Myelodysplastic Syndromes
Conditions
Keywords
MDS INT-2MDS HIGH RISKDELETION 5q[31]Lenalidomide
Brief summary
We are evaluating the incidence of significant hematological response, according to IWG criteria including CR, PR or, major HI, (HI-E, Hl-N,or Hl- P), and cytogenetic response of patients diagnosed with intermediate-2 or high-risk (International Prognostic Scoring System \[IPSS\]) MDS with a deletion (del) 5q\[31\]
Detailed description
Subjects meeting all inclusion and exclusion criteria will receive lenalidomide lenalidomide will be administered at 10 mg (two 5 mg capsules) once daily on Days 1-21, every 4 weeks. Bone marrow aspirate (baseline and during the course of the study at week 8, 16, 32, 52 and when clinically indicated/for assessment of disease progression) evaluations Subjects may participate in the study for up to 52 weeks ( in patients still responding after 52 weeks, the drug wil continue to be supplied).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years at the time of signing the informed consent form * MDS with IPSS scores Int-2 or high with deletion 5q(31) * Prior thalidomide allowed * Documented diagnosis of MDS (RA, RARS, RAEB, RAEB-T and CMML with WBC \< 13,000/mm3 according to FAB classification) that meets IPSS criteria for intermediate-2 or high-risk disease and has an associated del 5q\[31\] (the deleted chromosomal region must include 5q\[31\]), with or without additional cytogenetic abnormalities
Exclusion criteria
* Pregnant or lactating females * Prior therapy with lenalidomide * MDS with IPSS scores low or Int-1 * Clinical neuropathy of greater than grade 2 * Proliferative (WBC ≥ 13,000/mL) chronic myelomonocytic leukemia (CMML) * Recombinant human erythropoietin (rHuEPO) therapy received within 28 days * Use of androgens other than for treating hypogonadism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary: Complete Response; Partial ResponseSecondary: Hematological Improvement | — |
Countries
France