myelodysplastic syndromes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) MDS or MDS/MPN(CMML) according to WHO classification (4th) or MDS (RAEB-t) according to FAB classification. (2) Age between 16 and 69. (3) No history of azacitidine treatment OR on azacitidine treatment and fulfills all of the following conditions; *On azacitidine treatment *Total interruption period of azacitidine <3 months. *Efficacy of azacitidine be SD or above. *Specimen of bone marrow and/or peripheral blood is available for genetic study. (4) Indication for allogeneic HSCT, and the patient has the will. (5) ECOG Performance status (PS) 0-2 (6) Sufficient organ function to receive therapy (fulfill all of the below conditions) *T.Bil<2.0mg/dL *Cre<2.0mg/dL *GOT/GPT< 3x ULN *No serious heart or lung diseases. (7) Provide written informed consent to join the study on his/her free-will.
Exclusion criteria
Exclusion criteria: (1) Previous history of allo-HSCT. (2) Obviously refractory to azacitidine, or planning allo-HSCT for disease progression after azacitidine treatment. (3) Active comorbid malignancy (less than 5 years after cure) except for myeloid malignancies that are assumed to be associated with MDS development. (4) Have uncontrollable infections. (5) Have psychiatric disorders requiring major tranquilizers. (6) During pregnancy or suspected pregnancy. (7) Positive for either HBs-Ag, HCV-Ab, HIV-Ab. (8) Assumed inappropriate to register the study by the attending doctors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2-year OS after allogeneic hematopoietic stem cell transplantation. | — |
Countries
Japan
Contacts
Kyoto University Dep. of Pathol. & Tumor Biol.