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Trial · NCT02348489

SGI-110 in Adults With Untreated Acute Myeloid Leukemia (AML), Not Considered Candidates for Intensive Remission Induction

NCT02348489, Phase 3, Completed, Astex Pharmaceuticals, Inc.; results first posted 2021-01-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. SGI-110 in Adults With Untreated Acute Myeloid Leukemia (AML), Not Considered Candidates for Intensive Remission Induction. Trials, record NCT02348489. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02348489

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
SGI-110 in Adults With Untreated Acute Myeloid Leukemia (AML), Not Considered Candidates for Intensive Remission Induction
NCT number
NCT02348489
Status
Completed
Phases
Phase 3
Enrollment
815 participants, actual
Lead sponsor
Astex Pharmaceuticals, Inc.
Conditions
Leukemia, Myeloid, Acute
Interventions
SGI-110 (guadecitabine), Treatment Choice
First posted
2015-01-28
Last updated
2024-08-27
Results first posted
2021-01-14

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With a Complete Response (CR)Up to 38 months (median follow-up of 25.5 months)Number of participants with a best response of CR assessed based on International Working Group 2003 acute myeloid leukemia (AML) response criteria by a blinded independent pathologist.
PrimaryOverall SurvivalAt 676 death events (up to 38 months)Survival time was defined as the number of days from the day the participant was randomly assigned to study treatment to the date of death, regardless of cause.
SecondaryNumber of Participants With Composite CR (CRc)Up to 38 months (median follow-up of 25.5 months)CRc is reported as the number of participants with a best response of CR, complete response with incomplete platelet recovery (CRp), or complete response with incomplete blood count recovery (CRi).
SecondaryNumber of Days Alive and Out of the HospitalMonth 6
The date of each hospital admission and discharge was collected for each participant for up to 6 months, unless the participant died or withdrew consent prior to that time. Duration of each hospital stay in days was calculated as date of discharge minus date of admission. The Number of Days Alive and Out of the Hospital (NDAOH) was calculated as: NDAOH=180 - total duration of all hospital stays within 180 days from the first treatment - number of death days before Day 180. For subjects who were lost to follow-up within 6 months, the NDAOH was calculated conservatively assuming that the subject would have died the day after the last contact day.
SecondaryProgression-free Survival (PFS)Up to 38 months (median follow-up of 25.5 months)
Progression-free survival was defined as the number of days from randomization to the earliest date of investigator's assessment of disease progression, participant receiving an alternative anti-leukemia therapy (including hematopoietic cell transplant), or relapse by peripheral blood (PB) assessment or blinded bone marrow (BM) assessment, whichever occurred first, or death, regardless of cause.
SecondaryNumber of Red Blood Cell or Platelet TransfusionsMonth 6
The total number of red blood cells (RBCs) transfused or, separately, the total number of platelets transfused up to the 6-month time point for each participant was counted from the date of randomization to Day 180, the date of last contact, or date of death, whichever occurred earlier. One RBC or platelet transfusion was defined as one unit, and a single bag of RBCs or platelets was considered one unit.
SecondaryChange in Health-related Quality of Life (QOL) Scores From Baseline: EQ-5D-5LBaseline to Month 6
EuroQol 5-level 5-dimension (EQ-5D-5L) descriptive scores were collected for each participant for a minimum of 6 months, unless the participant died or withdrew consent. Scores within each dimension for EQ-5D (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) were calculated using counts and proportions. Mean change in scores from baseline are summarized in which an index score of 0 represents the worst health state and 1 represents the best health state.
SecondaryChange in Health-related Quality of Life (QOL) Scores From Baseline: EQ-VASBaseline to Month 6
EuroQol-Visual Analogue Scale (EQ-VAS) descriptive scores were collected for each participant for a minimum of 6 months, unless the participant died or withdrew consent. A vertical 20-cm scale for EQ-VAS was used where the lowest value of 0 was labeled "the worst health you can imagine" and the top value of 100 was labeled "the best health you can imagine." Mean change in scores from baseline are summarized.
SecondaryDuration of CRUp to 38 months (median follow-up of 25.5 months)
Duration of CR (in number of days) was calculated from the first time a CR was observed to the time of relapse, defined as the earliest time point whereby BM assessment or PB assessment indicated relapse/disease progression due to reappearance of leukemic blasts in PB or ≥ 5% leukemic blasts in BM.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With a Complete Response (CR)Up to 38 months (median follow-up of 25.5 months)The efficacy analysis set includes all randomized participants.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYOverall SurvivalAt 676 death events (up to 38 months)The efficacy analysis set includes all randomized participants.daysMEDIAN
SECONDARYNumber of Participants With Composite CR (CRc)Up to 38 months (median follow-up of 25.5 months)The efficacy analysis set includes all randomized participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Days Alive and Out of the HospitalMonth 6The efficacy analysis set includes all randomized participants.daysMEAN
SECONDARYProgression-free Survival (PFS)Up to 38 months (median follow-up of 25.5 months)The efficacy analysis set includes all randomized participants.daysMEDIAN
SECONDARYNumber of Red Blood Cell or Platelet TransfusionsMonth 6The efficacy analysis set includes all randomized participants.transfusion unitsMEAN
SECONDARYChange in Health-related Quality of Life (QOL) Scores From Baseline: EQ-5D-5LBaseline to Month 6The efficacy analysis set includes all randomized participants.score on a scaleMEAN
SECONDARYChange in Health-related Quality of Life (QOL) Scores From Baseline: EQ-VASBaseline to Month 6The efficacy analysis set includes all randomized participants.score on a scaleMEAN
SECONDARYDuration of CRUp to 38 months (median follow-up of 25.5 months)The efficacy analysis set includes all randomized participants.daysMEDIAN

