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Trial · NCT03092674

Registered outcomes11

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

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS) (Phase II)Day of registration on study until death from any cause, assessed for up to 5 yearsTime from date of randomization on study until death from any cause with observations censored on the day of last contact for patients not known to have died.
PrimaryOS (Phase III)Day of registration on study until death from any cause, assessed for up to 5 yearsTime from date of randomization on study until death from any cause with observations censored on the day of last contact for patients not known to have died.
SecondaryNumber of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study DrugsDuration of treatment and follow up until death or 5 years post randomization (registration to Step 2).Only adverse events that are possibly, probably, or definitely related to study drugs are reported. CTCAE Version 5.0 was used for all AE reporting.
OtherRemission RatesUp to 5 years
#participants(ps) w comp response(resp)(CR), comp remission w incomp bld ct recovery(CRp/CRi), morphol leukemia-free state(MLFS), erythroid\&neutrophil\&platelet resp(HI-E,HI-N,HI-P), HI-P, marrow comp resp(CRm), stable disease(SD), no resp(NR) CR:BM blasts\<5%; no circ blasts\&blasts w Auer rods(AR); no extramedullary disease(ED); ANC≥1x10\^9/L; plt ct≥100x10\^9/L CRp/CRi:CR criteria excl residual neutropenia\<1x10\^9/L or ITP\<100x10\^9/L MLFS:BM blasts\<5%; no blasts w AR, ED, hem recovery rqd HI-E:≥1.5g/dL↑Hb pretx;\&RBC trans-depen ps, achieve trans independ or relevant↓RBC trans rqd HI-N:ANC↑pretx≥100%,\&an absolute↑of\>500/mm3 pretx HI-P:Absolute↑≥30000/mm3 pretx for ps w plt ct\>20000/mm3 pretx. Ps w plt ct≤20000/mm3 pretx,↑≥100% pretx ct to plt ct\>20000/mm3. Plt trans-depend ps, plt trans independ rqd CRm:CR for BM exam≤5%myeloblasts\&marrow myeloblasts↓≥50%pretx SD:Not achieve≥PR, w no evidence prog NR:Not achieve CR,CRi,PR,MLFS,SD, excl ps w death in aplasia or due to indet cause
OtherOSDay of registration on study until death from any cause, assessed for up to 5 years
Will be estimated using the Kaplan-Meier method or Cox regression models. Landmark analyses of different response categories will be evaluated based on dates at which 75% and 90% of patients have achieved a response (with other quantiles analyzed as needed).
OtherRelapse-free Survival (RFS)Date of achievement of a remission until the date of relapse or death from any cause, assessed for up to 5 years
Time from the date of achievement of a remission (defined as patients achieving complete remission (CR), or CR with incomplete hematological recovery (CRi)) until the date of relapse or death from any cause; patients not known to have relapsed or died at last follow-up are censored on the date of last contact.
OtherEvent-free Survival (EFS)
Date of randomization to the first of: date of primary refractory disease; date of progressive disease; date off protocol therapy without CR or CRi; date of relapse from CR or CRi, or death from any cause, assessed for up to 5 years
Time from from the date of randomization to the first of: date of primary refractory disease; date of progressive disease; date off protocol therapy without CR or CRi; date of relapse from CR or CRi, or death from any cause; patients not known to have any of these events are censored on the date of last contact.
OtherCumulative Incidence of Relapse Defined as Achieving CR or CRiDate of achievement of a remission until the date of relapse or death, assessed for up to 5 yearsCumulative incident endpoints and associations will be assessed using Cox regression models (for cause-specific hazards as appropriate).
OtherFLT3-ITDUp to 5 years
The prognostic effect of FLT3-ITD (positive versus negative or non-evaluable) with respect to the outcome OS will be evaluated using Cox regression models. The predictive effect of FLT3-ITD (positive versus negative/non-evaluable) with respect to the outcome of OS and the treatments of azacitdine+midostaurin versus azacitidine will be evaluated using a Cox regression model with treatment arm and FLT3-ITD as covariates and including the interaction between the two covariates.
OtherCytogenetic Abnormalities, Risk Categories, and Mutations in Bone MarrowUp to 5 years
Univariate and multivariable regression models will be used to assess potential associations between outcomes (CR, OS, EFS, and RFS) and cytogenetic abnormalities and mutation status (including FLT3-ITD). Regression models including interaction terms with treatment arm will be fit. In addition to analyzing FLT3-ITD as categorical variable used in randomization stratification, we will analyze FLT3-TKD also and evaluate FLT3-ITD allelic ratio as a quantitative variable and as a binary variable using the threshold of 0.50.
OtherPotential Control Arm DriftUp to 5 yearsOnly concurrently randomized patients will be evaluated in comparisons between arms.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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.

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