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A cohort of cancer centers was selected to serve as models for identifying key strategies for racial and ethnic minority group engagement in clinical trials. On the basis of several qualifying criteria, such as sustained accrual of minorities into clinical cancer research, an established minority population ≥10% in the overall catchment, an established clinical trial infrastructure, and a formal community outreach program, the investigators identified 8 cancer centers for participation.

Topline results from the ASCERTAIN trial of the cedazuridine and decitabine combination in patients with intermediate and high-risk myelodysplastic syndromes or chronic myelomoncyctis leukemia showed that the phase III trial met its primary endpoint. The fixed-dose combination demonstrated a decitabine exposure equivalence of total 5-day dosing compared with intravenous decitabine in the study patient population.