Results by group28

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With a Complete Response (CR)SGI-110 (Guadecitabine)79Participants
Number of Participants With a Complete Response (CR)Treatment Choice71Participants
Overall SurvivalSGI-110 (Guadecitabine)21395% Confidence Interval 187 to 255days
Overall SurvivalTreatment Choice25495% Confidence Interval 223 to 282days
Number of Participants With Composite CR (CRc)SGI-110 (Guadecitabine)93Participants
Number of Participants With Composite CR (CRc)Treatment Choice91Participants
Number of Days Alive and Out of the HospitalSGI-110 (Guadecitabine)98.1Standard Deviation 63.6days
Number of Days Alive and Out of the HospitalTreatment Choice105.7Standard Deviation 63.58days
Progression-free Survival (PFS)SGI-110 (Guadecitabine)15995% Confidence Interval 136 to 178days
Progression-free Survival (PFS)Treatment Choice16695% Confidence Interval 148 to 179days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSGI-110 (Guadecitabine)408
Overall StudySTARTEDTreatment Choice407
Overall StudyCOMPLETEDSGI-110 (Guadecitabine)55
Overall StudyCOMPLETEDTreatment Choice40
Overall StudyNOT COMPLETEDSGI-110 (Guadecitabine)353
Overall StudyNOT COMPLETEDTreatment Choice367

Adverse events872

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersSGI-110 (Guadecitabine)88401211
otherAnemiaBlood and lymphatic system disordersTreatment Choice78392201
otherFebrile neutropeniaBlood and lymphatic system disordersSGI-110 (Guadecitabine)66401103
otherFebrile neutropeniaBlood and lymphatic system disordersTreatment Choice4039257
otherLeukopeniaBlood and lymphatic system disordersSGI-110 (Guadecitabine)37401120
otherLeukopeniaBlood and lymphatic system disordersTreatment Choice33392124
otherNeutropeniaBlood and lymphatic system disordersSGI-110 (Guadecitabine)115401319
otherNeutropeniaBlood and lymphatic system disordersTreatment Choice88392233
otherThrombocytopeniaBlood and lymphatic system disordersSGI-110 (Guadecitabine)116401380
otherThrombocytopeniaBlood and lymphatic system disordersTreatment Choice101392313

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySGI-110 (Guadecitabine)341408
Total, all-cause mortalityTreatment Choice344407
Total, other adverse eventsSGI-110 (Guadecitabine)379401
Total, other adverse eventsTreatment Choice371392
Total, serious adverse eventsSGI-110 (Guadecitabine)327401
Total, serious adverse eventsTreatment Choice297392

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37276510DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
SGI-110 (Guadecitabine) vs Treatment Choice: Number of Participants With Composite CR (CRc)Trial comparisons
SGI-110 (Guadecitabine) vs Treatment Choice: Number of Participants With a Complete Response (CR)Trial comparisons
SGI-110 (Guadecitabine) vs Treatment Choice: deaths from any causeTrial comparisons
SGI-110 (Guadecitabine) vs Treatment Choice: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02348489

GET https://conductscience.org/api/trials/v1/NCT02348489/results?page=2