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Trial Title: PK/Efficacy Bridging Study of ASTX727 in Chinese Subjects With Myelodysplastic Syndromes

NCT ID: NCT06091267

Condition: Myelodysplastic Syndromes

Conditions: Official terms:
Preleukemia
Myelodysplastic Syndromes
Syndrome
Decitabine
Decitabine and cedazuridine drug combination

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Crossover Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: IV Decitabine
Description: The subjects will receive decitabine 20 mg/m^2 IV daily × 5 days in 28-day cycles.
Arm group label: ASTX727 and IV Decitabine
Arm group label: IV Decitabine and ASTX727

Intervention type: Drug
Intervention name: Decitabine and cedazuridine
Description: subjects will receive treatment with ASTX727, 1 tablet/day for 5 consecutive days, in 28-day cycles.
Arm group label: ASTX727 and IV Decitabine
Arm group label: IV Decitabine and ASTX727

Intervention type: Drug
Intervention name: only Decitabine and cedazuridine
Description: subjects will receive treatment with ASTX727, 1 tablet/day for 5 consecutive days, in 28-day cycles, until disease progression, unacceptable toxicity, or the subject/investigator decides that the subject should discontinue treatment or withdraw from the trial.
Arm group label: ASTX727
Arm group label: ASTX727 and IV Decitabine
Arm group label: IV Decitabine and ASTX727

Summary: This is an Open-Label, Crossover, Pharmacokinetic and Efficacy Bridging Study of Oral ASTX727 versus IV Decitabine in Chinese Subjects with Myelodysplastic Syndromes

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Agree to participate in this trial and voluntarily sign the informed consent form. 2. Men or women ≥ 18 years at the time of signing the informed consent form. 3. Subjects with MDS previously treated or untreated with de novo or secondary MDS. 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at screening. Exclusion Criteria: 1. Prior treatment with more than 1 cycle of azacitidine or decitabine. 2. Cytotoxic chemotherapy or prior azacitidine or decitabine within 4 weeks of first dose of study treatment. 3. Conditions as judged by the investigator to be inappropriate for participation in the clinical trial. 4. Previous diagnosis of malignant tumor. 5. History of immune deficiency. 6. Acute myeloid leukemia (AML) with bone marrow or peripheral blast count ≥ 20% or other malignant hematological diseases.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital,Zhejiang University School of Medicine

Address:
City: Hangzhou
Zip: 310003
Country: China

Status: Recruiting

Contact:
Last name: Jie Jin

Phone: +86-0571-87236898
Email: jiej0503@163.com

Contact backup:
Last name: Hongyan Tong

Phone: +86-0571-87235589
Email: hongyantong@aliyun.com

Start date: October 16, 2023

Completion date: June 30, 2026

Lead sponsor:
Agency: Otsuka Beijing Research Institute
Agency class: Industry

Source: Otsuka Beijing Research Institute

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06091267

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