Myelodysplastic Syndrome (MDS) Clinical Trial
Official title:
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study of Azacitidine With or Without Birinapant With a Single Arm Open-Label Run-In Phase in Subjects With Higher Risk Myelodysplastic Syndrome or Chronic Myelomonocytic Leukemia
This is a randomized double blind placebo controlled study of azacitidine with or without birinapant in subjects with higher risk Myelodysplastic syndrome, secondary MDS or myelomonocytic leukemia (CMMoL) who are naïve, to azacitidine therapy. Pre-clinical and mechanistic studies support that azacitidine may modulate pathways that enable birinapant-mediated anti-tumor activity.
This is a randomized double blind placebo controlled study of azacitidine with or without
birinapant in subjects with higher risk Myelodysplastic syndrome, secondary MDS or
myelomonocytic leukemia (CMMoL)
The primary purpose of this study is :
-To compare the relative effect of azacitidine plus birinapant versus azacitidine plus
placebo on response rate in patients with higher-risk MDS, secondary MDS or CMMoL.
The secondary purpose of this study is to compare effect of azacitidine plus birinapant
relative to azacitidine with placebo on:
- Hematologic improvement
- Relapse free survival
- Time to respond
- Change in transfusion requirements
- Duration of response
- Overall survival
- Adverse events
The exploratory objective of this study is to assess exploratory translational biomarkers
for antitumor effects.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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