and given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation.
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Arm title
|
Phase 2 Unfit: Glasdegib 100 mg + LDAC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
LDAC (low dose Ara-C)
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and solution for solution for injection
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Routes of administration |
Subcutaneous use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
LDAC was given at a dose of 20 mg (not adjusted for the subjects weight) subcutaneously (SC) twice daily (morning and evening; approximately 12 hrs apart) on Days 1-10 days of the 28 day cycles.
|
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Investigational medicinal product name |
Glasdegib (PF-04449913)
|
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
Glasdegib (PF-04449913) tablets 100 mg were taken orally QD starting on Day 1 of Cycle 1 and continuously for 28-day cycles. Tablets were taken in the morning at approximately the same time each day. Dosing occurred with plenty of water (without adjustment for body size). Study medication were swallowed whole and not chewed, with or without food.
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Arm title
|
Phase 2 Unfit: LDAC alone | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
LDAC (low dose Ara-C)
|
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Investigational medicinal product code |
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Other name |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Pharmaceutical forms |
Powder and solution for solution for injection
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Routes of administration |
Subcutaneous use
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dosage and administration details |
LDAC was given at a dose of 20 mg (not adjusted for the subjects weight) subcutaneously (SC) twice daily (morning and evening; approximately 12 hrs apart) on Days 1-10 days of the 28 day cycles.
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Baseline characteristics reporting groups
|
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Reporting group title |
Phase 1B: Glasdegib 100 mg + LDAC
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Subjects received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + LDAC
|
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Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Decitabine
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Decitabine
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin
|
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) subject in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Unfit: Glasdegib 100 mg + LDAC
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Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Unfit: LDAC alone
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Reporting group description |
Subjects received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
Phase 1B: Glasdegib + LDAC
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Subject analysis set type |
Full analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with LDAC in phase 1B portion.
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Subject analysis set title |
Phase 1B: Glasdegib + Decitabine
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Subject analysis set type |
Full analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with decitabine in phase 1B portion.
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Subject analysis set title |
Phase 1B: Glasdegib + Cytarabine/Daunorubicin
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Subject analysis set type |
Full analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion.
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Subject analysis set title |
Phase 1B: Glasdegib + LDAC (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
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Subject analysis set title |
Phase 1B: Glasdegib + LDAC (Biomarker, non-Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
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Subject analysis set title |
Phase 1B: Glasdegib + Decitabine (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
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Subject analysis set title |
Phase 1B: Glasdegib + Decitabine (Biomarker, non-Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
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Subject analysis set title |
Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin.
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Subject analysis set title |
Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,non-Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin.
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Subject analysis set title |
Phase 2 Fit (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
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Subject analysis set title |
Phase 2 Fit (Biomarker, non-Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
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Subject analysis set title |
Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
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Subject analysis set title |
Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, non-Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
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Subject analysis set title |
Phase 2 Unfit: LDAC alone (Biomarker, Responder)
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Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Phase 2 Unfit: LDAC alone (Biomarker, non-Responder)
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
End points reporting groups
|
|||
Reporting group title |
Phase 1B: Glasdegib 100 mg + LDAC
|
||
Reporting group description |
Subjects received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | ||
Reporting group title |
Phase 1B: Glasdegib 200 mg + LDAC
|
||
Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | ||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Decitabine
|
||
Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | ||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Decitabine
|
||
Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | ||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin
|
||
Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin
|
||
Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) subject in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | ||
Reporting group title |
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin
|
||
Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||
Reporting group title |
Phase 2 Unfit: Glasdegib 100 mg + LDAC
|
||
Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | ||
Reporting group title |
Phase 2 Unfit: LDAC alone
|
||
Reporting group description |
Subjects received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. | ||
Subject analysis set title |
Phase 1B: Glasdegib + LDAC
|
||
Subject analysis set type |
Full analysis | ||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with LDAC in phase 1B portion.
|
||
Subject analysis set title |
Phase 1B: Glasdegib + Decitabine
|
||
Subject analysis set type |
Full analysis | ||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with decitabine in phase 1B portion.
|
||
Subject analysis set title |
Phase 1B: Glasdegib + Cytarabine/Daunorubicin
|
||
Subject analysis set type |
Full analysis | ||
Subject analysis set description |
Included all subjects who received oral glasdegib in combination with cytarabine/daunorubicin in phase 1B portion.
|
||
Subject analysis set title |
Phase 1B: Glasdegib + LDAC (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||
Subject analysis set title |
Phase 1B: Glasdegib + LDAC (Biomarker, non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
||
Subject analysis set title |
Phase 1B: Glasdegib + Decitabine (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||
Subject analysis set title |
Phase 1B: Glasdegib + Decitabine (Biomarker, non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
||
Subject analysis set title |
Phase 1B: Glasdegib + Cytarabine/Dauno (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response). Dauno is short for daunorubicin.
|
||
Subject analysis set title |
Phase 1B: Glasdegib+Cytarabine/Dauno(Biomarker,non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response. Dauno is short for daunorubicin.
|
||
Subject analysis set title |
Phase 2 Fit (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||
Subject analysis set title |
Phase 2 Fit (Biomarker, non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
||
Subject analysis set title |
Phase 2 Unfit: Glasdegib 100 mg + LDAC (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||
Subject analysis set title |
Phase 2 Unfit: Glasdegib 100 mg+LDAC(Biomarker, non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
||
Subject analysis set title |
Phase 2 Unfit: LDAC alone (Biomarker, Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who achieved CR, CRi, MLFS, PR, or PRi (AML investigator reported best overall response), and MDS subjects who achieved CR, mCR, PR, or SD (MDS investigator reported best overall response).
|
||
Subject analysis set title |
Phase 2 Unfit: LDAC alone (Biomarker, non-Responder)
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
AML subjects who did not achieve CR, CRi, MLFS, PR, or PRi; and MDS subjects who did not achieve CR, mCR, PR or SD were defined as non-responders for best overall response.
