Myelodysplastic Syndrome (MDS)
Conditions
Keywords
Hematology, MDS, Myelodysplastic Syndrome, Low Risk MDS, Intermediate-1 risk MDS, Int-1 risk MDS, Telintra, ezatiostat hydrochloride, ezatiostat, TLK199, Glutathione, Glutathione analog, Glutathione Transferase, Glutathione Transferase inhibitor, Glutathione Transferase P1-1 inhibitor, GSTp1-1 inhibitor, Apoptosis, Differentiation, Enzyme inhibitor
Brief summary
This is a randomized, open label, multicenter, Phase 2 study comparing two dose schedules of Telintra in patients with Low or Intermediate-1 risk MDS. Patients at least 18 years of age presenting with histologically confirmed Low to Intermediate-1 risk MDS with documented significant cytopenia for at least two months by the IWG criteria are eligible.
Interventions
Dose Schedule 1-3000 mg orally per day in two divided doses for two weeks followed by 1 week with no treatment per three week cycle. Dose Schedule 2-2000 mg orally per day in two divided doses for three weeks followed by 1 week with no treatment per four week cycle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary or de novo MDS * Low or intermediate-1 MDS * ECOG performance status 0 or 1 * Documented significant anemia with or without neutropenia and/or thrombocytopenia * Adequate kidney and liver function * Patients must have discontinued hematopoietic growth factors at least 3 weeks prior to study entry
Exclusion criteria
* Prior allogenic bone marrow transplant for MDS * History of MDS IPSS score greater than 1.0 * Pregnant or lactating women * Any severe concurrent disease, infection, or comorbidity that, in the judgement of the investigator, would make the patient inappropriate for study entry * Oral steroids e.g. prednisone \>10 mg per day * History of active hepatitis B or C * Known history of HIV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hematologic Improvement-Erythroid (HI-E) rate | 24 Weeks |
Secondary
| Measure | Time frame |
|---|---|
| Hematologic Improvement-Neutrophil (HI-N) rate, the Hematologic Improvement-Platelet (HI-P) rate, overall hematologic response rate, safety profile and Quality of Life assessments. | 24 Weeks |
Countries
United States