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glasdegib

Phase 3

Leukemia, Myeloid, Acute | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Apr 21, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment730
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03416179A Study Evaluating Intensive Chemotherapy With or Without Glasdegib or Azacitidine With or Without Glasdegib In Patients With Previously Untreated Acute Myeloid LeukemiaPHASE3 COMPLETED 730Apr 20, 2018Jan 17, 2022Apr 21, 2023149 United States, Australia +20
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Study Endpoints
Primary Endpoints
Intensive Study: Overall Survival (OS)
Baseline up to 25 months

OS is defined as the time from the date of randomization to the date of death due to any cause. Participants last known to be alive were to be censored at the date of last contact.

Non-intensive Study: Overall Survival (OS)
Baseline up to 25 months

OS is defined as the time from the date of randomization to the date of death due to any cause. Participants last known to be alive were to be censored at the date of last contact.

Secondary Endpoints
Intensive Study: Percentage of Participants Who Improved in Fatigue Score Measured by the MD Anderson Symptom Inventory -Acute Myelogenous Leukemia/Myelodysplastic Syndrome (MDASI-AML/MDS) Questionnaire
Post-baseline up to Week 8
Non-intensive Study: Percentage of Participants Who Improved in Fatigue Score Measured by the MDASI-AML/MDS Questionnaire at Week 12
Post-baseline up to Week 12
Intensive Study: Percentage of Participants With Complete Remission Without Negative Minimal Residual Disease (CRMRD-neg)
Day 1 up to maximum of 2 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A (Intensive Study)EXPERIMENTALGlasdegib + '7+3' Induction(s)
Arm B (Intensive Study)PLACEBO_COMPARATORPlacebo + '7+3' Induction(s)
Arm A (Non-intensive study)EXPERIMENTALGlasdegib + azacitidine
Arm B (Non-intensive study)PLACEBO_COMPARATORPlacebo + azacitidine
Interventions
NameTypeDescription
glasdegibDRUGDaily Glasdegib (100 mg, PO), beginning on Day 1 and is to continue up to 2 years post randomization. Following consolidation therapy, glasdegib or placebo will be administered daily for up to 2 years after randomization or until they have minimal residual disease (MRD) negative disease, whichever comes first. Daily Glasdegib (100 mg, PO) or matching placebo will continue throughout Induction(s) and Consolidation therapies regardless of dose modifications/delays in the chemotherapy.
daunorubicin + cytarabineDRUG'7+3' (cytarabine 100 mg/m2, IV for 7 days by continuous infusion and daunorubicin 60 mg/m2 for 3 days). If a second induction is needed, Investigators may choose either a 5 day cytarabine continuous infusion plus daunorubicin for 2 days ('5+2') or a 7 day cytarabine continuous infusion plus daunorubicin for 3 days ('7+3');
azacitidineDRUGAzacitidine (75 mg/m2, SC or IV) daily for 7 days, in 28 day cycles for as long as they do not meet the criteria for disease progression, unacceptable toxicity, consent withdrawal, or death.
PlaceboDRUGMatching placebo (PO) given on Day 1 and is to continue up to 2 years post randomization. Following consolidation therapy, placebo will be administered daily for up to 2 years after randomization or until they have MRD negative disease, whichever comes first. Daily placebo will continue throughout Induction(s) and Consolidation therapies regardless of dose modifications/delays in the chemotherapy.
cytarabineDRUGConsolidation with single agent cytarabine 3 g/m2 IV for adults \<60 years and 1 g/m2 for adults 60 years over 3 BID on Days 1, 3, and 5, every 28 days for up to 4 cycles or alternative single agent cytarabine consolidation schedules may be used per local prescribing information.
HSCTPROCEDUREIf required, and done per standard of care post Induction(s).
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites149

Inclusion Criteria: Subjects must meet all of the following inclusion criteria to be eligible for enrollment into the Intensive and Non Intensive study (unless where indicated): 1. Subjects with untreated AML according to the World Health Organization (WHO) 2016 Classification2, including those wi...

Countries:United StatesAustraliaAustriaBelgiumCanadaChinaCzechiaFranceGermanyHungaryIsraelItalyJapanMexicoPolandRomaniaRussiaSouth KoreaSpainSwedenTaiwanUnited Kingdom
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