|
|
||||||||||||||||||||||
End point title |
Number of subjects with dose-limiting toxicities (DLTs) at Phase 1B [1] [2] | |||||||||||||||||||||
End point description |
A DLT was any of the following adverse events(AEs) in Cycle 1,considered by investigator possibly related to glasdegib in combination with chemotherapy:(1)Grade>=3 non-hematologic toxicity,excluding Grade>=3 infection,fever,infusion related AEs,electrolyte abnormalities and ALT/AST elevation that returned to Grade<=1 or baseline within 7 days;(2)prolonged myelosuppression lasted longer than 42 days from the point of detection,defined as absolute neutrophil count<500/mL or platelet count<10*10^9/L with a normal bone marrow;(3)inability to deliver at least 80% planned study doses for all agents in a combination due to non-hematologic toxicities;(4)Delay of >28 days in receiving next scheduled cycle due to persisting non-hematologic toxicities.Per protocol analysis set was used,including all enrolled subjects in the dose escalation component who received at least 1 dose of glasdegib, co-administered chemotherapeutics,did not have major treatment deviations during DLT monitoring period.
|
|||||||||||||||||||||
End point type |
Primary
|
|||||||||||||||||||||
End point timeframe |
Glasdegib+LDAC, Glasdegib+Decitabine: Cycle 1, Day 1 to Day 28; Glasdegib+Cytarabine/Daunorubicin: Cycle 1, Day -3 to Day 21 or to Day 28 depending on when the next chemotherapy cycle was started
|
|||||||||||||||||||||
Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: statistical analyses were not planned for this endpoint [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
||||||||||||||||||||||
|
||||||||||||||||||||||
Notes [3] - Actual number of subjects that started the Arm: 3 [4] - Actual number of subjects that started the Arm: 6 [5] - Actual number of subjects that started the Arm: 4 [6] - Actual number of subjects that started the Arm: 3 [7] - Actual number of subjects that started the Arm: 6 [8] - Actual number of subjects that started the Arm: 6 |
||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||
End point title |
Percentage of subjects with complete response (CR) at Phase 2 Fit [9] [10] | ||||||||||||||
End point description |
For AML subjects:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS subjects:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines. End of treatment: maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first. Full analysis set was used to analyze this end point, including all enrolled subjects of Phase 2 Fit arm who received at least 1 dose of study medication. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in the categories is number of subjects contributing to the summary statistics.
|
||||||||||||||
End point type |
Primary
|
||||||||||||||
End point timeframe |
Screening (within 28 days Prior to Dosing), Day 21 of each Induction Cycles and final Consolidation Cycle, Day 1 of every third Maintenance Cycles, End of Treatment
|
||||||||||||||
Notes [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: statistical analyses were not planned for this endpoint [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||
|
|||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Overall survival (OS) at Phase 2 Unfit [11] | ||||||||||||
End point description |
OS was defined as duration from the date of randomization to the date of death from any cause. Subjects not known to have died at the last follow-up were censored on the date they were last known to be alive. Survival status were collected every month for the first two months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from time of randomization for each subject. Full analysis set was used to analyze this end point, including all randomized subjects of Phase 2 Unfit arm.
|
||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
Randomization to Follow-up (4 years)
|
||||||||||||
Notes [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||
|
|||||||||||||
Statistical analysis title |
Difference between groups in overall survival | ||||||||||||
Comparison groups |
Phase 2 Unfit: Glasdegib 100 mg + LDAC v Phase 2 Unfit: LDAC alone
|
||||||||||||
Number of subjects included in analysis |
132
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
|||||||||||||
P-value |
= 0.002 [12] | ||||||||||||
Method |
Logrank | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.569
|
||||||||||||
Confidence interval |
|||||||||||||
level |
80% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.441 | ||||||||||||
upper limit |
0.734 | ||||||||||||
Notes [12] - 1-sided p-value from the log-rank test stratified by prognosis stratum according to Interactive Voice Response System (IVRS). |
|
|||||||||||||||||
End point title |
Overall survival (OS) at Phase 1B | ||||||||||||||||
End point description |
OS was defined as duration from the date of the first dose of any of the study medications to the date of death from any cause. Subjects not known to have died at the last follow up were censored on the date they were last known to be alive. Survival status were collected every month for the first two months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each subject's first dose for each subject. Full analysis set was used to analyze this end point, including all enrolled subjects of Phase 1B portion who received at least 1 dose of study medication. 99999 represents data not estimable (NE) when the number of subjects analyzed is less than or equal to 3.
|
||||||||||||||||
End point type |
Secondary
|
||||||||||||||||
End point timeframe |
First dose to Follow-up (4 years)
|
||||||||||||||||
|
|||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||
End point title |
Overall survival (OS) at Phase 2 Fit [13] | ||||||||||||||
End point description |
OS was defined as duration from the date of the first dose of any of the study medications to the date of death from any cause. Subjects not known to have died at the last follow up were censored on the date they were last known to be alive. Survival status were collected every month for the first two months after discontinuation of study treatment and thereafter every 2 months until death or 4 years from each subject's first dose for each subject. Full analysis set was used to analyze this endpoint, including all enrolled subjects of Phase 2 Fit arm who received at least 1 dose of study medication. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in the categories is number of subjects contributing to the summary statistics. 99999 represents data not estimable (NE) when the number of subjects analyzed is less than 3.
|
||||||||||||||
End point type |
Secondary
|
||||||||||||||
End point timeframe |
First dose to Follow-up (4 years)
|
||||||||||||||
Notes [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||
|
|||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||
End point title |
Percentage of subjects with CR / complete response with incomplete blood count recovery (CRi) at Phase 1B | ||||||||||||||||||||
End point description |
For AML subjects:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS subjects:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines.For AML and MDS subjects,complete response with incomplete blood count recovery(CRi)were those with repeat bone marrow showing <5% myeloblasts with platelets <100,000/mcL or neutrophils <1000/mcL.End of treatment:maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first.Full analysis set was used to analyze this endpoint, defined as all enrolled subjects of Phase 1B portion who received at least 1 dose of study medication.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Arm A and Arm B: Screening (within 28 days prior to Dosing), Day 1 of every third cycles, End of Treatment; Arm C: Screening, Day 21 of each Induction cycles and final Consolidation Cycle, Day 1 of every third Maintenance Cycles, End of Treatment
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
||||||||||||||||
End point title |
Percentage of subjects with complete response (CR) at Phase 2 Unfit [14] | |||||||||||||||
End point description |
For AML subjects:CR were those with repeat bone marrow showing <5% myeloblasts,spicules present and no Auer rods, peripheral blood showing neutrophils>=1000/mcL and platelets>=100,000/mcL, transfusion independent and no extramedullary disease. For MDS subjects:CR were those with repeat bone marrow showing <=5% myeloblasts, peripheral blood showing neutrophils>=1000/mcL, platelets>=100,000/mcL, 0% blast and hemoglobin (Hgb)>= 11 g/dL, normal maturation of all cell lines. End of treatment: maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first. Full analysis set was used to analyze this end point, including all enrolled subjects of Phase 2 Fit arm who received at least 1 dose of study medication.
