An Efficacy and Safety Study of Decitabine (DACOGEN) Plus Talacotuzumab (JNJ-56022473; Anti CD123) Versus Decitabine (DACOGEN) Alone in Participants With Acute Myeloid Leukemia (AML) Ineligible for Intensive Chemotherapy

Sponsor
Janssen Research & Development, LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT02472145
Collaborator
(none)
326
81
2
29.7
4
0.1

Study Details

Study Description

Brief Summary

The primary objective of study Part A is to assess the safety of talacotuzumab (formerly CSL362) monotherapy and confirm the recommended Phase 2 dose (RP2D) in participants with acute myeloid leukemia (AML) for whom experimental therapy is appropriate. The primary objective of study Part B are to assess complete response (CR) rate and overall survival (OS) in participants with AML who are not eligible for intense induction chemotherapy and who are randomly assigned to receive decitabine plus talacotuzumab at the RP2D or decitabine alone.

Condition or Disease Intervention/Treatment Phase
  • Drug: Decitabine 20 mg/m^2
  • Drug: Talacotuzumab 9 mg/kg
Phase 2/Phase 3

Detailed Description

This is a 2-part, open-label, multicenter, Phase 2/3 study conducted in participants with AML who are suitable for experimental therapy (Part A) and in participants with untreated AML who are not eligible for intense induction chemotherapy or hematopoeitic stem cell transplantation (HSCT) (Part B). In Study Part A, the safety, pharmacokinetic (PK) and pharmacodynamic (PD) profile will be assessed to confirm the RP2D of 9 milligram per kilogram (mg/kg) talacotuzumab. In Study Part B, participants will be randomized in a 1:1 ratio into either decitabine + talacotuzumab (arm 1) or decitabine alone (arm 2). Blood and bone marrow sampling will be done in Part A and B for disease assessment, PK, PD, and biomarkers will be collected in all participants. Safety will be monitored throughout the study.

Study Design

Study Type:
Interventional
Actual Enrollment :
326 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Randomized Phase 2/3 Study of DACOGEN® (Decitabine) Plus Talacotuzumab (JNJ-56022473; Anti CD123) Versus DACOGEN (Decitabine) Alone in Patients With AML Who Are Not Candidates for Intensive Chemotherapy
Actual Study Start Date :
Aug 4, 2015
Actual Primary Completion Date :
Jan 25, 2018
Actual Study Completion Date :
Jan 25, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Decitabine plus Talacotuzumab

Part A: For Cycle 1 of Part A, participants will receive talacotuzumab on Day 1. Starting from Cycle 2 of Part A, participants may receive decitabine on Day 1, 2, 3, 4, and 5, and talacotuzumab on Day 8 and 22 of a 28-day cycle. Part B Arm 1: Participants will receive decitabine on Day 1, 2, 3, 4, and 5, and talacotuzumab on Day 8 and 22 of a 28-day cycle.

Drug: Decitabine 20 mg/m^2
Decitabine 20 milligram per square meter (mg/[m^2]) from Day 1, 2, 3, 4 and 5 of a 28-day cycle.
Other Names:
  • DACOGEN
  • Drug: Talacotuzumab 9 mg/kg
    Talacotuzumab 9 milligram per kilogram mg/kg on Day 8 and 22 of a 28-day cycle.
    Other Names:
  • CSL362
  • Active Comparator: Decitabine

    Participants in Part B Arm 2 will receive decitabine on Day 1,2, 3, 4 and 5 of a 28-day cycle.

    Drug: Decitabine 20 mg/m^2
    Decitabine 20 milligram per square meter (mg/[m^2]) from Day 1, 2, 3, 4 and 5 of a 28-day cycle.
    Other Names:
  • DACOGEN
  • Outcome Measures

    Primary Outcome Measures

    1. Part B: Percentage of Participants Who Achieved Complete Response (Complete Response Rate) Based on Investigator Assessment [Approximately up to 2.5 years]

      Complete response rate defined as percentage of participants who achieved complete response as per modified International Working Group (IWG) criteria. CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/micro liter [mcL]); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    2. Part B: Overall Survival [Approximately up to 2.5 years]

      Overall Survival (OS) was defined as the time from the date of randomization to date of death from any cause. Median Overall Survival was estimated by using the Kaplan-Meier method. This endpoint is reported here for Part B only as per the planned analysis.

    Secondary Outcome Measures

    1. Part B: Event-free Survival (EFS) Based on Investigator Assessment [Approximately up to 2.5 years]

      EFS defined as time from randomization to treatment failure, relapse from CR/CRi, or death from any cause, whichever occurs first, per modified IWG criteria. Treatment failure: >25% absolute increase in the bone marrow blast count from baseline to present assessment (example, 20% to 46%) on bone marrow aspirate (or biopsy in case of dry tap); Relapse: Bone marrow blasts greater than equal to (>=)5%; reappearance of blasts in blood; or development of extramedullary disease; CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count > 1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL);independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. Endpoint reported is for Part B only as per planned analysis.

