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Trial · NCT03593915

A Phase 1b/2 Study of Alvocidib Plus Decitabine or Azacitidine in Patients With MDS

NCT03593915, Phase 1, Phase 2, Terminated, Sumitomo Pharma America, Inc.; results first posted 2022-10-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 1b/2 Study of Alvocidib Plus Decitabine or Azacitidine in Patients With MDS. Trials, record NCT03593915. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03593915

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Trial

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

Title
A Phase 1b/2 Study of Alvocidib Plus Decitabine or Azacitidine in Patients With MDS
NCT number
NCT03593915
Status
Terminated
Phases
Phase 1, Phase 2
Enrollment
20 participants, actual
Lead sponsor
Sumitomo Pharma America, Inc.
Conditions
Myelodysplastic Syndromes (MDS)
Interventions
Alvocidib Plus Decitabine (during dose escalation only) or Azacitidine
First posted
2018-07-20
Last updated
2023-11-09
Results first posted
2022-10-21
Limitations and caveats
A business decision was made to stop enrollment and the study was discontinued on 17 November 2020. Consistent with Food and Drug Administration and International Council for Harmonisation guidance on the content for abbreviated and synoptic CSRs, only safety data are analyzed and reported.

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Adverse Events and Serious Adverse EventsFrom the time of first dose to 30 days after the last dose, an average of 33.7 weeks.Assessment of safety of alvocidib administered in combination with either decitabine (DEC) or azacitidine (AZA) by reporting of adverse events and serious adverse events
PrimaryTolerability of Alvocidib as Evaluated by Incidence of Dose Limiting Toxicities (DLTs) as Observed in Cycle 1Cycle 1 (28 days)
The DLTs are defined as follows based on the NCI CTCAE v5.0: Must be at least possibly related to Alvocidib; Any Gr 4 nonhematologic toxicity; Gr 3 nonhematologic toxicity that does not resolve to ≤Gr 2 in 48 hours; Gr 3 diarrhea, mucositis, nausea, or vomiting will be considered dose limiting only if resolution to ≤Gr 2 requires \>7 days; and ≥Grade 3 creatinine elevation that does not resolve to \<G2 within 7 days.
SecondaryDetermination of the Complete Response RateFrom the date of first treatment, every 8 weeks, for the first 6 cycles, for an average of 26 weeks
The calculation for Complete Response Rate is as follows: complete response \[CR\] / complete response with incomplete blood count recovery \[CRi\] / CRmarrow / partial response \[PR\] / hematologic improvement \[HI\]
SecondaryImprovement in Transfusion DependenceDuration of study treatment up to 6 monthsDetermine if treatment with alvocidib administered in sequence after DEC or AZA resulted in improvements in transfusion dependence

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Adverse Events and Serious Adverse EventsFrom the time of first dose to 30 days after the last dose, an average of 33.7 weeks.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYTolerability of Alvocidib as Evaluated by Incidence of Dose Limiting Toxicities (DLTs) as Observed in Cycle 1Cycle 1 (28 days)Sponsor's decision to terminate further development of the alvocidib program. Data collection and analysis were therefore not conducted as planned.
SECONDARYDetermination of the Complete Response RateFrom the date of first treatment, every 8 weeks, for the first 6 cycles, for an average of 26 weeksSponsor's decision to terminate further development of the alvocidib program. Data collection and analysis were therefore not conducted as planned.
SECONDARYImprovement in Transfusion DependenceDuration of study treatment up to 6 monthsSponsor's decision to terminate further development of the alvocidib program. Data collection and analysis were not conducted as planned.

Results by group6

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Adverse Events and Serious Adverse EventsALV-DEC: Cohort 13Participants
Number of Participants With Adverse Events and Serious Adverse EventsALV-DEC: Cohort 23Participants
Number of Participants With Adverse Events and Serious Adverse EventsALV-DEC: Cohort 33Participants
Number of Participants With Adverse Events and Serious Adverse EventsALV-DEC: Cohort 44Participants
Number of Participants With Adverse Events and Serious Adverse EventsALV-AZA: Cohort 53Participants
Number of Participants With Adverse Events and Serious Adverse EventsALV-AZA: Cohort 64Participants

Participant flow18

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDALV-DEC: Cohort 13
Overall StudySTARTEDALV-DEC: Cohort 23
Overall StudySTARTEDALV-DEC: Cohort 33
Overall StudySTARTEDALV-DEC: Cohort 44
Overall StudySTARTEDALV-AZA: Cohort 53
Overall StudySTARTEDALV-AZA: Cohort 64
Overall StudyCOMPLETEDALV-DEC: Cohort 13
Overall StudyCOMPLETEDALV-DEC: Cohort 23
Overall StudyCOMPLETEDALV-DEC: Cohort 33
Overall StudyCOMPLETEDALV-DEC: Cohort 43

Adverse events1,098

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersALV-DEC: Cohort 123
otherDiarrhoeaGastrointestinal disordersALV-DEC: Cohort 223
otherDiarrhoeaGastrointestinal disordersALV-DEC: Cohort 333
otherDiarrhoeaGastrointestinal disordersALV-DEC: Cohort 444
otherDiarrhoeaGastrointestinal disordersALV-AZA: Cohort 523
otherDiarrhoeaGastrointestinal disordersALV-AZA: Cohort 624
otherNauseaGastrointestinal disordersALV-DEC: Cohort 123
otherNauseaGastrointestinal disordersALV-DEC: Cohort 213
otherNauseaGastrointestinal disordersALV-DEC: Cohort 333
otherNauseaGastrointestinal disordersALV-DEC: Cohort 444

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityALV-DEC: Cohort 133
Total, all-cause mortalityALV-DEC: Cohort 233
Total, all-cause mortalityALV-DEC: Cohort 333
Total, all-cause mortalityALV-DEC: Cohort 444
Total, all-cause mortalityALV-AZA: Cohort 533
Total, all-cause mortalityALV-AZA: Cohort 644
Total, other adverse eventsALV-DEC: Cohort 133
Total, other adverse eventsALV-DEC: Cohort 233
Total, other adverse eventsALV-DEC: Cohort 333
Total, other adverse eventsALV-DEC: Cohort 444

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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/NCT03593915

GET https://conductscience.org/api/trials/v1/NCT03593915/events?page=2