|
|||||||||||||||
End point type |
Secondary
|
|||||||||||||||
End point timeframe |
Screening (within 28 days prior to Dosing), Day 1 of every third cycles, End of Treatment.
|
|||||||||||||||
Notes [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
||||||||||||||||
|
||||||||||||||||
Statistical analysis title |
Difference between groups in CR rate | |||||||||||||||
Comparison groups |
Phase 2 Unfit: Glasdegib 100 mg + LDAC v Phase 2 Unfit: LDAC alone
|
|||||||||||||||
Number of subjects included in analysis |
132
|
|||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||
Analysis type |
non-inferiority | |||||||||||||||
P-value |
= 0.0112 | |||||||||||||||
Method |
Cochran-Mantel-Haenszel | |||||||||||||||
Parameter type |
Odds ratio (OR) | |||||||||||||||
Point estimate |
4.2755
|
|||||||||||||||
Confidence interval |
||||||||||||||||
level |
80% | |||||||||||||||
sides |
2-sided
|
|||||||||||||||
lower limit |
1.3057 | |||||||||||||||
upper limit |
13.9994 |
|
|||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Percentage of subjects with disease-specific efficacy for Acute Myeloid Leukemia (AML) at Phase 2 Fit and Unfit [15] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
AML subjects,disease specific efficacy measures included:CRi;Morphologic Leukemia Free State(MLFS)(bone marrow<5%myeloblasts with spicules and no auer rods,neutrophils<1000/mcL and platelets<100,000/mcL);partial remission(PR)(bone marrow myeloblasts decrease to 5–25&>=50%decrease from start, neutrophils>=1000/mcL, platelets>=100,000/mcL);PR with incomplete blood count recovery(PRi)(bone marrow myeloblasts decrease to 5–25&>=50%decrease from start,neutrophils<1000/mcL or platelets<100,000/mcL);minor response(MR)(bone marrow myeloblasts decrease to>=25% from start);stable disease(SD)(bone marrow myeloblasts stable+/-25% from screening value);cytogenetic complete response(CRc)(bone marrow<5%myeloblasts, neutrophils>1000/mcL,platelets>100,000/mcL,normal cytogenetics),molecular complete response(CRm)(bone marrow<5%myeloblasts, neutrophils>1000/mcL, platelets>100,000/mcL and molecular-negative).AML subjects in Full analysis set were analyzed.
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Phase 2 Fit: Screening (within 28 days prior to Dosing), Day 21 of each Induction cycles and final Consolidation Cycle, Day 1 of every third Maintenance Cycles, End of Treatment. Phase 2 Unfit: Screening, Day 1 of every third cycles, End of Treatment.
|
||||||||||||||||||||||||||||||||||||||||||||||||
Notes [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Percentage of subjects with disease-specific efficacy for Myelodysplastic Syndrome (MDS) at Phase 2 Fit and Unfit [16] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
MDS subjects,disease specific efficacy measures included:CRi(bone marrow showing <5% myeloblasts with platelets <100,000/mcL or neutrophils <1000/mcL, include confirmed and unconfirmed responses);PR(repeat bone marrow myeloblasts showing decreased by >= 50% decrease but still >5%, peripheral blood showing neutrophils >= 1,000/mcL, platelets >= 100,000/mcL and Hgb>=11g/dL; include confirmed and unconfirmed responses); SD(include confirmed and unconfirmed responses, failure to achieve PR and no evidence of progression for >8 weeks); marrow complete response(mCR)(bone marrow showing <=5% myeloblasts and decreased by >= 50%),partial cytogenetic response(>=50% reduction of chromosomal abnormality) and complete cytogenetic response(CRc)(disappearance of chromosomal abnormality with no appearance of now ones).MDS subjects in Full analysis set were analyzed: all enrolled subjects of Phase 2 Fit arm who received at least 1 dose of study medication,all randomized subjects of Phase 2 Unfit arm.
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Phase 2 Fit: Screening (within 28 days Prior to Dosing), Day 21 of each Induction cycles and final Consolidation Cycle, Day 1 of every third Maintenance Cycles, End of Treatment. Phase 2 Unfit: Screening, Day 1 of every third cycles, End of Treatment.