    2. Part B: Percentage of Participants Who Achieved CR and CRi (Overall Response Rate) [Approximately up to 2.5 years]

      Percentage of participants who achieved CR and CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/ mcL); platelet count >100 *10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    3. Part B: Percentage of Participants With Complete Response (CR) Plus Minimal Residual Disease (MRD) Negative Complete Response With Incomplete Recovery (CRi) [Approximately 2.5 years]

      Percentage of participants who achieved CR plus MRD-negative CRi were reported. MRD negativity defined as <1 blast or leukemic stem cell in 10,000 leukocytes (MRD level <10^4).CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    4. Part B: Time to Best Response [Approximately 2.5 years]

      Time to best response is calculated as the time from the randomization date to the first documented date for the best response for participants who achieved CR or CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    5. Part B: Duration of Response (DOR) Based on Investigator Assessment [Approximately 2.5 years]

      DOR defined as number of weeks from documented best response (CR or CRi) for participants who achieved CR or CRi to relapse, death due to relapse, date of censoring. As per modified IWG criteria: CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease;absolute neutrophil count >1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0* 10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    65 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • De novo or secondary acute myeloid leukemia (AML) (post myelodysplastic syndrome [MDS] or myeloproliferative neoplasm [MPN] or after leukemogenic chemotherapy) according to WHO 2008 criteria
    For Part A:
    • Participants With AML: treatment naive or relapsed for whom experimental therapy is appropriate (as assessed by their treating physician)
    For Part B:
    • Greater than or equal to (>=) 75 years of age or >= 65 up to 75 years of age and have at least one of the following: congestive heart failure or ejection fraction less than or equal to (<=) 50 percent; creatinine greater than (>) 2 milligram per deciliter (mg/dL); dialysis or prior renal transplant; documented pulmonary disease with lung diffusing capacity for carbon monoxide (DLCO) <= 65 percent of expected, or forced expiratory volume in 1 second (FEV1) <= 65 percent of expected or dyspnea at rest requiring oxygen; eastern cooperative oncology group (ECOG) performance status of 2; prior or current malignancy that does not require concurrent treatment; unresolved infection; comorbidity that, in the Investigator's opinion, makes the participant unsuitable for intensive chemotherapy and must be documented and approved by the Sponsor before randomization

    • Previously untreated AML (except: emergency leukopheresis and/or hydroxyurea during the screening phase to control hyperleukocytosis but must be discontinued at least one day prior to start of study therapy)

    • Not eligible for an allogeneic hematopoietic stem cell transplantation

    • ECOG Performance Status score of 0, 1 or 2

    • A woman must be either: Not of childbearing potential: postmenopausal (more than [>] 45 years of age with amenorrhea for at least 12 months; If, of childbearing potential must be practicing a highly effective method of birth control

    • A woman of childbearing potential must have a negative serum (beta-human chorionic gonadotropin [beta-hCG]) or urine pregnancy test at screening

    • A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control eg, either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository for at least 3 months after last study treatment

    Exclusion Criteria:
    • Acute promyelocytic leukemia with t(15;17), or its molecular equivalent (PML-RARalpha)

    • For Part B only: Known leukemic involvement or clinical symptoms of leukemic involvement of the central nervous system

    • Participants who received prior treatment with a hypomethylating agent

    • For Part A only: Participants who did not recover from all clinically significant toxicities (excluding alopecia and hematologic toxicities) of any previous surgery, radiotherapy, targeted therapy, or chemotherapy to less than or equal to Grade 1

    • Any uncontrolled active systemic infection that requires treatment with intravenous (IV) antibiotics

    • A history of human immunodeficiency virus (HIV) antibody positive or tests positive for HIV if tested at screening

    • Active systemic hepatitis infection requiring treatment or other clinically active liver disease

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Orange California United States
    2 Aurora Colorado United States
    3 New Orleans Louisiana United States
    4 Detroit Michigan United States
    5 Lebanon New Hampshire United States
    6 New York New York United States
    7 Rochester New York United States
    8 Charleston South Carolina United States
    9 Nashville Tennessee United States
    10 Dallas Texas United States
    11 Houston Texas United States
    12 Herston Australia
    13 Melbourne Australia
    14 Perth Australia
    15 South Woodville Australia
    16 Woolloongabba Australia
    17 Antwerp Belgium
    18 Hasselt Belgium
    19 Leuven Belgium
    20 Liege Belgium
    21 Mons Belgium
    22 Turnhout Belgium
    23 Wilrijk Belgium
    24 Grenoble Cedex 9 France
    25 Lyon Cedex 08 France
    26 Marseille France
    27 Montpellier France
    28 Nantes Cedex 2 France
    29 Paris Cedex 10 France
    30 Toulouse Cedex 9 France
    31 Dresden Germany
    32 Düsseldorf Germany
    33 Essen Germany
    34 Frankfurt/Main Germany
    35 Hamburg Germany
    36 München Germany
    37 Münster Germany
    38 Ulm Germany
    39 Würzburg Germany
    40 Haifa Israel
    41 Jerusalem Israel
    42 Ramat Gan Israel
    43 Tel Aviv Israel
    44 Busan Korea, Republic of
    45 Daegu Korea, Republic of
    46 Hwasun Gun Korea, Republic of
    47 Seoul Korea, Republic of
    48 Katowice Poland
    49 Krakow Poland
    50 Lodz Poland
    51 Lublin Poland
    52 Warszawa Poland
    53 Chelyabinsk Russian Federation
    54 Dzerzhinsk Russian Federation
    55 Ekaterinburg Russian Federation
    56 Moscow Russian Federation
    57 Nizhny Novgorod Russian Federation
    58 Ryazan Russian Federation
    59 Samara Russian Federation
    60 Badalona, Barcelona Spain
    61 Barcelona Spain
    62 Madrid Spain
    63 Pozuelo De Alarcon, Madrid Spain
    64 Salamanca Spain
    65 Sevilla Spain
    66 Valencia Spain
    67 Gothenburg Sweden
    68 Stockholm Sweden
    69 Uppsala Sweden
    70 Örebro Sweden
    71 Chiayi Taiwan
    72 Taichung City Taiwan
    73 Tainan City Taiwan
    74 Taipei City Taiwan
    75 Ankara Turkey
    76 Atakum Turkey
    77 Istanbul Turkey
    78 Izmir Turkey
    79 Bournemouth United Kingdom
    80 Cardiff United Kingdom
    81 Wolverhampton United Kingdom

