O-MDS-Protocol: Collection of Biological Data With Potential Prognostic Relevance in Patients With MYELODYSPLASTIC SYNDROMES
Study Details
Study Description
Brief Summary
The present study is designed to determine the mutational status of markers (TET2 and PLCb2, cytogenetic aberrations) together with methylation status of the above genes using bone marrow and matched buccal cell samples from MDS patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). All patients included in the study will be followed for at least 2 years.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patients with MYELODYSPLASTIC SYNDROMES Patients diagnosed with MDS according to FAB, WHO and IPSS classifications. Patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). |
Outcome Measures
Primary Outcome Measures
- Analyze the incidence of TET2 gene mutations and Validation of the prognostic potential of TET2 mutations and MPLA screening [2 years]
Analyze the incidence of TET2 gene mutations in a series of MDS patients and describe the clinical status of patients carrying mutations Validation of the prognostic potential of TET2 mutations and MPLA screening on: Response rate to treatment with Epo, Lenalidomide and Azacitidine Progression Free Survival (PFS )
Secondary Outcome Measures
- Validation of the prognostic potential of TET2 mutations [2 years]
Validation of the prognostic potential of Tet2 mutations on: Overall Survival; Validation of MLPA analyisis in the identification of cytogenetic abnormalities in MDS patients as a complementary screening tool; Validation of the prognostic relevance of MLPA analysis
Eligibility Criteria
Criteria
Inclusion Criteria:
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Written informed consent
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Patients diagnosed with MDS according to FAB, WHO and IPSS classifications
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All clinically treatable MDS patients with EPO or Lenalidomide or 5-Azacytidine;
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Hb < 10 g/dL
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Age ≥ 18 years
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Gender: Male or Female
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Sufficient amount of biological samples for molecular studies
Exclusion Criteria:
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Age <18 years
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Patients who do not require treatment on "watch and wait" strategy
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Insufficient amount of biological samples for molecular studies
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | U.O. Medicina Interna Universitaria 2 ed Ematologia Ospedale Civile San Salvatore | Coppito | L'Aquila | Italy | 67010 |
2 | Unità di Ematologia e Trapianto di Midollo Osseo, IRCCS-CROB, Centro di Riferimento Oncologico della Basilicata | Rionero in Vulture | Potenza | Italy | |
3 | U. O. C. Ematologia - Azienda Ospedaliera Sant'Andrea | Rome | Roma | Italy | 00189 |
4 | U.O. Ematologia - A.O. Spedali Civili di Brescia | Brescia | Italy | ||
5 | Divisione di Ematologia Presidio Ospedaliero "A. Perrino" | Brindisi | Italy | ||
6 | Divisione Clinicizzata di Ematologia con Trapianto di Midollo Osseo. Ospedale Ferrarotto. Azienda Policlinico | Catania | Italy | ||
7 | S.O.C. Ematologia Azienda Ospedaliera di Catanzaro"Pugliese-Ciaccio" | Catanzaro | Italy | ||
8 | Unità Operativa Complessa di Ematologia- Azienda Ospedaliera di Cosenza | Cosenza | Italy | 87100 | |
9 | Unità di Ematologia, Ospedale Madonna delle Grazie, ASM | Matera | Italy | ||
10 | Dipartimento di Oncologia, Oncoematologia e Unità Trapianto di Midollo Osseo, 'La Maddalena' | Palermo | Italy | ||
11 | U.O. di Ematologia Azienda Ospedaliera Universitaria Pisana | Pisa | Italy | ||
12 | Divisione Ematologia - Azienda Ospedaliera "Bianchi-Melacrino-Morelli" | Reggio Calabria | Italy | ||
13 | Dipartimento di Biotecnologie Cellulari ed Ematologia, Università La Sapienza | Roma | Italy | 00161 | |
14 | U.O.C. di Ematologia - Policlinico Agostino Gemelli- | Roma | Italy |
Sponsors and Collaborators
- Fondazione Amelia Scorza Onlus
Investigators
- Principal Investigator: Fortunato Morabito, MD, Unità Operativa Complessa di Ematologia- Azienda Ospedaliera di Cosenza - Italy
Study Documents (Full-Text)
None provided.More Information
Publications
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- Bacher U, Haferlach C, Schnittger S, Kohlmann A, Kern W, Haferlach T. Mutations of the TET2 and CBL genes: novel molecular markers in myeloid malignancies. Ann Hematol. 2010 Jul;89(7):643-52. doi: 10.1007/s00277-010-0920-6. Epub 2010 Mar 2. Review.
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- Schmid M. Iron chelation therapy in MDS: what have we learnt recently? Blood Rev. 2009 Dec;23 Suppl 1:S21-5. doi: 10.1016/S0268-960X(09)70006-2. Review.
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- Tefferi A, Pardanani A, Lim KH, Abdel-Wahab O, Lasho TL, Patel J, Gangat N, Finke CM, Schwager S, Mullally A, Li CY, Hanson CA, Mesa R, Bernard O, Delhommeau F, Vainchenker W, Gilliland DG, Levine RL. TET2 mutations and their clinical correlates in polycythemia vera, essential thrombocythemia and myelofibrosis. Leukemia. 2009 May;23(5):905-11. doi: 10.1038/leu.2009.47. Epub 2009 Mar 5.
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- Woo JG, Sun G, Haverbusch M, Indugula S, Martin LJ, Broderick JP, Deka R, Woo D. Quality assessment of buccal versus blood genomic DNA using the Affymetrix 500 K GeneChip. BMC Genet. 2007 Nov 8;8:79.
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