|
||||||||||||||||||||||||||||||||||||||||||||||||
Notes [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Time to maximum observed plasma concentration (Tmax) of glasdegib in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [17] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics. 99999 represents data not estimable (NE) as fewer than 3 subjects had reportable parameter values.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1
|
||||||||||||||||||
Notes [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Area under the plasma concentration-time profile from time 0 to dosing interval (AUCtau) of glasdegib in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [18] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics. 99999 represents data not estimable (NE) as fewer than 3 subjects had reportable parameter values.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1
|
||||||||||||||||||
Notes [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Maximum observed plasma concentration (Cmax) of glasdegib in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [19] | ||||||||||||||||||
End point description |
Dose compliant group was used to analyze this end point. Subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state and part of the “dose compliant” group. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10
|
||||||||||||||||||
Notes [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Tmax of glasdegib in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [20] | ||||||||||||||||||
End point description |
Dose compliant group was used to analyze this end point. Subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state and part of the “dose compliant” group. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10
|
||||||||||||||||||
Notes [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
AUCtau of glasdegib in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 and Day 10 [21] | ||||||||||||||||||
End point description |
Dose compliant group was used to analyze this end point. Subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state and part of the “dose compliant” group. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 6 and 24 hours post-dose on Induction Cycle 1/Day 3; pre-dose, 0.5, 1, 4, 6 and 24 hours post-dose on Induction Cycle 1/Day 10
|
||||||||||||||||||
Notes [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||
End point title |
Cmax of LDAC and Ara-U in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [22] | ||||||||||||||||||||||||
End point description |
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U. PK concentration population were analyzed: all treated participants who had at least 1 concentration of any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10
|
||||||||||||||||||||||||
Notes [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||
|
|||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||
End point title |
Tmax of LDAC and Ara-U in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [23] | ||||||||||||||||||||||||
End point description |
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U. PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10
|
||||||||||||||||||||||||
Notes [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||
|
|||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Area under the plasma concentration-time profile from time 0 to infinity (AUCinf) of LDAC in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [24] | ||||||||||||||||||
End point description |
PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10
|
||||||||||||||||||
Notes [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||
End point title |
Area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration (AUClast) of LDAC and Ara-U in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 2 and Cycle 1/Day 10 [25] | ||||||||||||||||||||||||
End point description |
Ara-U is the major metabolite of cytarabine. LDAC (low dose cytarabine) is rapidly degraded to the stable metabolite Ara-U. PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 2, 4 and 6 hours post-dose on Cycle 1/Day 2 and Cycle 1/Day 10
|
||||||||||||||||||||||||
Notes [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||
|
|||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Cmax of decitabine in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [26] | ||||||||||||||||||
End point description |
PK concentration population: all treated subjects who had at least 1 concentration of any of the study drugs.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2
|
||||||||||||||||||
Notes [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Tmax of decitabine in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [27] | ||||||||||||||||||
End point description |
PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2
|
||||||||||||||||||
Notes [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
AUCinf of decitabine in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 1 and Cycle 1/Day 2 [28] | ||||||||||||||||||
End point description |
PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics. 99999 represents data not estimable (NE) as fewer than 3 subjects had reportable parameter values.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5 hour from start of infusion, 1 hour (at end of infusion) and 2, 3 and 4 hours from start of infusion on Cycle 1/Day 1 and Cycle 1/Day 2
|
||||||||||||||||||
Notes [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
AUCtau of cytarabine and Ara-U in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [29] | ||||||||||||||||||
End point description |
Ara-U is the major metabolite of cytarabine. PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. 99999 represents data not estimable (NE) as fewer than 3 subjects had reportable parameter values.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 6 and 24 hours post start of cytarabine infusion on Induction Cycle 1/Day 3
|
||||||||||||||||||
Notes [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Cmax of daunorubicin and daunorubicinol in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [30] | ||||||||||||||||||
End point description |
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity.PK concentration population were analyzed: all treated participants who had at least 1 concentration of any of the study drugs.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3
|
||||||||||||||||||
Notes [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Tmax of daunorubicin and daunorubicinol in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [31] | ||||||||||||||||||
End point description |
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3
|
||||||||||||||||||
Notes [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
AUCtau of daunorubicin and daunorubicinol in subjects receiving glasdegib and cytarabine/daunorubicin at Phase 1B on Induction Cycle 1/Day 3 [32] | ||||||||||||||||||
End point description |
Daunorubicinol is the major metabolite of daunorubicin, which has anti-neoplastic activity. PK parameter analysis set was used to analyze this end point, including all treated subjects who had at least 1 of the PK parameters of interest for any of the study drugs. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.25, 0.5, 1, 4, 6, 24 hours post administration of daunorubicin on Induction Cycle 1/Day 3
|
||||||||||||||||||
Notes [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Cmax of glasdegib in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [33] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21
|
||||||||||||||||||
Notes [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Tmax of glasdegib in subjects receiving glasdegib and LDAC at Phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [34] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21
|
||||||||||||||||||
Notes [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
AUCtau of glasdegib in subjects receiving glasdegib and LDAC at phase 1B on Cycle 1/Day 10 and Cycle 1/Day 21 [35] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10 and Cycle 1/Day 21
|
||||||||||||||||||
Notes [35] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Cmax of glasdegib in subjects receiving glasdegib and decitabine at Phase 1B on Cycle 1/Day 10 and Cycle 2/Day 1 [36] | ||||||||||||||||||
End point description |
Dose compliant group were used to analyze this end point: subjects who had at least 4 days of uninterrupted dosing for a multiple dose PK assessment were considered to be at steady state,part of the “dose compliant” group. Number of subjects analyzed:numbers of subjects in the treatment group.‘n’ in categories:number of subjects contributing to the summary statistics. 99999 represents data not estimable (NE) as fewer than 3 subjects had reportable parameter values.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Pre-dose, 0.5, 1, 2, 4, 6 and 24 hours post-dose on Cycle 1/Day 10; pre-dose, 0.5, 1, 2, 6 and 24 hours post-dose on Cycle 2/Day 1
|
||||||||||||||||||
Notes [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||
End point title |
Pre-dose plasma concentration (Ctrough) of glasdegib in Phase 2 Fit on Induction Cycle 1/Day 10 [37] | ||||||||
End point description |
Dose compliant, non CYP3A4 group was used to analyze this end point, defined as dose compliant group subjects who did not have administration of any strong or moderate CYP3A4 inhibitors.
|
||||||||
End point type |
Secondary
|
||||||||
End point timeframe |
Pre-dose, 1 and 4 hours post-dose on Induction Cycle 1/Day 10
|
||||||||
Notes [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||
|
|||||||||
No statistical analyses for this end point |
|
|||||||||
End point title |
Cmax of glasdegib in subjects receiving glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [38] | ||||||||
End point description |
Dose compliant, non CYP3A4 group was used to analyze this end point, defined as dose compliant group subjects who did not have administration of any strong or moderate CYP3A4 inhibitors.
|
||||||||
End point type |
Secondary
|
||||||||
End point timeframe |
Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10
|
||||||||
Notes [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||
|
|||||||||
No statistical analyses for this end point |
|
|||||||||||
End point title |
Tmax of glasdegib in subjects receiving glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [39] | ||||||||||
End point description |
Dose compliant, non CYP3A4 group was used to analyze this end point, defined as dose compliant group subjects who did not have administration of any strong or moderate CYP3A4 inhibitors.