    Sponsors and Collaborators

    • Janssen Research & Development, LLC

    Investigators

    • Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT02472145
    Other Study ID Numbers:
    • CR107273
    • 56022473AML2002
    • 2015-001611-12
    First Posted:
    Jun 15, 2015
    Last Update Posted:
    Mar 19, 2019
    Last Verified:
    Mar 1, 2019
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Janssen Research & Development, LLC
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received 1 dose of JNJ-56022473 (talacotuzumab) at 9 milligram per kilogram (mg/kg) as intravenous (IV) infusion on Day 1 of cycle 1. From cycle 2 onwards, participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death. Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Period Title: Overall Study
    STARTED 10 159 157
    Treated 10 156 156
    Safety 10 165 147
    COMPLETED 0 0 0
    NOT COMPLETED 10 159 157

    Baseline Characteristics

    Arm/Group Title Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473 Total
    Arm/Group Description Participants received 1 dose of JNJ-56022473 (talacotuzumab) at 9 milligram per kilogram (mg/kg) as intravenous (IV) infusion on Day 1 of cycle 1. From cycle 2 onwards, participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death. Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death. Total of all reporting groups
    Overall Participants 10 159 157 326
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    65.4
    (10.88)
    75
    (5.6)
    75.2
    (5.32)
    74.8
    (5.91)
    Sex: Female, Male (Count of Participants)
    Female
    4
    40%
    68
    42.8%
    77
    49%
    149
    45.7%
    Male
    6
    60%
    91
    57.2%
    80
    51%
    177
    54.3%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    4
    2.5%
    5
    3.2%
    9
    2.8%
    Not Hispanic or Latino
    10
    100%
    143
    89.9%
    143
    91.1%
    296
    90.8%
    Unknown or Not Reported
    0
    0%
    12
    7.5%
    9
    5.7%
    21
    6.4%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    14
    8.8%
    11
    7%
    25
    7.7%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    2
    1.3%
    1
    0.6%
    3
    0.9%
    White
    10
    100%
    133
    83.6%
    141
    89.8%
    284
    87.1%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    9
    5.7%
    4
    2.5%
    13
    4%
    Race/Ethnicity, Customized (Count of Participants)
    Asian
    0
    0%
    14
    8.8%
    11
    7%
    25
    7.7%
    Black or African American
    0
    0%
    2
    1.3%
    1
    0.6%
    3
    0.9%
    Hispanic or Latino
    0
    0%
    3
    1.9%
    5
    3.2%
    8
    2.5%
    Other
    0
    0%
    13
    8.2%
    9
    5.7%
    22
    6.7%
    White Non-Hispanic
    10
    100%
    127
    79.9%
    131
    83.4%
    268
    82.2%
    Region of Enrollment (Count of Participants)
    Australia
    0
    0%
    10
    6.3%
    18
    11.5%
    28
    8.6%
    Belgium
    3
    30%
    11
    6.9%
    6
    3.8%
    20
    6.1%
    France
    0
    0%
    6
    3.8%
    2
    1.3%
    8
    2.5%
    Germany
    0
    0%
    14
    8.8%
    18
    11.5%
    32
    9.8%
    Israel
    0
    0%
    18
    11.3%
    11
    7%
    29
    8.9%
    Italy
    0
    0%
    12
    7.5%
    11
    7%
    23
    7.1%
    Poland
    0
    0%
    13
    8.2%
    11
    7%
    24
    7.4%
    Russia
    0
    0%
    30
    18.9%
    26
    16.6%
    56
    17.2%
    Spain
    7
    70%
    17
    10.7%
    19
    12.1%
    43
    13.2%
    Sweden
    0
    0%
    2
    1.3%
    0
    0%
    2
    0.6%
    Taiwan, Province Of China
    0
    0%
    8
    5%
    4
    2.5%
    12
    3.7%
    Turkey
    0
    0%
    2
    1.3%
    5
    3.2%
    7
    2.1%
    United Kingdom
    0
    0%
    1
    0.6%
    3
    1.9%
    4
    1.2%
    United States
    0
    0%
    10
    6.3%
    16
    10.2%
    26
    8%
    Korea, Republic Of
    0
    0%
    5
    3.1%
    7
    4.5%
    12
    3.7%

    Outcome Measures

    1. Primary Outcome
    Title Part B: Percentage of Participants Who Achieved Complete Response (Complete Response Rate) Based on Investigator Assessment
    Description Complete response rate defined as percentage of participants who achieved complete response as per modified International Working Group (IWG) criteria. CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/micro liter [mcL]); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately up to 2.5 years

    Outcome Measure Data

    Analysis Population Description
    Intent-to-Treat (ITT) population is defined as all randomized participants, grouped per treatment assigned by randomization, regardless of the actual treatment received.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 159 157
    Number [Percentage of participants]
    11.9
    119%
    16.6
    10.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Part B: Decitabine (Alone), Part B: Decitabine + JNJ-56022473
    Comments Statistical Analysis 1
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4747
    Comments
    Method Chi-squared
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 1.5
    Confidence Interval (2-Sided) 95%
    0.8 to 2.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Primary Outcome
    Title Part B: Overall Survival
    Description Overall Survival (OS) was defined as the time from the date of randomization to date of death from any cause. Median Overall Survival was estimated by using the Kaplan-Meier method. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately up to 2.5 years

