A Study Evaluating Intensive Chemotherapy With or Without Glasdegib or Azacitidine With or Without Glasdegib In Patients With Previously Untreated Acute Myeloid Leukemia

PHASE3CompletedINTERVENTIONAL
Enrollment

730

Participants

Timeline

Start Date

April 20, 2018

Primary Completion Date

June 5, 2020

Study Completion Date

January 17, 2022

Conditions
Leukemia, Myeloid, Acute
Interventions
DRUG

glasdegib

"Daily Glasdegib (100 mg, PO), beginning on Day 1 and is to continue up to 2 years post randomization.~Following consolidation therapy, glasdegib or placebo will be administered daily for up to 2 years after randomization or until they have minimal residual disease (MRD) negative disease, whichever comes first.~Daily Glasdegib (100 mg, PO) or matching placebo will continue throughout Induction(s) and Consolidation therapies regardless of dose modifications/delays in the chemotherapy."

DRUG

daunorubicin + cytarabine

"'7+3' (cytarabine 100 mg/m2, IV for 7 days by continuous infusion and daunorubicin 60 mg/m2 for 3 days).~If a second induction is needed, Investigators may choose either a 5 day cytarabine continuous infusion plus daunorubicin for 2 days ('5+2') or a 7 day cytarabine continuous infusion plus daunorubicin for 3 days ('7+3');"

DRUG

azacitidine

Azacitidine (75 mg/m2, SC or IV) daily for 7 days, in 28 day cycles for as long as they do not meet the criteria for disease progression, unacceptable toxicity, consent withdrawal, or death.

DRUG

Placebo

"Matching placebo (PO) given on Day 1 and is to continue up to 2 years post randomization. Following consolidation therapy, placebo will be administered daily for up to 2 years after randomization or until they have MRD negative disease, whichever comes first.~Daily placebo will continue throughout Induction(s) and Consolidation therapies regardless of dose modifications/delays in the chemotherapy."

DRUG

Placebo

Matching placebo (PO) is to be administered by mouth daily beginning on Day 1 of chemotherapy and will continue if subjects demonstrate reasonable evidence of clinical benefit and do not meet the criteria for progression regardless of any delays/modifications in the chemotherapy treatment. Subjects will continue placebo until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever comes first.

DRUG

glasdegib

"Glasdegib 100 mg PO QD is to be administered by mouth daily beginning on Day 1 of chemotherapy and will continue if subjects demonstrate reasonable evidence of clinical benefit and do not meet the criteria for progression regardless of any delays/modifications in the chemotherapy treatment.~Subjects will continue glasdegib until disease progression, unacceptable toxicity, consent withdrawal, or death, whichever comes first."

DRUG

cytarabine

Consolidation with single agent cytarabine 3 g/m2 IV for adults \<60 years and 1 g/m2 for adults 60 years over 3 BID on Days 1, 3, and 5, every 28 days for up to 4 cycles or alternative single agent cytarabine consolidation schedules may be used per local prescribing information.

PROCEDURE

HSCT

If required, and done per standard of care post Induction(s).

Trial Locations (149)

100

National Taiwan University Hospital, Taipei

112

Koo Foundation Sun Yat-Sen Cancer Center, Taipei

333

Chang Gung Memorial Hospital-Linkou Branch, Taoyuan

704

National Cheng Kung University Hospital, Tainan City

1130

Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhugel, Vienna

2010

St Vincent's Hospital Sydney, Darlinghurst

2217

St George Hospital, Kogarah

4032

Debreceni Egyetem Klinikai Kozpont Belgyogyaszati Klinika, Hematologia Tanszek, Debrecen

Debreceni Egyetem Klinikai Kozpont Belgyogyaszati Klinika, Debrecen

4400

Szabolcs-Szatmar Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Korhaz, Hematologia, Nyíregyháza

Szabolcs-Szatmar Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Korhaz,, Nyíregyháza

5000

Royal Adelaide Hospital, Adelaide

5020

Landeskrankenhaus Salzburg, Universitatsklinik fur Innere Medizin III der PMU, Salzburg