|
||||||||||
End point type |
Secondary
|
||||||||||
End point timeframe |
Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10
|
||||||||||
Notes [39] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||
|
|||||||||||
No statistical analyses for this end point |
|
|||||||||||
End point title |
AUCtau of glasdegib in subjects receiving glasdegib and LDAC at Phase 2 Unfit on Cycle 1/Day 10 [40] | ||||||||||
End point description |
Dose compliant, non CYP3A4 group was used to analyze this end point, defined as dose compliant group subjects who did not have administration of any strong or moderate CYP3A4 inhibitors.
|
||||||||||
End point type |
Secondary
|
||||||||||
End point timeframe |
Pre-dose, 1, 2, 4, and 6 hour post-dose on Cycle 1/Day 10
|
||||||||||
Notes [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||
|
|||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with disease-related gene mutations at Phase 1B | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated. Pharmacodynamic (PD) analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm)
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Notes [41] - Sample non-collection/availability, blast count being too low for reliable mutation detection. [42] - Sample non-collection/availability, blast count being too low for reliable mutation detection. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 1B - Baseline | ||||||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3(baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. Pharmacodynamic(PD) analysis set was analyzed: all enrolled subjects in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||
End point timeframe |
Baseline (Induction Cycle 1/Day -3 pre-dose)
|
||||||||||||||||||||||
|
|||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||
End point title |
Serum levels of circulating protein analytes at Phase 1B - Induction Cycle 1/Day 3: MMP-3 (Matrix metalloproteinase-3) | ||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3(baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. Pharmacodynamic(PD) analysis set was analyzed: all enrolled subjects in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||
End point type |
Secondary
|
||||||||
End point timeframe |
Induction Cycle 1/Day 3, 1 Hour Post dose
|
||||||||
|
|||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 1B - Induction Cycle 1/Day 10 | ||||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1(baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3(baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. Pharmacodynamic(PD) analysis set was analyzed: all enrolled subjects in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Induction Cycle 1/Day 10, 1 Hour Post dose
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||
End point title |
Baseline levels of serum circulating protein analytes associated with best overall response at Phase 1B | ||||||||||||||||||||||||||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point.
|
||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Baseline (Cycle 1/Day 1 pre-dose for Glasdegib + LDAC and Glasdegib + Decitabine Arms; Induction Cycle 1/Day -3 pre-dose for Glasdegib +Cytarabine/Daunorubicin Arm)
|
||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 1B - Induction Cycle 1/Lead-In: MMP-3 (Matrix metalloproteinase-3) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Induction Cycle 1/Lead-in, 1 Hour Post dose
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 1B - Induction Cycle 1/Day 3: SDF-1 (Stromal cell-derived factor 1) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 2 and Day 10, pre-dose on Cycle 1/Day 21 and end of treatment for Glasdegib+LADC arm; Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and Day 2 and pre-dose on Cycle 1/Day 10 for Glasdegib+Decitabine arm; pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Lead-in,Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment for Glasdegib+Cytarabine/Daunorubicin arm. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. Serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Induction Cycle 1/Day 3, 1 Hour Post dose
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with disease-related gene mutations at Phase 2 Fit and Unfit | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Peripheral blood and bone marrow aspirate were collected for baseline mutational analyses. Genetic abnormalities frequently associated with AML were analyzed. These genetic abnormalities included known mutations in the genes NPM1, CEBPA, FLT3, RUNX1, IDH1, IDH2, KIT, K Ras, N Ras and WT1. Additional genes with mutations known to be associated with AML and MDS such as TET2 and DNMT3A were also evaluated. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 1B portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point timeframe |
Baseline (Induction Cycle 1/Day -3 pre-dose for Phase 2 Fit; Cycle 1/Day 1 pre-dose for Phase 2 Unfit)
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Fit - Induction Cycle 1/Day 3 [43] | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Induction Cycle 1/Day 3, 1 Hour Post dose
|
||||||||||||||||||
Notes [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Fit - Induction Cycle 1/Day 10 [44] | ||||||||||||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||
End point timeframe |
Induction Cycle 1/Day 10, 1 Hour Post dose
|
||||||||||||||||||||||||||||
Notes [44] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Fit - Consolidation Cycle 1/Day 1 [45] | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Consolidation Cycle 1/Day 1, 1 Hour Post dose
|
||||||||||||||||||
Notes [45] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Fit - Consolidation Cycle 1/Day 10 [46] | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Consolidation Cycle 1/Day 10, Pre-dose
|
||||||||||||||||||
Notes [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Fit - End of Treatment [47] | ||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||
End point type |
Secondary
|
||||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||||
Notes [47] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||
|
|||||||||||||||
No statistical analyses for this end point |
|
||||||||||||||||
End point title |
Baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Fit: 6CKINE (C-C motif chemokine 21) | |||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
|||||||||||||||
End point type |
Secondary
|
|||||||||||||||
End point timeframe |
Baseline (Induction Cycle 1/Day -3 pre-dose)
|
|||||||||||||||
|
||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Fit - Induction Cycle 1/Day 3: TNFα (Tumor necrosis factor α) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Induction Cycle 1/Day 3, 1 Hour Post dose
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Fit - Induction Cycle 1/Day 10: TNFα (Tumor necrosis factor α) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Induction Cycle 1/Day 10, 1 Hour Post dose
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Fit - End of Treatment | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and Day 10, 1 hour post-dose on Consolidation Cycle 1/Day 1, pre-dose on Consolidation Cycle 1/Day 10, and at end of treatment treatment. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Unfit - Cycle 1/Day 1: IL-18 (Interleukin-18) [48] | ||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and pre-dose on Cycle 1/Day 10 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||
End point type |
Secondary
|
||||||||
End point timeframe |
Cycle 1/Day 1, 1 Hour Post dose
|
||||||||
Notes [48] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||
|
|||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Serum levels of circulating protein analytes at Phase 2 Unfit - Cycle 1/Day 10 [49] | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and pre-dose on Cycle 1/Day 10 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Serum levels were determined for 38 circulating proteins. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Cycle 1/Day 10, Pre-dose