    Outcome Measure Data

    Analysis Population Description
    ITT population is defined as all randomized participants, grouped per treatment assigned by randomization, regardless of the actual treatment received.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 159 157
    Median (95% Confidence Interval) [Months]
    7.26
    5.36
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Part B: Decitabine (Alone), Part B: Decitabine + JNJ-56022473
    Comments Statistical Analysis 1
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7817
    Comments
    Method Log Rank
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 1.04
    Confidence Interval (2-Sided) 95%
    0.79 to 1.37
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Part B: Event-free Survival (EFS) Based on Investigator Assessment
    Description EFS defined as time from randomization to treatment failure, relapse from CR/CRi, or death from any cause, whichever occurs first, per modified IWG criteria. Treatment failure: >25% absolute increase in the bone marrow blast count from baseline to present assessment (example, 20% to 46%) on bone marrow aspirate (or biopsy in case of dry tap); Relapse: Bone marrow blasts greater than equal to (>=)5%; reappearance of blasts in blood; or development of extramedullary disease; CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count > 1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL);independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. Endpoint reported is for Part B only as per planned analysis.
    Time Frame Approximately up to 2.5 years

    Outcome Measure Data

    Analysis Population Description
    ITT population defined as all randomized participants, grouped per treatment assigned by randomization, regardless of actual treatment received.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 159 157
    Median (95% Confidence Interval) [Months]
    6.24
    4.50
    4. Secondary Outcome
    Title Part B: Percentage of Participants Who Achieved CR and CRi (Overall Response Rate)
    Description Percentage of participants who achieved CR and CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/ mcL); platelet count >100 *10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately up to 2.5 years

    Outcome Measure Data

    Analysis Population Description
    ITT population is defined as all randomized participants, grouped per treatment assigned by randomization, regardless of the actual treatment received.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 159 157
    Number [Percentage of Participants]
    20.1
    201%
    26.8
    16.9%
    5. Secondary Outcome
    Title Part B: Percentage of Participants With Complete Response (CR) Plus Minimal Residual Disease (MRD) Negative Complete Response With Incomplete Recovery (CRi)
    Description Percentage of participants who achieved CR plus MRD-negative CRi were reported. MRD negativity defined as <1 blast or leukemic stem cell in 10,000 leukocytes (MRD level <10^4).CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately 2.5 years

    Outcome Measure Data

    Analysis Population Description
    Population included participants in ITT, among whom MRD negativity was evaluated upon achieving response.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 80 80
    Number [Percentage of participants]
    13.8
    138%
    21.3
    13.4%
    6. Secondary Outcome
    Title Part B: Time to Best Response
    Description Time to best response is calculated as the time from the randomization date to the first documented date for the best response for participants who achieved CR or CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately 2.5 years

    Outcome Measure Data

    Analysis Population Description
    Population included participants in ITT, who achieved CR or CRi.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 32 42
    Median (Full Range) [Weeks]
    16.71
    18.14
    7. Secondary Outcome
    Title Part B: Duration of Response (DOR) Based on Investigator Assessment
    Description DOR defined as number of weeks from documented best response (CR or CRi) for participants who achieved CR or CRi to relapse, death due to relapse, date of censoring. As per modified IWG criteria: CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease;absolute neutrophil count >1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0* 10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.
    Time Frame Approximately 2.5 years

    Outcome Measure Data

    Analysis Population Description
    Population included participants in ITT, who achieved CR or CRi.
    Arm/Group Title Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    Measure Participants 32 42
    Median (95% Confidence Interval) [Weeks]
    23.71
    NA

