AzTrials
AzTrials

Myelodysplastic SyndromesPhase 3PREFER-HMANCT05883956

A Study Comparing Treatment Preference Between Oral Decitabine/Cedazuridine and Azacitidine in Myelodysplastic Syndrome, Low-Blast Acute Myeloid Leukemia, or Chronic Myelomonocytic Leukemia

A Phase 3 study testing Subcutaneous azacitidine and Oral decitabine/cedazuridine in people with Myelodysplastic Syndromes and Leukemia, Myeloid, Acute, run by Otsuka Australia Pharmaceutical Pty Ltd at 11 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

It is hypothesized that significantly more patients would prefer oral decitabine/cedazuridine to subcutaneous (SC) azacitidine (AZA) due to several factors, including improved treatment convenience, the reduced risk of nosocomial infections, and reduced treatment discomfort. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Subcutaneous azacitidine and Oral decitabine/cedazuridine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
11 sitesin 2 countries
Study dates
20 Dec 2023to May 2025
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For Patients:
  • Patients are eligible to be included in the study only if all of the following criteria apply at any time starting from Screening up to Day 1 prior to study treatment administration:
  • Patients must be 18 years of age or older.
  • IPSS-R defined intermediate MDS, IPSS defined intermediate 2 or high-risk MDS, LB AML or CMML (with symptoms), as confirmed by recent full blood examination, bone marrow biopsy, and cytogenetic testing. NOTE: IPSS-R defined intermediate MDS patients are limited to less than 50% of enrolled patients.
  • Life expectancy of at least 6 months.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2 inclusive.
Show all 19Show fewer
  • Patient must be able to co-operate and complete tasks (including tasks such as electronic questionnaires on digital devices) over the following 4 months.
  • For Patients:
  • Patients are eligible to be included in the study only if all of the following criteria apply at any time starting from Screening up to Day 1 prior to study treatment administration:
  • Patients must be 18 years of age or older.
  • IPSS-R defined intermediate MDS, IPSS defined intermediate 2 or high-risk MDS, LB AML or CMML (with symptoms), as confirmed by recent full blood examination, bone marrow biopsy, and cytogenetic testing. NOTE: IPSS-R defined intermediate MDS patients are limited to less than 50% of enrolled patients.
  • Life expectancy of at least 6 months.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2 inclusive.
  • Patient must be able to co-operate and complete tasks (including tasks such as electronic questionnaires on digital devices) over the following 4 months.
  • Patient must be able to identify a carer to participate in completing the cTPMQ.
  • For Carers:
  • Primary carer of a patient meeting all of the inclusion criteria (ie, a patient who meets criteria defined above).
  • For Clinicians:
  • Clinician treating patients meeting all of the inclusion criteria (ie, treats patients who meet criteria defined above).

Who cannot join

  • For Patients:
  • Patients are excluded from the study if any of the following criteria apply:
  • Patients with known hypersensitivity to the study treatments oral decitabine/cedazuridine or azacitidine.
  • Patients with advanced malignant hepatic tumors.
  • Patients with severe renal impairment (creatinine clearance <30 mL/min).
  • Patients who have received hypomethylating agents (HMA) previously.
Show all 16Show fewer
  • Patients who are receiving lenalidomide or are receiving other therapies outside of standard of care (SOC).
  • Receipt of any immunotherapy, any conventional or investigational systemic anti-cancer therapy within 5 half-lives of the drug, or within 4 weeks prior to the first dose of study treatment (whichever is longer).
  • Any medical, psychological, social, or other condition which in the view of the Investigator is likely to interfere with the study, compliance, or put the patient at risk.
  • Participants who are not fluent in English, or who cannot read or write in English will be excluded from the study.
  • For Carers:
  • Carers are excluded from the study if any of the following criteria apply:
  • They are a carer of a patient who meets any of the exclusion criteria listed above.
  • They are a relative of an employee of the investigational clinic or sponsor (e.g. Investigator, study coordinator)
  • For Clinicians:
  • Clinicians will be excluded from participating in the study if they are a relative of an employee of the investigational clinic or sponsor (e.g. Investigator, Study Coordinator).

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

Australia6 sites
  • Grampian Health (Ballarat Base Hospital)

    Ballarat Central, Victoria

  • Pindara Private Hospital

    Benowa, Queensland

  • Calvary Mater Newcastle

    Newcastle, New South Wales

  • Adelaide Oncology and Haematology

    North Adelaide, South Australia

  • Townsville Hospital

    Townsville, Queensland

  • Latrobe Regional Hospital

    Traralgon, Victoria

Other trials in Australia

New Zealand5 sites
  • Christchurch Hospital

    Christchurch

  • Dunedin Hospital

    Dunedin

  • Auckland City Hospital

    Grafton

  • Waikato Hospital

    Hamilton

  • North Shore Hospital (Waitemata District Health Board)

    Takapuna

Other trials in New Zealand

About this study

Official title: A Phase 3b, Randomized, Open-Label, Double Crossover Study Comparing Treatment Preference Between Oral Decitabine/Cedazuridine and Azacitidine in Adult Patients With IPSS R Intermediate Myelodysplastic Syndrome, Low Blast Acute Myeloid Leukemia, IPSS Intermediate-2 or High Risk Myelodysplastic Syndrome or Chronic Myelomonocytic Leukemia

It is hypothesized that significantly more patients would prefer oral decitabine/cedazuridine to subcutaneous (SC) azacitidine (AZA) due to several factors, including improved treatment convenience, the reduced risk of nosocomial infections, and reduced treatment discomfort. However, this hypothesis has not been formally studied in a controlled setting. This study aims to address this evidence gap and evaluate patient, primary caregiver (carer), and clinician treatment preference between oral decitabine/cedazuridine and SC AZA in the treatment of adult patients with International Prognostic Scoring System-Revised (IPSS-R) intermediate, IPSS intermediate-2, or high-risk myelodysplastic syndrome (MDS), chronic myelomonocytic leukemia (CMML), or low-blast (LB) acute myeloid leukemia (AML) and thereby lend further credibility to the clinical, economic, and patient value of oral decitabine/cedazuridine.

