Evidence map›Paper›PMID 35435961›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2022

FDA Approval Summary: Decitabine and Cedazuridine Tablets for Myelodysplastic Syndromes.

Nina Kim, Kelly J Norsworthy, Sriram Subramaniam, Haiyan Chen, Michael L Manning, Eliford Kitabi, Justin Earp, Lori A Ehrlich, Olanrewaju O Okusanya, Jonathon Vallejo and 3 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Molecular and therapeutic frontiers in anemia therapy.The Journal of clinical investigation · 2026
    Review
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  4. Review
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  15. Getting the right combination to break the epigenetic code.Nature reviews. Clinical oncology · 2025
    Review
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Nina KimCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-1809-0417
Kelly J NorsworthyCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-8462-9994
Sriram SubramaniamCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Haiyan ChenCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Michael L ManningCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Eliford KitabiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Justin EarpCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Lori A EhrlichCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0001-5981-1332
Olanrewaju O OkusanyaCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-4134-7882
Jonathon VallejoCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-9700-4037
Brenda J GehrkeCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
R Angelo de ClaroCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
Richard PazdurOncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.
Center for Drug Evaluation and Research · USUnited States Food and Drug Administration · US

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

On July 7, 2020, the Food and Drug Administration approved Inqovi (Otsuka Pharmaceutical Co.), an oral fixed-dose combination tablet comprising 35 mg decitabine, a hypomethylating agent, and 100 mg cedazuridine, a cytidine deaminase inhibitor (abbreviated DEC-C) for treatment of adult patients with myelodysplastic syndromes (MDS). Evidence of effectiveness of DEC-C was established in phase III ASTX727-02 (N = 133) in adults with MDS. The study involved a two-sequence crossover comparing DEC-C and intravenous (IV) decitabine 20 mg/m2 once daily for the first 5 days of each 28-day cycle in the first 2 cycles. From cycle 3 onward, patients received DEC-C. Five-day cumulative area under the curve (5-d AUC) of decitabine for DEC-C was similar to that of IV decitabine, with geometric mean ratio 0.99 (90% confidence interval: 0.93-1.06). Clinical benefit was supported by study ASTX727-02 and the similarly designed phase II study ASTX727-01-B (n = 80), with complete remission (CR) of 21% and 18% and median duration of CR 7.5 and 8.7 months, respectively. Adverse reactions were consistent with IV decitabine. Postmarketing assessments were issued to address the effect of cedazuridine on QT prolongation, food effect, moderate and severe hepatic impairment, and severe renal impairment on the pharmacokinetics and safety of DEC-C.

Indexed as

AzacitidineMyelodysplastic SyndromesAdultDecitabineHumansTabletsTreatment OutcomeUridineAzacitidinecedazuridineDecitabineTabletsUridine

Identifiers

PMID35435961
PMCPMC9378483
OpenAlexW4224063104

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.