Myelodysplastic Syndrome
Conditions
Brief summary
The purpose of this study is to evaluate of the safety and efficacy of decitabine treatment of Myelodysplastic Syndrome.
Detailed description
Total subjects: 240, doseⅠgroup of 120 patients, doseⅡgroup of 120 patients. Subjects are stratified randomize. If necessary, participants accepted best supportive therapy.
Interventions
Decitabine Injection 20mg/m2/d\*5d, IV\> 1h, one cycles per 4 weeks; Decitabine Injection 12mg/m2/d\*8d, IV\> 1h, one cycles per 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age≥18; * The diagnosis of MDS patients comply WHO2008 standards; * IPSS score≥0.5; * WHO classification for patients RCUD, RARS and transfusion-dependent RCMD; * ECOG PS score: 0-2; * Expected survival≥3 months; * Serum bilirubin≤1.5\*ULN, serum ALT and AST≤2.5\*ULN, serum Cr≤1.5\*ULN; * Subjects signed informed consent form in line with GCP requirements.
Exclusion criteria
* Can not marrow biopsy; * Previously diagnosed AML; * Received azacitidine or decitabine treatment any time before; * Being diagnosed with other malignancies in the prior 12 months; * Pregnant or lactating women; * Failure to control systemic fungal, bacterial or viral infection; * Known or suspected allergy to decitabine; * Known human immunodeficiency virus (HIV) or hepatitis B or C classes of active viral infection; * Have a history of neurological or psychiatric disorders, including epilepsy or dementia; * CTCAE 3 or 4 degree peripheral neuropathy; * According to the investigator's judgment, there are concomitant diseases with a serious safety hazard or affect the patients completed the study in patients; * Using other experimental drugs or participating in other clinical trials in the prior one months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The safety and efficacy of decitabine treatment of Myelodysplastic Syndrome. | 2-4 months | The primary efficacy evaluation: ORR The secondary efficacy evaluation: CR,mCR,PR,HI, PFS in one year, Cytogenetic response, transfusion requirements, et al. |
Countries
China