Being tested
Subcutaneous azacitidine, Oral decitabine/cedazuridine
Medical subject headings
Myelodysplastic Syndromes, Leukemia, Myeloid, Acute, Leukemia, Myelomonocytic, Chronic, Patient Preference

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Subcutaneous azacitidineDrug

    Subcutaneous azacitidine, 75mg/m2, 7 days

  • Oral decitabine/cedazuridineDrug

    Oral decitabine 35mg/cedazuridine 100mg, once daily, 5 days

Study groups in NCT05883956
Study groupRoleWhat they receive
ABBAActive comparatorCycle 1: Oral decitabine/cedazuridine; Cycle 2: Subcutaneous azacitidine; Cycle 3: Subcutaneous azacitidine; Cycle 4: Oral decitabine/cedazuridine
Receives: Drug: Subcutaneous azacitidine; Drug: Oral decitabine/cedazuridine
BAABActive comparatorCycle 1: Subcutaneous azacitidine; Cycle 2: Oral decitabine/cedazuridine; Cycle 3: Oral decitabine/cedazuridine; Cycle 4: Subcutaneous azacitidine
Receives: Drug: Subcutaneous azacitidine; Drug: Oral decitabine/cedazuridine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of patients reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the patient treatment preference in myelodysplasia questionnaire (pTPMQ)

    Measured: Prior to initiation of Cycle 3 (each cycle is 28 days)

  2. Proportion of patients reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the pTPMQ

    Measured: Prior to initiation of Cycle 5 (each cycle is 28 days)

Secondary outcomes (17)
  1. Proportion of carers reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the carer treatment preference in myelodysplasia questionnaire (cTPMQ)

    Measured: Prior to initiation of Cycle 3 (each cycle is 28 days)

  2. Proportion of carers reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the cTPMQ

    Measured: Prior to initiation of Cycle 5 (each cycle is 28 days)

  3. Proportion of clinicians reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the medical treatment preference in myelodysplasia questionnaire (mTPMQ)

    Measured: Prior to initiation of Cycle 4 (each cycle is 28 days)

  4. Proportion of clinicians reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the mTPMQ

    Measured: End of Study (EOS) Day 28

  5. Proportion of clinicians choosing oral decitabine/cedazuridine vs subcutaneous azacitidine for continuation of treatment and reasons for the treatment choice based on the mTPMQ

    Measured: Cycle 5, Day 1 (each cycle is 28 days)

  6. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EQ-5D-5L in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 1, Day 1 (each cycle is 28 days)

  7. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EORTC QLQ-C30 in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 1, Day 1 (each cycle is 28 days)

  8. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EQ-5D-5L in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 3, Day 5 (each cycle is 28 days)

  9. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EORTC QLQ-C30 in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 3, Day 5 (each cycle is 28 days)

  10. Difference in quality of life between oral decitabine/cedazuridine and Subcutaneous azacitidine as assessed using the EQ-5D-5L in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 4, Day 5 (each cycle is 28 days)

  11. Difference in quality of life between oral decitabine/cedazuridine and Subcutaneous azacitidine as assessed using the EORTC QLQ-C30 in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 4, Day 5 (each cycle is 28 days)

  12. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EQ-5D-5L in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 5, Day 5 (each cycle is 28 days)

  13. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EORTC QLQ-C30 in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 5, Day 5 (each cycle is 28 days)

  14. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EQ-5D-5L in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 6, Day 5 (each cycle is 28 days)

  15. Difference in quality of life between oral decitabine/cedazuridine and subcutaneous azacitidine as assessed using the EORTC QLQ-C30 in Myelodysplastic Syndrome, Chronic Myelomonocytic Leukemia and Low-Blast Acute Myeloid Leukemia patients

    Measured: Cycle 6, Day 5 (each cycle is 28 days)

  16. The difference in the incidence of treatment discontinuation and reasons for treatment discontinuation

    Measured: Baseline (pre-intervention) through to study completion (up to 6 cycles of treatment where each cycle is 28 days)

  17. Incidence and severity of adverse events upon study physician discretion.

    Measured: Baseline (pre-intervention) through to study completion (up to 6 cycles of treatment where each cycle is 28 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jun 2023
  2. Study start20 Dec 2023
  3. Primary completion6 Dec 2024
  4. Study completionMay 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05883956
Sponsor's protocol ID
393-419-00041
Acronym
PREFER-HMA
Status last verified
Mar 2025
First submitted
25 Apr 2023
Last updated
20 Mar 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Subcutaneous azacitidine and Oral decitabine/cedazuridine in people with Myelodysplastic Syndromes and Leukemia, Myeloid, Acute, run by Otsuka Australia Pharmaceutical Pty Ltd at 11 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 20 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Australia, New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients reporting preference for oral decitabine/cedazuridine vs subcutaneous azacitidine on the patient treatment preference in myelodysplasia questionnaire (pTPMQ) (time frame: Prior to initiation of Cycle 3 (each cycle is 28 days)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Mar 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in