    Adverse Events

    Time Frame Throughout the study (Up to 2.5 years)
    Adverse Event Reporting Description Safety Population defined as randomized participants who received at least one dose of study medication, grouped according to actual treatment received (9 participants from decitabine + JNJ-56022473 arm were grouped in the decitabine alone arm as they received only decitabine and not JNJ 56022473). All-cause mortality is reported here for randomized participants. Serious and Other (Not including Serious) Adverse Events are reported for Safety Population per planned analysis.
    Arm/Group Title Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Arm/Group Description Participants received 1 dose of JNJ-56022473 (talacotuzumab) at 9 milligram per kilogram (mg/kg) as intravenous (IV) infusion on Day 1 of cycle 1. From cycle 2 onwards, participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death. Participants received decitabine 20 mg/m^2 IV on Days 1 to 5 of each 28-day cycle until treatment failure, relapse from CR or CRi, unacceptable toxicity, or death. Participants received decitabine 20 milligram per meter square (mg/m^2) IV on Day 1 to Day 5 followed by 9 mg/kg JNJ-56022473 on Day 8 and Day 22 of a 28-day cycle until treatment failure, relapse from complete response/remission (CR) or complete response with incomplete recovery (CRi), unacceptable toxicity, or death.
    All Cause Mortality
    Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 10/10 (100%) 101/159 (63.5%) 99/157 (63.1%)
    Serious Adverse Events
    Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/10 (90%) 120/165 (72.7%) 126/147 (85.7%)
    Blood and lymphatic system disorders
    Anaemia 0/10 (0%) 6/165 (3.6%) 4/147 (2.7%)
    Disseminated Intravascular Coagulation 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Febrile Bone Marrow Aplasia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Febrile Neutropenia 2/10 (20%) 36/165 (21.8%) 40/147 (27.2%)
    Leukocytosis 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Neutropenia 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Pancytopenia 0/10 (0%) 2/165 (1.2%) 2/147 (1.4%)
    Splenomegaly 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Thrombocytopenia 0/10 (0%) 5/165 (3%) 3/147 (2%)
    Cardiac disorders
    Acute Myocardial Infarction 0/10 (0%) 1/165 (0.6%) 3/147 (2%)
    Angina Pectoris 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Arrhythmia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Atrial Fibrillation 0/10 (0%) 2/165 (1.2%) 5/147 (3.4%)
    Bradycardia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Cardiac Arrest 0/10 (0%) 1/165 (0.6%) 5/147 (3.4%)
    Cardiac Failure 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Cardiac Failure Acute 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Cardiogenic Shock 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Cardiopulmonary Failure 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Cardiovascular Insufficiency 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Myocardial Ischaemia 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Pericardial Effusion 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Supraventricular Tachycardia 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Tachycardia 0/10 (0%) 0/165 (0%) 3/147 (2%)
    Ear and labyrinth disorders
    Ear Pain 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Eye disorders
    Diplopia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Gastrointestinal disorders
    Abdominal Pain Upper 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Acute Abdomen 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Anal Ulcer 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Colitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Colitis Ulcerative 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Constipation 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Diarrhoea 0/10 (0%) 3/165 (1.8%) 2/147 (1.4%)
    Diverticular Perforation 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Diverticulum Intestinal 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Dyspepsia 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gastritis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Gastritis Erosive 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gastrointestinal Angiodysplasia 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gastrointestinal Haemorrhage 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Gastrointestinal Inflammation 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Gastrointestinal Polyp Haemorrhage 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Intestinal Haemorrhage 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Large Intestinal Obstruction 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Mechanical Ileus 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Nausea 0/10 (0%) 1/165 (0.6%) 3/147 (2%)
    Oesophagitis 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Pancreatitis Acute 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Rectal Haemorrhage 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Small Intestinal Obstruction 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Vomiting 1/10 (10%) 1/165 (0.6%) 2/147 (1.4%)
    Gastric Haemorrhage 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Upper Gastrointestinal Haemorrhage 1/10 (10%) 0/165 (0%) 0/147 (0%)
    General disorders
    Asthenia 0/10 (0%) 0/165 (0%) 3/147 (2%)
    Catheter Site Inflammation 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Chest Pain 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Chills 0/10 (0%) 0/165 (0%) 3/147 (2%)
    Death 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Fatigue 0/10 (0%) 0/165 (0%) 3/147 (2%)
    General Physical Health Deterioration 1/10 (10%) 6/165 (3.6%) 4/147 (2.7%)
    Hyperthermia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Influenza Like Illness 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Malaise 0/10 (0%) 1/165 (0.6%) 2/147 (1.4%)
    Multiple Organ Dysfunction Syndrome 0/10 (0%) 9/165 (5.5%) 9/147 (6.1%)
    Pyrexia 1/10 (10%) 9/165 (5.5%) 15/147 (10.2%)
    Sudden Death 0/10 (0%) 5/165 (3%) 1/147 (0.7%)
    Condition Aggravated 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Hepatobiliary disorders
    Cholangitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Cholangitis Acute 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Cholecystitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Cholecystitis Acute 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Immune system disorders
    Anaphylactic Reaction 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Anaphylactic Shock 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Serum Sickness 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Infections and infestations
    Actinomycotic Pulmonary Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Alveolar Osteitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Anal Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Aspergillus Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Bacteraemia 0/10 (0%) 2/165 (1.2%) 1/147 (0.7%)
    Bacterial Sepsis 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Bronchitis 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Bronchopulmonary Aspergillosis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Candida Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Catheter Site Infection 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Cellulitis 0/10 (0%) 2/165 (1.2%) 3/147 (2%)
    Clostridial Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Clostridium Difficile Colitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Clostridium Difficile Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Device Related Infection 2/10 (20%) 3/165 (1.8%) 3/147 (2%)
    Device Related Sepsis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Diverticulitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Enterobacter Bacteraemia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Escherichia Bacteraemia 0/10 (0%) 0/165 (0%) 3/147 (2%)
    Escherichia Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Escherichia Sepsis 2/10 (20%) 0/165 (0%) 2/147 (1.4%)
    Escherichia Urinary Tract Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Fungaemia 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gastroenteritis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gastroenteritis Rotavirus 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Gastroenteritis Viral 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Gastrointestinal Candidiasis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Hepatic Infection Fungal 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Infected Skin Ulcer 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Infection 0/10 (0%) 0/165 (0%) 3/147 (2%)
    Infectious Colitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Influenza 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Klebsiella Infection 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Liver Abscess 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Localised Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Lower Respiratory Tract Infection 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Lung Infection 4/10 (40%) 5/165 (3%) 3/147 (2%)
    Meningitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Moraxella Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Neutropenic Sepsis 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Oral Candidiasis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Parainfluenzae Virus Infection 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Parotitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Periorbital Cellulitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Pneumocystis Jirovecii Pneumonia 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Pneumonia 0/10 (0%) 23/165 (13.9%) 24/147 (16.3%)
    Pneumonia Fungal 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Pseudomembranous Colitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Pulmonary Mycosis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Pyelonephritis Acute 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Pyelonephritis Chronic 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Rash Pustular 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Respiratory Tract Infection 0/10 (0%) 0/165 (0%) 4/147 (2.7%)
    Rhinovirus Infection 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Sepsis 2/10 (20%) 6/165 (3.6%) 14/147 (9.5%)
    Septic Encephalopathy 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Septic Shock 0/10 (0%) 2/165 (1.2%) 8/147 (5.4%)
    Sinusitis Fungal 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Skin Infection 1/10 (10%) 1/165 (0.6%) 1/147 (0.7%)
    Splenic Abscess 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Staphylococcal Infection 1/10 (10%) 1/165 (0.6%) 0/147 (0%)
    Staphylococcal Sepsis 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Tooth Abscess 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Tooth Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Urinary Tract Infection 0/10 (0%) 4/165 (2.4%) 6/147 (4.1%)
    Urosepsis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Viral Infection 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Vulval Cellulitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Injury, poisoning and procedural complications
    Contusion 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Fall 0/10 (0%) 3/165 (1.8%) 4/147 (2.7%)
    Femoral Neck Fracture 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Femur Fracture 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Head Injury 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Hip Fracture 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Humerus Fracture 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Spinal Compression Fracture 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Transfusion Reaction 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Transfusion-Related Acute Lung Injury 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Traumatic Haematoma 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Investigations
    Alanine Aminotransferase Increased 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Aspartate Aminotransferase Increased 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Blood Alkaline Phosphatase Increased 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Blood Lactate Dehydrogenase Increased 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    C-Reactive Protein Increased 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Gamma-Glutamyltransferase Increased 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Metabolism and nutrition disorders
