Comparison Study of Standard Care Against Combination of Growth Factors Agents for Low-risk Myelodysplastic Syndromes
NCT01196715 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 360
Last updated 2025-02-06
Summary
REGIME is comparing two treatments, with Darbepoetin Alpha (DA) and Filgrastim (Granulocyte Colony Stimulating Factor, G-CSF), to the standard treatment for Myelodysplastic Syndrome (MDS).
After giving Informed Consent patients will undergo a number of tests to confirm eligibility. Once eligibility is confirmed patients will be randomly assigned to one of the three treatments group: A: Darbepoetin Alpha (DA), B: Darbepoetin Alpha and Filgrastim (DA+G-CSF), C: Blood transfusion only. Patients will be required to attend the clinic once a month for 24 weeks. After 24 weeks if a patient has reacted favorably to the treatment they may continue on the treatment regime up to 52 weeks. After week 24 all patients will be required to attend the clinic twice more, at week 36 and 52.
Patients will be followed for a further 5 years to record loss of response, transformation to Acute Myeloid Leukaemia and/or Refractory Anemia with Excess Blasts and death.
Conditions
Interventions
- DRUG
-
Darbepoetin alpha
Aranesp 500 mcg vials once every 2 weeks.
- DRUG
-
300 mcg vials twice a week, 3-4 days apart
- PROCEDURE
-
Blood Red Cell Transfusion
Red cell transfusion support to achieve a predicted post-transfusion haemoglobin of 11.0 to 12.0 g/dl at a quantity and frequency such that the minimum haemoglobin is never below 8.0 g/dl or such that the patient is never excessively symptomatic, according to local transfusion guidelines/policy.
Sponsors & Collaborators
- collaborator OTHER
- collaborator INDUSTRY
-
Barts & The London NHS Trust
lead OTHER
Principal Investigators
-
Samir G Agrawal, MRCP FRCPath PhD · Barts and The London NHS Trust
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-11-01
- Primary Completion
- 2015-10-31
- Completion
- 2015-10-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
A Pilot Study of a Thrombopoietin-Receptor Agonist, Eltrombopag, in Patients With Low to Int-2 Risk Myelodysplastic Syndrome (MDS)
NCT00961064 ·Status: COMPLETED ·Phase: PHASE2
-
Azacitidine, Darbepoetin Alfa, and Erythropoietin and Filgastrim (G-CSF) in Treating Patients With Myelodysplastic Syndromes
NCT00398047 ·Status: TERMINATED ·Phase: PHASE2
-
Amifostine in Treating Patients With Myelodysplastic Syndrome
NCT00003048 ·Status: COMPLETED ·Phase: PHASE2
-
Lenalidomide and Darbepoetin in Low-Intermediate Risk Myelodysplastic Syndrome (MDS)
NCT01222195 ·Status: TERMINATED ·Phase: PHASE2
-
Amifostine With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome
NCT00003681 ·Status: UNKNOWN ·Phase: PHASE2
-
Combination Chemotherapy Followed by Melphalan and Peripheral Stem Cell Transplantation in Treating Children With Newly Diagnosed Acute Myeloid Leukemia
NCT00004056 ·Status: COMPLETED ·Phase: PHASE1
-
Phase 1 Study to Evaluate MEDI4736 in Subjects With Myelodysplastic Syndrome
NCT02117219 ·Status: COMPLETED ·Phase: PHASE1
-
225Ac-DOTA-Anti-CD38 Daratumumab Monoclonal Antibody With Fludarabine, Melphalan and Total Marrow and Lymphoid Irradiation as Conditioning Treatment for Donor Stem Cell Transplant in Patients With High-Risk Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia and Myelodysplastic Syndrome
NCT06287944 ·Status: RECRUITING ·Phase: PHASE1
-
Modified Conditioning Regimen for CML-BP
NCT07259161 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Combination Chemotherapy in Treating Patients With Myelodysplastic Syndrome
NCT00003827 ·Status: UNKNOWN ·Phase: PHASE2
-
Topotecan in Treating Patients With Myelodysplastic Syndrome
NCT00003675 ·Status: COMPLETED ·Phase: PHASE2
-
A Pilot Study of Alemtuzumab (Campath[R]) in Patients With Myelodysplastic Syndrome
NCT00217594 ·Status: COMPLETED ·Phase: PHASE2
-
Cohort Study Assessing the Treatment Strategy for High-Risk Myelodysplastic Syndromes in Patients Under 70
NCT05367583 ·Status: UNKNOWN
-
A Study of Efficacy and Safety of AND017 in Patients With Myelodysplastic Syndrome
NCT06304103 ·Status: RECRUITING ·Phase: PHASE2
-
A Phase II Study of Maintenance With Azacitidine in MDS Patients
NCT00446303 ·Status: TERMINATED ·Phase: PHASE2
-
Registry of Myelodysplastic Syndromes and Therapy-related Acute Myeloid Leukemia
NCT06956755 ·Status: RECRUITING
-
Bexarotene and GM-CSF in Treating Patients With Myelodysplastic Syndrome or Acute Myeloid Leukemia
NCT00425477 ·Status: COMPLETED ·Phase: PHASE2
-
Peripheral Blood (PB) Versus Bone Marrow (BM) in Allogeneic Stem Cell Transplantation
NCT01020175 ·Status: COMPLETED ·Phase: PHASE3
-
Omacetaxine in Patients With Intermediate-1 and Higher Risk Myelodysplastic Syndrome (MDS) Post Hypomethylating Agent (HMA) Failure
NCT02159872 ·Status: COMPLETED ·Phase: PHASE2
-
Health Outcomes of Recently Diagnosed Myelodysplastic Syndrome (MDS)/Chronic Myelomonocytic Leukemia (CMML) Patients Depending on Treatment Strategy (Wait and See, Support, Active Treatment)
NCT02085798 ·Status: COMPLETED
-
Phase II Study of Azacitidine and Sargramostim as Maintenance Treatment for Poor-Risk AML or MDS
NCT01700673 ·Status: COMPLETED ·Phase: PHASE2
-
Monitoring Minimal Residual Disease of Patients With Acute Myelogenous Leukemia or High Grade Myelodysplastic Syndrome
NCT01311258 ·Status: RECRUITING
-
Evaluation of Response to Biosimilar Erythropoietin Alfa Therapy in Anemic Patients With Myelodysplastic Syndrome
NCT06764511 ·Status: RECRUITING
-
Role of BMP Pathway in MDS Progression
NCT06175923 ·Status: NOT_YET_RECRUITING
-
Alemtuzumab in Myelodysplastic Syndrome (MDS), Aplastic Anemia, and T-Cell Large Granular Lymphocytic Leukemia (T-GL)
NCT01191749 ·Status: TERMINATED ·Phase: PHASE2