|
||||||||||||||||||
Notes [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||
End point title |
Baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Unfit | ||||||||||||||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and pre-dose on Cycle 1/Day 10 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||
End point timeframe |
Baseline (Cycle 1/Day 1 pre-dose)
|
||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Unfit - Cycle 1/Day 1 | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and pre-dose on Cycle 1/Day 10 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Cycle 1/Day 1, 1 Hour Post dose
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Post-baseline levels of serum circulating protein analytes associated with best overall response at Phase 2 Unfit - End of Treatment: IL-6 (Interleukin-6) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and pre-dose on Cycle 1/Day 10 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. A total of 38 proteins were analyzed. The data of analytes for which the serum level showed statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Ratios of mRNA levels to baseline at Phase 2 Fit - Induction Cycle 1/Day 3 [50] | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3(baseline),1 hour post-dose on Induction Cycle 1/Day 3 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first).Whole blood mRNA analyses were performed on 21 mRNA candidates. Only the values showing statistically significant change from baseline are reported here. CDKN1A: cyclin-dependent kinase inhibitor 1A; SMO: mRNA encoding the glasdegib target Smoothened. PD analysis set was used to analyze this end point: all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Induction Cycle 1/Day 3, 1 Hour Post dose
|
||||||||||||
Notes [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||
End point title |
Ratios of mRNA levels to baseline at Phase 2 Fit - End of Treatment [51] | ||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and end of treatment. Whole blood mRNA analyses were performed on 21 mRNA candidates. Only the values showing statistically significant change from baseline are reported here. CCND2:G1/S-Specific Cyclin D2; MSI2: Musashi RNA Binding Protein 2; PTCH2: Patched 2. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||
End point type |
Secondary
|
||||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||||
Notes [51] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||
|
|||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||
End point title |
Ratios of mRNA levels to baseline at Phase 2 Unfit - End of Treatment [52] | ||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Whole blood mRNA analyses were performed on 21 mRNA candidates. Only the values showing statistically significant change from baseline are reported here. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||
End point type |
Secondary
|
||||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||||
Notes [52] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||
|
|||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Baseline mRNA levels associated with best overall response at Phase 2 Fit: CCND2 (G1/S-Specific Cyclin D2) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline (Induction Cycle 1/Day -3 pre-dose)
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Baseline mRNA levels associated with best overall response at Phase 2 Unfit | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and end of treatment. Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Baseline mRNA level showing statistically significant correlation with clinical response are reported. FOXM1: Forkhead box M1; PTCH1: Patched 1. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment. Number of subjects analyzed is number of subjects in the treatment group. ‘n’ in categories is number of subjects contributing to the summary statistics.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
Baseline (Cycle 1/Day 1 pre-dose)
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||
End point title |
Ratios of mRNA levels to baseline associated with best overall response at Phase 2 Fit | ||||||||||||||||||
End point description |
Blood samples were collected at pre-dose on Induction Cycle 1/Day -3 (baseline), 1 hour post-dose on Induction Cycle 1/Day 3 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjects who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Fit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||
End point timeframe |
End of Treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first), Hours not specified
|
||||||||||||||||||
|
|||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Ratios of mRNA levels to baseline associated with best overall response at Phase 2 Unfit: MYCN (Neuroblastoma Myc oncogene) | ||||||||||||
End point description |
Blood samples were collected at pre-dose on Cycle 1/Day 1 (baseline), 1 hour post-dose on Cycle 1/Day 1 and end of treatment (maximum of 12 cycles from start of therapy or until disease progression or relapse, subjects refusal or unacceptable toxicity occurred, whichever came first). Responders were AML subjets who achieved CR, CRi, MLFS, PR or PRi based on investigator-reported best overall response and MDS subjects who achieved CR, mCR, PR or SD based on investigator-reported best overall response. Whole blood mRNA analyses were performed on 21 mRNA candidates. Ratios of mRNA level to baseline showing statistically significant correlation with clinical response are reported. PD analysis set was used to analyze this end point, defined as all enrolled subjects in the Phase 2 Unfit portion who received at least 1 dose of glasdegib, and had at least 1 PD parameter from the corresponding assay sample with a baseline and an adequate post treatment assessment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Cycle 1/Day 1, 1 Hour Post dose
|
||||||||||||
|
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with corrected QT interval using Fridericia's formula (QTcF) values meeting predefined criteria at Phase 1B | ||||||||||||||||||||||||||||||||||||||||
End point description |
Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia’s formula). Number of subjects with QTcF meeting the following criteria is presented:QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first. QTc analysis set was analyzed:all subjects enrolled in study having at least 1 ECG assessment after receiving at least 1 dose of glasdegib.
|
||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||
End point timeframe |
All Arms: Screening (within 28 days prior to Dosing), Day 1 of each cycle, Cycle 1/Day 10, End of Treatment. Additions: Cycle 1/Day 3, Day 21 in Arm A; Cycle 1/Day 2 in Arm B;Lead-in Day -3, Day 10 of Induction and Consolidation Cycles in Arm C.
|
||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with corrected QT interval using Fridericia's formula (QTcF) values meeting predefined criteria at Phase 2 Fit and Unfit [53] | ||||||||||||||||||||||||||||||||||||||||
End point description |
Maximum absolute values and increases from baseline were summarized for QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia’s formula). Number of subjects with QTcF meeting the following criteria is presented:QTcF interval:<450 msec; QTcF interval: 450 to <480 msec; QTcF interval: 480 to <500 msec; QTcF interval >=500 msec; QTcF interval increase from baseline: <30 msec; QTcF interval increase from baseline: 30 to <60 msec; QTcF interval increase from baseline >=60 msec. End of treatment in the time frame were defined as: maximum of 12 cycles from start of therapy or until disease progression or relapse, subject refusal or unacceptable toxicity occurred, whichever came first. QTc analysis set was used to analyze this end point, defined as all subjects enrolled in the study having at least 1 ECG assessment after receiving at least 1 dose of glasdegib.