    Hyperglycaemia 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Hyperuricaemia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Hypokalaemia 1/10 (10%) 0/165 (0%) 1/147 (0.7%)
    Hyponatraemia 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Hypovolaemia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Hypomagnesaemia 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Musculoskeletal and connective tissue disorders
    Arthritis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Bursitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Chondrocalcinosis Pyrophosphate 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Muscular Weakness 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Pain in Extremity 0/10 (0%) 1/165 (0.6%) 2/147 (1.4%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute Myeloid Leukaemia 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Bladder Neoplasm 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Central Nervous System Leukaemia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Chloroma 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Rectal Adenoma 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Transitional Cell Carcinoma 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Adenocarcinoma Gastric 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Nervous system disorders
    Cerebrovascular Accident 0/10 (0%) 1/165 (0.6%) 3/147 (2%)
    Dizziness 0/10 (0%) 2/165 (1.2%) 2/147 (1.4%)
    Epilepsy 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Haemorrhage Intracranial 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Haemorrhagic Stroke 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Ischaemic Stroke 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Lethargy 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Paraesthesia 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Peripheral Sensory Neuropathy 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Presyncope 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Quadriparesis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Seizure 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Syncope 0/10 (0%) 1/165 (0.6%) 4/147 (2.7%)
    Transient Ischaemic Attack 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Vascular Encephalopathy 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Renal and urinary disorders
    Acute Kidney Injury 0/10 (0%) 0/165 (0%) 4/147 (2.7%)
    Anuria 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Calculus Urinary 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Oliguria 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Renal Impairment 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Urinary Retention 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Respiratory, thoracic and mediastinal disorders
    Acute Pulmonary Oedema 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Acute Respiratory Distress Syndrome 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Acute Respiratory Failure 1/10 (10%) 2/165 (1.2%) 1/147 (0.7%)
    Bronchopneumopathy 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Bronchospasm 0/10 (0%) 1/165 (0.6%) 1/147 (0.7%)
    Dyspnoea 2/10 (20%) 1/165 (0.6%) 4/147 (2.7%)
    Epistaxis 0/10 (0%) 2/165 (1.2%) 2/147 (1.4%)
    Hypoxia 1/10 (10%) 0/165 (0%) 3/147 (2%)
    Lung Infiltration 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Oropharyngeal Pain 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Pleural Effusion 0/10 (0%) 2/165 (1.2%) 0/147 (0%)
    Pneumonitis 0/10 (0%) 2/165 (1.2%) 1/147 (0.7%)
    Pulmonary Embolism 0/10 (0%) 1/165 (0.6%) 2/147 (1.4%)
    Pulmonary Hypertension 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Pulmonary Oedema 0/10 (0%) 1/165 (0.6%) 2/147 (1.4%)
    Respiratory Failure 0/10 (0%) 3/165 (1.8%) 3/147 (2%)
    Respiratory Tract Haemorrhage 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Pulmonary Haemorrhage 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Wheezing 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Skin and subcutaneous tissue disorders
    Dermatitis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Hyperhidrosis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Rash Vesicular 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Vascular disorders
    Deep Vein Thrombosis 0/10 (0%) 1/165 (0.6%) 0/147 (0%)
    Hypertension 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Hypotension 1/10 (10%) 0/165 (0%) 3/147 (2%)
    Orthostatic Hypotension 0/10 (0%) 0/165 (0%) 2/147 (1.4%)
    Phlebitis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Thrombosis 0/10 (0%) 0/165 (0%) 1/147 (0.7%)
    Haemodynamic Instability 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Other (Not Including Serious) Adverse Events
    Part A: Decitabine + JNJ-56022473 Part B: Decitabine (Alone) Part B: Decitabine + JNJ-56022473
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/10 (90%) 157/165 (95.2%) 146/147 (99.3%)
    Blood and lymphatic system disorders
    Anaemia 7/10 (70%) 80/165 (48.5%) 77/147 (52.4%)
    Febrile Neutropenia 4/10 (40%) 22/165 (13.3%) 25/147 (17%)
    Leukocytosis 0/10 (0%) 9/165 (5.5%) 1/147 (0.7%)
    Leukopenia 1/10 (10%) 15/165 (9.1%) 12/147 (8.2%)
    Neutropenia 1/10 (10%) 61/165 (37%) 64/147 (43.5%)
    Thrombocytopenia 3/10 (30%) 86/165 (52.1%) 81/147 (55.1%)
    Splenomegaly 1/10 (10%) 2/165 (1.2%) 2/147 (1.4%)
    Cardiac disorders
    Atrial Fibrillation 0/10 (0%) 8/165 (4.8%) 13/147 (8.8%)
    Tachycardia 1/10 (10%) 6/165 (3.6%) 14/147 (9.5%)
    Ear and labyrinth disorders
    Tympanic Membrane Disorder 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Eye disorders
    Uveitis 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Gastrointestinal disorders
    Abdominal Pain 1/10 (10%) 12/165 (7.3%) 19/147 (12.9%)
    Abdominal Pain Upper 2/10 (20%) 6/165 (3.6%) 9/147 (6.1%)
    Anal Incontinence 0/10 (0%) 0/165 (0%) 10/147 (6.8%)
    Constipation 3/10 (30%) 51/165 (30.9%) 47/147 (32%)
    Diarrhoea 4/10 (40%) 41/165 (24.8%) 50/147 (34%)
    Dyspepsia 1/10 (10%) 5/165 (3%) 10/147 (6.8%)
    Gingival Bleeding 0/10 (0%) 10/165 (6.1%) 2/147 (1.4%)
    Haemorrhoids 1/10 (10%) 8/165 (4.8%) 21/147 (14.3%)
