A Multi-phase Study of ASTX030 (Azacitidine and Cedazuridine) in Myeloid Neoplasm Alone or in Combination With Venetoclax in AML (AZTOUND Study)
This research, called the AZTOUND study, is exploring new treatment options for specific blood cancers, including myelodysplastic syndromes (MDS) and acute myeloid leukaemia (AML). The main focus is on a new oral medication called ASTX030, which combines two drugs: azacitidine and cedazuridine. Researchers are comparing ASTX030 to the standard azacitidine injection to see if the oral form is as effective and easier for patients. They are also investigating ASTX030 in combination with another drug, venetoclax, for AML patients who haven't had treatment before. The study aims to find safe and effective ways to help people living with these conditions, potentially offering an oral treatment option instead of injections.
At a glance
What is this study about?
This study, called AZTOUND, is looking into new treatments for certain blood conditions like Myelodysplastic Syndromes (MDS) and Acute Myeloid Leukaemia (AML). Think of these as conditions where the blood-forming cells in your bone marrow don't work quite right. Researchers are testing a new oral drug called ASTX030, which is actually two drugs (azacitidine and cedazuridine) combined into one pill. Currently, many people with these conditions receive azacitidine as an injection under the skin.
The main goal of this study is to see if taking ASTX030 as a pill is as safe and effective as receiving the standard azacitidine injection. This could be a big step forward, as taking a pill at home might be more convenient and comfortable for patients than regular injections. For some patients with newly diagnosed AML, the study is also looking at whether ASTX030, when given together with another drug called venetoclax, works well as a first treatment. The study has different stages, and some parts are still looking for new participants to join.
Key takeaways
- This study is testing new treatments for certain blood cancers.
- It aims to find out if an oral drug (ASTX030) works as well as injections.
- Some parts are looking at ASTX030 with another drug (venetoclax) for AML.
- It's for adults with specific diagnoses like MDS or AML.
- Participation involves taking study medication and regular clinic visits.
- You can stop participating at any time if you wish.
Who may be eligible?
Generally, this study is for adults over 18 who have been diagnosed with certain blood conditions like Myelodysplastic Syndromes (MDS), Chronic Myelomonocytic Leukaemia (CMML), or Acute Myeloid Leukaemia (AML). For the MDS and CMML parts of the study, you would need to be suitable for treatment with a drug like azacitidine according to your doctor. You'd also need to be well enough to take part, meaning you can look after yourself and have healthy enough organs.
For the AML part of the study, it's for people newly diagnosed with AML who haven't had treatment for it yet. This part is specifically for those who might not be able to have very strong chemotherapy, perhaps because they are over 75 years old. In all areas of the study, you would need to be generally stable and expected to live for at least 12 weeks. You should also be able to swallow pills and follow fasting instructions if needed.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years or older?
- Do you have a diagnosis of MDS, CMML, or newly diagnosed AML?
- Are you generally well enough to take part and can look after yourself?
- Can you swallow pills without difficulty?
- If you have AML, are you unable to have very strong chemotherapy (e.g., over 75 years old)?
- Have you had major surgery or strong chemotherapy recently? (This might affect eligibility).
What does participation involve?
If you decide to take part, the study will last about 8 years in total, though your personal involvement might be shorter. Some parts of the study compare the new oral drug to the standard injected drug. This means you might be randomly assigned to receive either the new oral medication (ASTX030) or the standard azacitidine injection. In other parts, you might receive ASTX030 with venetoclax. You'll have regular visits to the clinic for check-ups, blood tests, and to make sure the treatment is safe and working well. These visits will likely involve physical exams and discussions about how you're feeling. You'll receive the study medication as prescribed, and the team will monitor you closely throughout your time in the study.
Potential risks and benefits
Locations (71)
- Keck School of Medicine of USCVerified postcodeLos Angeles, United States· Recruiting
- UC Irvine Health - Chao Family Comprehensive Cancer CenterVerified postcodeOrange, United States· Recruiting
- Yale UniversityVerified postcodeNew Haven, United States· Recruiting
- University of Miami - Sylvester Comprehensive Cancer CenterVerified postcodeMiami, United States· Recruiting
- University of Emory - Winship Cancer InstituteVerified postcodeAtlanta, United States· Recruiting
- Dana-Farber Cancer InstituteVerified postcodeBoston, United States· Recruiting
- John Theurer Cancer Center / Hackensack UniversityVerified postcodeHackensack, United States· Recruiting
- Roswell Park Comprehensive Cancer CenterVerified postcodeBuffalo, United States· Recruiting
- New York University Langone Hospital - Long IslandVerified postcodeMineola, United States· Recruiting
- Perlmutter Cancer Center - 34th StreetVerified postcodeNew York, United States· Recruiting
- Icahn School of Medicine at Mount SinaiVerified postcodeNew York, United States· Recruiting
- Weill Cornell Medical CenterVerified postcodeNew York, United States· Withdrawn
Common questions
What types of conditions is this study investigating?
It's looking at Myelodysplastic Syndromes (MDS), Acute Myeloid Leukaemia (AML), and Chronic Myelomonocytic Leukaemia (CMML).
What are the main treatments being tested?
Researchers are testing a new oral drug called ASTX030, sometimes alone and sometimes with another drug called venetoclax.
Why is an oral drug being studied?
An oral drug might be more convenient and comfortable for patients to take at home compared to regular injections.
How long does the study last for participants?
Although the whole study is very long, a participant's involvement would be for a shorter period, with regular follow-ups to check on their health.
Can I leave the study if I change my mind?
Yes, you can choose to leave the study at any time, and this will not affect your regular medical care.
How to find out more
Taiho Oncology, Inc.
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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