|
||||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||||||
End point timeframe |
All Arms: Screening, Day 1 of each cycle, Cycle 1/Day 10, End of Treatment. Additions: Lead-in Day -3, Day 10 of Induction and Consolidation Cycles in Phase 2 Fit Arm.
|
||||||||||||||||||||||||||||||||||||||||
Notes [53] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent adverse events (AEs) at Phase 1B (All Causality) | ||||||||||||||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication,and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
|
||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||
End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
|
||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent adverse events (AEs) at Phase 1B (Treatment-related) | ||||||||||||||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
|
||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||
End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
|
||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent AEs categorized by seriousness at Phase 1B [54] | |||||||||||||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. An serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
|
|||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||||||||||
End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
|
|||||||||||||||||||||||||||||||||||
Notes [54] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent AEs at Phase 2 Fit and Unfit (All Causality) [55] | ||||||||||||||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
|
||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||||||||
End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
|
||||||||||||||||||||||||||||||||||||
Notes [55] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
|||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||||||||||||||||||||||||||
End point title |
Number of subjects with treatment-emergent AEs at Phase 2 Fit and Unfit (Treatment-related) [56] | ||||||||||||||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. Treatment-related AEs were AEs related to glasdegib and/or backbone chemotherapy. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
|
||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
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End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
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Notes [56] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with treatment-emergent AEs categorized by seriousness at Phase 2 Fit and Unfit [57] | ||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation subject administered a product or medical device; the event did not necessarily had a causal relationship with the treatment or usage. Treatment Emergent AEs were those with initial onset or increasing in severity after the first dose of study medication and occurred within 28 days post last dose. AEs were graded by the investigator according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 : Grade 1: mild AE; Grade 2: moderate AE; Grade 3: severe AE; Grade 4: life-threatening consequences, urgent intervention indicated; Grade 5: death related to AE. Safety analysis set was used to analyze this end point, defined as all enrolled subjects who received at least 1 dose of any of the study medications for each drug combination.
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End point type |
Secondary
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End point timeframe |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
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Notes [57] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Not every reporting arm is required for reporting this endpoint of the study. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From the time subjects took at least 1 dose of investigational product to Follow-up (at least 28 days and no more than 35 days after discontinuation of treatment)
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Adverse event reporting additional description |
MedDRA 21.1 coding dictionary was applied for all AE tables.
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
21.1
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Reporting groups
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Reporting group title |
Phase 1B: Glasdegib 100 mg + LDAC
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Reporting group description |
Subjects received oral doses of glasdegib (PF-04449913) tablets 100 milligram (mg) starting on Day 3 of Cycle 1 for pharmacokinetic (PK) assessment purposes and thereafter once daily (QD) and continuously for 28-day cycles (starting on Day 1 for all other cycles). Low dose Ara-C (LDAC) was given at a dose of 20 mg subcutaneously twice daily (BID) on Days 1-10 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + LDAC
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Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 3 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28-day cycles. In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 2/Day 1 and Cycle 2/Day 16, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Decitabine
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Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an intravenous (IV) infusion over 1 hour on Days 1-5 of the 28-day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Decitabine
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Reporting group description |
Subjects received oral doses of glasdegib tablets 200 mg starting on Day 2 of Cycle 1 for PK assessment purposes and thereafter QD and continuously for 28-day cycles (starting on Day 1 for all other cycles). Decitabine was given at a dose of 20 mg/m^2 as an IV infusion over 1 hour on Days 1-5 of the 28-day cycles.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg. Subjects who had glasdegib dose reduction were reported as the starting glasdegib dose level received. Two (2) subjects in this cohort had dose reduction to 100 mg starting from Cycle 1/Day 24 and Cycle 5/Day 1, respectively. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 200 mg + Cytarabine/Daunorubicin
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 200 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days.In March 2013, all active subjects receiving glasdegib 200 mg were required to reduce dose to 100 mg.One (1) subject in this cohort had dose reduction to 100 mg starting from Consolidation Cycle 1/Day 21. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 1B: Glasdegib 100 mg + Cytarabine/Daunorubicin
|
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Fit: Glasdegib 100 mg + Cytarabine/Daunorubicin
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Reporting group description |
Subjects received 1-2 cycles of induction (glasdegib and daunorubicin/cytarabine), followed by 2-4 cycles of consolidation (glasdegib and high dose cytarabine) and a maximum of 6 cycles of maintenance (glasdegib alone). Daunorubicin was given on Days 1-3 QD at a dose of 60 mg/m^2/day by IV together with cytarabine on Days 1-7 at a dose of 100 mg/m^2/day by continuous IV infusion for each cycle of induction. Cytarabine was given on Days 1, 3, and 5 at a dose of 1 g/m^2 administered as a 3-hour IV infusion every 12 hours (2 g/m^2/day) for each cycle of consolidation. Glasdegib tablets 100 mg QD was started on induction Cycle 1/Day -3 and administered continuously QD thereafter for the duration of the study. A cycle was defined as 28 days. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Unfit: Glasdegib 100 mg + LDAC
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Reporting group description |
Subjects received oral doses of glasdegib tablets 100 mg QD in 28-day cycles on a continuous basis, starting on Day 1 of Cycle 1. LDAC was given at a dose of 20 mg subcutaneously BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Phase 2 Unfit: LDAC alone
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Reporting group description |