    Nausea 5/10 (50%) 33/165 (20%) 36/147 (24.5%)
    Stomatitis 1/10 (10%) 16/165 (9.7%) 12/147 (8.2%)
    Toothache 0/10 (0%) 9/165 (5.5%) 4/147 (2.7%)
    Vomiting 5/10 (50%) 19/165 (11.5%) 26/147 (17.7%)
    Abdominal Discomfort 1/10 (10%) 1/165 (0.6%) 6/147 (4.1%)
    Parotid Gland Enlargement 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Upper Gastrointestinal Haemorrhage 1/10 (10%) 0/165 (0%) 0/147 (0%)
    General disorders
    Asthenia 2/10 (20%) 25/165 (15.2%) 26/147 (17.7%)
    Chills 3/10 (30%) 7/165 (4.2%) 30/147 (20.4%)
    Fatigue 1/10 (10%) 31/165 (18.8%) 31/147 (21.1%)
    Oedema Peripheral 5/10 (50%) 25/165 (15.2%) 46/147 (31.3%)
    Pain 0/10 (0%) 5/165 (3%) 8/147 (5.4%)
    Pyrexia 6/10 (60%) 46/165 (27.9%) 51/147 (34.7%)
    Gait Disturbance 2/10 (20%) 0/165 (0%) 1/147 (0.7%)
    General Physical Health Deterioration 1/10 (10%) 2/165 (1.2%) 1/147 (0.7%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 2/10 (20%) 7/165 (4.2%) 3/147 (2%)
    Infections and infestations
    Oral Candidiasis 2/10 (20%) 6/165 (3.6%) 9/147 (6.1%)
    Oral Herpes 3/10 (30%) 9/165 (5.5%) 11/147 (7.5%)
    Pneumonia 1/10 (10%) 19/165 (11.5%) 19/147 (12.9%)
    Urinary Tract Infection 0/10 (0%) 13/165 (7.9%) 13/147 (8.8%)
    Bronchitis 1/10 (10%) 5/165 (3%) 5/147 (3.4%)
    Lung Infection 1/10 (10%) 4/165 (2.4%) 2/147 (1.4%)
    Lymph Gland Infection 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Oropharyngeal Candidiasis 1/10 (10%) 0/165 (0%) 2/147 (1.4%)
    Respiratory Tract Infection 1/10 (10%) 0/165 (0%) 3/147 (2%)
    Skin Infection 1/10 (10%) 3/165 (1.8%) 2/147 (1.4%)
    Systemic Mycosis 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Tooth Abscess 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Upper Respiratory Tract Infection 1/10 (10%) 6/165 (3.6%) 2/147 (1.4%)
    Injury, poisoning and procedural complications
    Contusion 0/10 (0%) 5/165 (3%) 8/147 (5.4%)
    Fall 0/10 (0%) 9/165 (5.5%) 13/147 (8.8%)
    Investigations
    Alanine Aminotransferase Increased 0/10 (0%) 5/165 (3%) 9/147 (6.1%)
    Aspartate Aminotransferase Increased 0/10 (0%) 5/165 (3%) 8/147 (5.4%)
    Blood Creatinine Increased 0/10 (0%) 4/165 (2.4%) 8/147 (5.4%)
    Gamma-Glutamyltransferase Increased 1/10 (10%) 1/165 (0.6%) 8/147 (5.4%)
    Weight Decreased 0/10 (0%) 10/165 (6.1%) 16/147 (10.9%)
    Bacterial Test Positive 1/10 (10%) 0/165 (0%) 1/147 (0.7%)
    Hepatic Enzyme Increased 1/10 (10%) 0/165 (0%) 0/147 (0%)
    International Normalised Ratio Increased 1/10 (10%) 3/165 (1.8%) 4/147 (2.7%)
    Oxygen Saturation Decreased 1/10 (10%) 0/165 (0%) 4/147 (2.7%)
    Metabolism and nutrition disorders
    Decreased Appetite 4/10 (40%) 31/165 (18.8%) 25/147 (17%)
    Hyperglycaemia 0/10 (0%) 4/165 (2.4%) 17/147 (11.6%)
    Hyperuricaemia 0/10 (0%) 8/165 (4.8%) 9/147 (6.1%)
    Hypoalbuminaemia 0/10 (0%) 5/165 (3%) 13/147 (8.8%)
    Hypocalcaemia 1/10 (10%) 9/165 (5.5%) 14/147 (9.5%)
    Hypokalaemia 3/10 (30%) 41/165 (24.8%) 53/147 (36.1%)
    Hypomagnesaemia 2/10 (20%) 12/165 (7.3%) 20/147 (13.6%)
    Hypophosphataemia 1/10 (10%) 5/165 (3%) 9/147 (6.1%)
    Fluid Overload 1/10 (10%) 4/165 (2.4%) 6/147 (4.1%)
    Fluid Retention 1/10 (10%) 4/165 (2.4%) 1/147 (0.7%)
    Hyperkalaemia 1/10 (10%) 4/165 (2.4%) 5/147 (3.4%)
    Hypoglycaemia 1/10 (10%) 2/165 (1.2%) 2/147 (1.4%)
    Hyponatraemia 1/10 (10%) 7/165 (4.2%) 4/147 (2.7%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 1/10 (10%) 15/165 (9.1%) 12/147 (8.2%)
    Back Pain 0/10 (0%) 18/165 (10.9%) 19/147 (12.9%)
    Pain in Extremity 0/10 (0%) 12/165 (7.3%) 15/147 (10.2%)
    Muscle Spasms 1/10 (10%) 4/165 (2.4%) 2/147 (1.4%)
    Muscular Weakness 1/10 (10%) 4/165 (2.4%) 2/147 (1.4%)
    Musculoskeletal Chest Pain 1/10 (10%) 4/165 (2.4%) 1/147 (0.7%)
    Myalgia 1/10 (10%) 3/165 (1.8%) 4/147 (2.7%)
    Nervous system disorders
    Dizziness 1/10 (10%) 9/165 (5.5%) 14/147 (9.5%)
    Headache 1/10 (10%) 15/165 (9.1%) 16/147 (10.9%)
    Syncope 2/10 (20%) 5/165 (3%) 6/147 (4.1%)
    Somnolence 1/10 (10%) 2/165 (1.2%) 2/147 (1.4%)
    Psychiatric disorders
    Insomnia 2/10 (20%) 13/165 (7.9%) 16/147 (10.9%)
    Adjustment Disorder with Depressed Mood 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Agitation 1/10 (10%) 3/165 (1.8%) 4/147 (2.7%)
    Depressed Mood 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Hallucination 1/10 (10%) 2/165 (1.2%) 1/147 (0.7%)
    Nervousness 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Renal and urinary disorders
    Acute Kidney Injury 0/10 (0%) 7/165 (4.2%) 11/147 (7.5%)
    Urinary Incontinence 0/10 (0%) 5/165 (3%) 10/147 (6.8%)
    Renal Impairment 1/10 (10%) 3/165 (1.8%) 5/147 (3.4%)
    Respiratory, thoracic and mediastinal disorders
    Cough 1/10 (10%) 15/165 (9.1%) 16/147 (10.9%)
    Dyspnoea 3/10 (30%) 23/165 (13.9%) 22/147 (15%)
    Epistaxis 1/10 (10%) 13/165 (7.9%) 20/147 (13.6%)
    Hypoxia 1/10 (10%) 7/165 (4.2%) 8/147 (5.4%)
    Oropharyngeal Pain 0/10 (0%) 7/165 (4.2%) 9/147 (6.1%)
    Pleural Effusion 1/10 (10%) 10/165 (6.1%) 4/147 (2.7%)
    Bronchospasm 3/10 (30%) 1/165 (0.6%) 6/147 (4.1%)
    Pharyngeal Oedema 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Skin and subcutaneous tissue disorders
    Erythema 0/10 (0%) 4/165 (2.4%) 9/147 (6.1%)
    Petechiae 1/10 (10%) 10/165 (6.1%) 11/147 (7.5%)
    Pruritus 1/10 (10%) 12/165 (7.3%) 11/147 (7.5%)
    Rash 1/10 (10%) 11/165 (6.7%) 13/147 (8.8%)
    Hyperhidrosis 1/10 (10%) 2/165 (1.2%) 7/147 (4.8%)
    Dry Skin 1/10 (10%) 3/165 (1.8%) 2/147 (1.4%)
    Hidradenitis 1/10 (10%) 0/165 (0%) 0/147 (0%)
    Purpura 1/10 (10%) 1/165 (0.6%) 0/147 (0%)
    Skin Ulcer 1/10 (10%) 2/165 (1.2%) 3/147 (2%)
    Vascular disorders
    Hypertension 0/10 (0%) 13/165 (7.9%) 24/147 (16.3%)
    Hypotension 1/10 (10%) 17/165 (10.3%) 22/147 (15%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    A copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.

    Results Point of Contact

    Name/Title Senior Medical Director
    Organization Janssen Research & Development, LLC
    Phone 844-434-4210
    Email ClinicalTrialDisclosure@its.jnj.com
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT02472145
    Other Study ID Numbers:
    • CR107273
    • 56022473AML2002
    • 2015-001611-12
    First Posted:
    Jun 15, 2015
    Last Update Posted:
    Mar 19, 2019
    Last Verified:
    Mar 1, 2019