myelodysplastic syndrome (MDS) MedDRA version: 9.1 Level: LLT Classification code 10028533
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Have a diagnosis of myelodysplastic syndrome (MDS) according to the WHO classification for MDS (Appendix F) with a intermediate-2 or high IPSS score (score = 1.5, Appendix G) or a diagnosis of CMMoL according to the FAB classification (appendix B) with 10-20% BM or PB blasts and WBC =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - acute myeloid leukaemia; - concurrent malignancy diagnosed in the past 12 months (with the exception of skin basalioma); - severe renal impairment (creatinine clearance 2 x ULN and total bilirubin >1.5 x ULN (unless due to active hemolysis or ineffective erythropoiesis; - HIV infection; - active, uncontrolled HCV or HBV infections or liver cirrhosis; - clinically relevant neurological diseases; - psychiatric illness that would prevent granting of informed consent; - hypersensitivity (known or suspected) to Azacitidine or Mannitol; - prior Treatments: Prior investigational drugs (within 30 days) Radiotherapy, chemotherapy, or cytotoxic therapy for non-MDS conditions within the previous 6 months Growth factors (EPO, G-CSF or GM-CSF) during the previous 21 days Androgenic hormones during the previous 14 days Prior transplantation or cytotoxic therapy, including azacitidine and chemotherapy, administered to treat MDS.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the feasibility of allo-BMT after 5-azacitidine as first line therapy before allotransplant.;Primary end point(s): • the rate of enrolled patients suitable to BMT and currently performing BMT after 5-azacitidine.;Secondary Objective: • Efficacy and safety of 5-AZA in patients not receiving HSCT for any reasons • Overall response rate (ORR) to 5-azacitidine • Overall Survival (OS) at 1 year • Disease Free Survival (DFS) at 1 year • Transplant related Mortality (TRM) at 1 year after transplantation • Time to progression of MDS • Time to progression to AML • Rate of hematopoietic engraftment | — |
Countries
Italy