Low-dose AZA Combined With Short Term CAG Derived Regimen as a Bridging Treatment in Patients With Advanced MDS Prior to Allo-HSCT
Study Details
Study Description
Brief Summary
This single arm, prospective study on the feasibility of a bridging treatment with low-dose azacitidine (AZA) in combination with short term CAG derived regimen prior to allogeneic stem cell transplantation (allo-HSCT) in patients with advanced myelodysplastic syndromes (MDS) .
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2/Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: AZA with CAG derived regimen Azacitidine 50mg/m²/day, D1-D5 (IV) Aclarubicin 5mg/m²/day, D1-D4 (IV) Cytarabine 10mg/m²/12h, D1-D6 (IV) G-CSF 5-10ug/kg/day, D1-D7 (SC) |
Drug: Azacitidine
Low-dose AZA
Drug: CAG Protocol
Short term CAG derived regimen
|
Outcome Measures
Primary Outcome Measures
- Mean Time to Engraftment [Baseline to engraftment, assessed minimally 28 days post transplant]
Secondary Outcome Measures
- Cumulative Incidence of Graft-versus Host Disease [Up to 2 years]
- Incidence of systemic infections [Up to 2 years]
- Overall survival [Up to 2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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New Diagnosed advanced myelodysplastic syndrome (MDS) for whom an allogeneic hematopoietic stem cell transplant is planned
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Recipient of an allogeneic hematopoietic stem cell transplantation
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Age < 65 years
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ECOG performance status ≤2
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Written informed consent
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No psychological, familial, social, or geographic reason that would compromise clinical follow up
Exclusion Criteria:
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Relapsed or refractory advanced MDS
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Severe pshyciatric or organic disorder, supposed to be independent from advanced MDS, that would contraindicate treatment
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Known allergic or hypersensitivity to azacitidine, aclarubicin or cytarabine or to any of the test compounds, materials
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Concurrent, uncontrolled medical condition, laboratory abnormality, or psychiatric illness which could place the subject at unacceptable risk
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A co-morbid condition which, in the view of the Investigators, renders the subject at high risk from treatment complications
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Fujian Medical University Union Hospital | Fuzhou | Fujian | China | 350001 |
Sponsors and Collaborators
- Fujian Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MDS-SCT-01