Uniklinikum Salzburg, Landeskrankenhaus Salzburg, Salzburg

7400

Somogy Megyei Kaposi Mor Oktato Korhaz, Kaposvár

9024

Petz Aladár Megyei Oktató Kórház, II. Belgyógyászat- Hematológiai Osztály, Győr

11030

North Shore University Hospital, Manhasset

11040

Long Island Jewish Medical Center, New Hyde Park

11042

Northwell Health/Monter Cancer Center, Lake Success

11217

Taipei Veterans General Hospital, Taipei

14080

Instituto Nacional de Cancerología, México

14642

University of Rochester Medical Center, Rochester

20246

Universitaetsklinikum Hamburg-Eppendorf, Hamburg

21565

Gachon University Gil Medical Center, Incheon

25198

Hospital Universitario Arnau de Vilanova, Lleida

28007

Hospital General Universitario Gregorio Maranon, Madrid

28034

Hospital Universitario Ramon y Cajal, Madrid

30625

Medizinische Hochschule Hannover, Hanover

30912

Augusta University Medical Center, Augusta

Georgia Cancer Center at Augusta University, Augusta

35032

Philipps-Universitaet Marburg, Marburg

37203

Centennial Medical Center, Nashville

TriStar Bone Marrow Transplant, Nashville

40138

Azienda Ospedaliero Universitaria di Bologna Policlinico S.Orsola Malpighi, Bologna

41013

Hospital Universitario Virgen del Rocio, Seville

42601

Keimyung University Dongsan Hospital, Daegu

44093

CHU de Nantes Hotel Dieu, Nantes

CHU de Nantes, Nantes

44106

University Hospitals Cleveland Medical Center, Cleveland

44124

A.O.U. di Ferrara- Arcispedale Sant'Anna,, Cona, Ferrara

44195

Cleveland Clinic Foundation, Cleveland

46026

Hospital Universitari i Politecnic La Fe, Valencia

47392

Inje University Busan Paik Hospital, Busan

48149

Universitaetsklinikum Muenster, Münster

50937

Universitätsklinikum Köln, Cologne

53100

Azienda Ospedaliera Universitaria Senese., Siena

Azienda Ospedaliera Universitaria Senese, Siena

54907

Chonbuk National University Hospital, Jeonju

60126

AOU Ospedali Riuniti Umberto I, G.M. Lancisi, G. Salesi, Clinica Di Ematologia, Torrette Di Ancona

SOD Farmacia-Dipt dei servizi -AOU Ospedali Riuniti Umberto I, G.M. Lancisi, G. Salesi, Torette Di Ancona

61122

AO Ospedali Riuniti Marche Nord - Presidio Ospedaliero San Salvatore di Pesaro -, Pesaro

64132

MidAmerica Division, Inc., c/o Research Medical Center, Kansas City

64460

"Hospital Universitario Dr. Jose Eleuterio Gonzalez", Monterrey

69495

Centre Hospitalier Lyon Sud - Service d'Hematologie, Pierre-Bénite

75010

Hopital Saint Louis, Paris

75246

Baylor University Medical Center, Dallas

78229

Blood Cancer and Stem Cell Transplant Clinic, San Antonio

Methodist Healthcare System of San Antonio, San Antonio

81377

Klinikum der Universitaet Muenchen, Munich

90095

UCLA Department of Medicine, Los Angeles

UCLA Drug Information/Investigational Drugs, Los Angeles

UCLA Hematology/Oncology Clinic, Los Angeles

UCLA Ronald Reagan Medical Center, Los Angeles

91120

Hadassah Medical Center (Ein Kerem), Jerusalem

91361

UCLA Hematology/Oncology - Westlake Village, Westlake Village

94010

CHU Henri Mondor, Créteil

94143

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco

University of California, San Francisco, San Francisco

94805

Institut Gustave Roussy, Villejuif

97239

OHSU Center for Health and Healing, Portland

Oregon Health & Science University, Portland

98104

Swedish Cancer Institute, Seattle

98122

Swedish Medical Center, Seattle

129301

State Budgetary Healthcare Institution of Moscow, Moscow

197341

V.A Almazov NMRC, Saint Petersburg

200025

Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai

200136

Spitalul Clinic Municipal Filantropia Craiova, Sectia Clinica Hematologie, Craiova

230001

The First Affiliated Hospital of USTC, Anhui Provincial Hospital, Hefei

230071

Anhui Provincial Hospital, Hefei

300020

Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences, Tianjin

310003

The First Affiliated Hospital College of Medicine, Zhejiang University, Hangzhou

350001

Fujian Medical University Union Hospital, Fuzhou

390039

State Budgetary Institution of Ryazan Region 'Regional Clinical Hospital' (SBI RR RCH), Ryazan