Subjects received LDAC subcutaneously at a dose of 20 mg BID on Days 1-10 of the 28 day cycles. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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15 May 2012 |
Inclusion criteria had been modified to provide clarification for the ECOG performance status requirement, age, and gender. The starting dose of PF 04449913 for the safety cohorts was 100 mg daily based on the data from the ongoing Phase 1 study in hematologic malignancies, and the potential dose levels were modified accordingly. For the Safety Cohorts, cumulative incidence of relapse (CIR), relapse free survival (RFS), event free survival (EFS), and cumulative incidence of death (CID) had been removed as secondary endpoints. For the Efficacy Expansion Cohorts, the following had been added as secondary endpoints: disease specific efficacy endpoints such as Morphologic Leukemia Free State, Partial Remission (PR), Partial Remission with incomplete blood count recovery (PRi), Minor Response (MR), Stable Disease (SD), Cytogenetic Complete Response (CRc), and Molecular Complete Response (CRm) for AML, and Hematologic Improvement (HI), marrow CR, Partial Remission (PR), Stable Disease (SD), and Partial or Complete Cytogenetic Response for MDS. Approximately 30 evaluable subjects from treatment arms PF 04449913 in combination with LDAC or decitabine were undergo additional ECG assessments as outlined in the Schedule of Activities. The schedule of PF 04449913 pharmacokinetic sample collection had also been modified. The Adverse Event reporting section had been updated due to alignment with the US Food and Drug Administration Final Rule (21 CFR Parts 312 and 320) and the European Union CT 3 Guidance (2011/C 172/01). Guidance on tumor lysis syndrome prophylaxis had been added. Clarification that subjects who received prior azacitidine treatment for their high risk MDS or AHD were eligible for Arm A only had been provided. |
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01 Nov 2012 |
The study design was modified and B1371003 had been a phase 1B/2 study. Requirement for safety and efficacy review of study results by an internal review committee (IOBU SDMC) had been introduced. The expansion cohort for the evaluation of PF 04449913 at the RP2D in combination with decitabine had been removed. Unfit subjects in phase 2 portion were randomized 2:1 (LDAC + PF 04449913: LDAC alone) and stratified based on prognosis (poor vs good/intermediate). Study objectives and endpoints had been updated and aligned with the Phase 1B/2 study design. The inclusion/exclusion criteria had been updated as followed: restriction of enrollment to subjects ≥55 years old in the phase 2 portion for unfit subjects, as the efficacy of the PF 04449913 + LDAC combination was evaluated in this subject population; requirement of known cytogenetic profile at study entry for enrollment in the phase 2 portion for unfit subjects; requirement of 2 negative pregnancy tests before starting study treatments for women of childbearing potential; clarification that no prior treatment with investigational agents for antecedent hematologic disease was allowed; explicit exclusion of subjects who showed recent or active suicidal ideation or behavior from enrollment. The number of required consolidation cycles for fit subjects had been updated from 4 to 2 4 depending on disease response. The dose modification criteria for PF 04449913 and backbone chemotherapy agents had been updated. Allowed concominant medications (antimicrobial agents and doses) had been added. The treatment duration and withdrawal criteria for unfit subjects had been modified. The Adverse Event reporting section had been updated to clarify the expection for reporting SAEs after the active safety reporting period. |
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26 Mar 2014 |
The RP2D for Phase 2 Fit and Phase 2 Unfit was confirmed as PF-04449913 100 mg QD. Exclusion criteria for prohibited concomitant medications (CYP3A4 inhibitors, narrow therapeutic index CYP3A4 substrates and P glycoprotein inhibitors/inducers) were removed. Transplant exclusion critiera were removed. A Prep B1 plasma sample was added at screening to be used for pharmcogenomic assessments. The schedule of events added creatine kinase at select timepoints. The bone marrow assesement schedule has clarified aspirate collection requirements, changed initial hematologic recovery bone marrow collection from 7 days to 14 days, and for Unfit subjects changed the timepoints to Cycle 3 Day 1 and every third cycle to better align with standard of care and removed the treatment duration criteria. For fit subjects Maintenance Day 15 visit was removed. Continuous PF 04449913 dosing during induction and/or consolidation cycles >28 days was clarified. Extended contraception use to 180 days after last dose of investigational products to align with the Summary of Product Characteristics (SPC) for cytarabine and daunorubicin. Concomitant medication restrictions were minimized and/or removed. The independent bone marrow pathology review was removed. The MDS response timeframe for Hematologic Improvement, and the AML response definitions for Minor Response and Treatment Failure, were clarified. Appendix 6 containing list of drugs with known risk of Torsade de Pointes was added. Appendix 7 containing list of strong and moderate CYP3A4/5 inhibitors was added. Appendix 8 containing list of strong and moderate CYP3A4/5 inducers was added. |
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20 Apr 2015 |
Eligibility criteria corrected an inconsistency for inclusion criteria #2 (Acute Promyelocytic Leukemia (APL) subjects with t(15;17) are excluded) and clarified prior treatments for exclusion criteria #14. Sections 5.3.7 and 7.1.6: Revised dosing modification guidelines for treatment-related QTcF prolongation. Phase 2 Unfit Schedule of Activities, Sections 7.5.1 and 7.6.1: Removed requirement for bone marrow biopsies, if this evaluation was not performed as standard of care (the requirement for bone marrow aspirates remains unchanged). Section 8 Adverse Event Reporting: text updated to align with revised protocol template. Section 15.1 Communication of Results by Pfizer: text updated to align with revised protocol template. Modified AML response criteria for CRi requirements. |
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08 Feb 2016 |
Phase 2 secondary endpoints cumulative incidence of relapse (CIR), relapse free survival (RFS), event free survival (EFS), cumulative incidence of death (CID), and hematologic improvement (MDS subjects only) were removed. Table 2 Schedule of Activities and sections 3 and 5 for Phase 2 Unfit subjects updated to include survival follow up requirement for randomized subjects that did not start treatment. Section 1.2.8.5 Summary of Benefit-Risk Assessment updated with information concerning QTc interval prolongation. Section 5.3.7.1 QTcF Interval Monitoring and Management added for monitoring of potential cardiovascular symptoms and guidance on the use of moderate/strong CYP3A4/5 inhibitors or drugs with a known risk of Torsade de pointes as concomitant therapy. Section 5.5 Concomitant Medications updated for consistency with the new safety monitoring guidance provided in Section 7.1.6 and Table 8. Section 7.1.6 Triplicate (12-Lead) added new safety guidance when moderate/strong CYP3A4/5 inhibitors or drugs with a known risk of Torsade de pointes were administered as concomitant therapy. Section 8.6.1 Protocol-Specified Serious Adverse Events updated to include SAE reporting of all cases of > Grade 2 mQTcF prolongation regardless of causality for up to 28 calendar days after the last dose of study drug administered. Section 9.3.2 removed secondary endpoints CIR, RFS, EFS, CID, and independent central review of bone marrow samples. Appendix 6, 7 and 8 replaced with new tables and updated source references. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |