Myelodysplastic Syndromes
Conditions
Keywords
Idiopathic cytopenia of undetermined significance (ICUS), Clonal cytopenia of unknown significance (CCUS)
Brief summary
The proposed minimal diagnostic criteria for myelodysplastic syndromes (MDS) and potential pre-MDS conditions has been released by an international consensus group. Based on the criteria, patients with persistent cytopenia could be diagnosed with MDS, CCUS and ICUS. However, the process and outcome of pre-MDS conditions (CCUS, ICUS) is still to be characterized in Chinese population. We design this prospective observational study to explore the disease process and outcome in ICUS and CCUS patients.
Interventions
For patients with ICUS and CCUS, necessary supportive care could be given. No addtitional treatment is administrated.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with cytopenia of any degree in one or more lineages: erythrocytes, neutrophils, or platelets. And the cytopenia has to be persistent (≥ 4 months) and lacking minimal diagnostic criteria of MDS.
Exclusion criteria
* Patients with cytopenia which could be explained by any other hematologic or non-hematologic disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Culumative transformation rate | 5 years | Transformation is defined as progression from ICUS to CCUS, ICUS to MDS or CCUS to MDS. All patients are followed-up since entry into this trial and transformation events are recorded. Cumulative transformation rate is defined for all patients and estimated by competing risk methods. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Event-free survival | 5 years | Defined for all patients entry into this trial; measured from the date of entry into this trial to the date of progression or death from any cause; patients not known to have any of these events are censored on the date they were last examined. |
Countries
China