400124

Institutul Oncologic 'Prof. Dr. Ion Chiricuta', Cluj-Napoca

430030

Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology/Cancer Center, Wuhan

450003

Henan Provincial People's Hospital/Hematology Department, Zhengzhou

450008

Henan Cancer Hospital, Zhengzhou

510080

Guangdong Provincial People's Hospital, Guangzhou

510317

Guangdong Second Provincial General Hospital, Guangzhou

603126

SBHI NNR NN RCH n. a. N.A. Semashko, Nizhny Novgorod

610041

West China Hospital, Sichuan University, Chengdu

3109601

Rambam Health Care Campus, Haifa

4941492

Hemato-oncology ambulatory Service, Petah Tikva

Rabin Medical Center, Beilinson Hospital, Petah Tikva

9103102

Shaare Zedek Medical Center, Jerusalem

92868-3201

UC Irvine Health - Chao Family Comprehensive Cancer Center, Orange

02111

Tufts Medical Center Investigational Drug Pharmacy, Boston

Tufts Medical Center, Boston

02114

Massachusetts General Hospital, Boston

02215

Beth Israel Deaconess Medical Center, Boston

B-8000

AZ Sint-Jan Brugge-Oostende av, Bruges

B-1090

Universitaire Ziekenhuizen Brussel (UZ Brussel), Brussels

Universitaire Ziekenhuizen Brussel, Brussels

B-3000

Universitaire Ziekenhuizen Leuven, Leuven

R3A 1R9

Health Sciences Centre, Winnipeg

R3E 0V9

CancerCare Manitoba, Winnipeg

M4N 3M5

Sunnybrook Research Institute, Toronto

M5G 2M9

Princess Margaret Cancer Centre, Toronto

H1T 2M4

CIUSSS de l'Est-de-l'Ile-de- Montréal - Hôpital Maisonneuve-Rosemont, Montreal

S7N 0W8

Royal University Hospital, Saskatoon

S7N 4H4

Saskatoon Cancer Centre, Saskatoon

065201

Hebei Yanda Lu Daopei Hospital, Langfang

625 00

Interni hematologicka a onkologicka klinika, Fakultni nemocnice Brno, Brno

Nemocnicni lekarna, Brno

708 52

Ustavni lekarna, Ostrava - Poruba

Klinika hematoonkologie, Ostrava-Poruba

100 34

Interní hematologická klinika, Fakultni nemocnice Královské Vinohrady, Prague

Ústavni lékárna, Prague

466-8650

Japanese Red Cross Nagoya Daini Hospital, Nagoya

910-1193

University of Fukui Hospital, Yoshida-gun

371-8511

Gunma University Hospital, Maebashi

650-0017

Kobe University Hospital, Kobe

232-0024

Yokohama City University Medical Center, Yokohama

980-8574

Tohoku University Hospital, Sendai

545-8586

Osaka City University Hospital, Osaka

589-8511

Kindai University Hospital, Ōsaka-sayama

411-8777

Shizuoka Cancer Center, Sunto-gun

190-0014

National Hospital Organization Disaster Medical Center, Tachikawa

010-8543

Akita University Hospital, Akita

812-8582

Kyushu University Hospital, Fukuoka

860-0008

National Hospital Organization Kumamoto Medical Center, Kumamoto

852-8501

Nagasaki University Hospital, Nagasaki

160-0023

Tokyo Medical University Hospital, Tokyo

80-214

Klinika Hematologii i Transplantologii Uniwersyteckie Centrum Kliniczne, Gdansk

93-513

WWCOiT im. M. Kopernika w Lodzi, Lodz

010825

Sp. Clinic de Urgenta Militar Central Dr. Carol Davila, Bucharest

030171

Spitalul Clinic Coltea, Clinica de Hematologie, Bucharest

03080

Seoul National University Hospital, Seoul

03722

Clinical Trial Center, Severance Hospital, Yonsei University Health System, Seoul

Severance Hospital, Yonsei University Health System, Seoul

06351

Samsung Medical Center, Seoul

06591

The Catholic University of Korea Seoul St. Mary's Hospital, Seoul

08003

Hospital del Mar, Barcelona

08025

Hospital de la Santa Creu i Sant Pau, Barcelona

701 85

Universitetssjukhuset Orebro, Örebro

141 86

Karolinska Universitetssjukhuset Huddinge, Stockholm

SM2 5PT

The Royal Marsden NHS Foundation Trust, Sutton

B15 2TH

University Hospitals Birmingham NHS Foundation Trust, Birmingham

W12 0HS

Imperial College Healthcare NHS Trust, London

Sponsors

Lead Sponsor

All Listed Sponsors
lead

Pfizer

INDUSTRY