Study of Decitabine Induction Prior to Allogeneic Hematopoietic Cell Transplant in Newly Diagnosed MDS Patients
NCT01333449 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 6
Last updated 2014-06-17
Summary
Allogeneic blood stem cell transplant remains the only potential curative treatment for myelodysplastic syndromes (MDS) to date. Pre-transplant induction chemotherapy with leukemia-type regimens is associated with significant toxicity and even death. The hypomethylating agents decitabine and 5-azacytidine have been shown in studies to cause improved hematologic parameters and partial or complete responses in patients with high risk MDS compared to standard therapy. In contrast to leukemia-type chemotherapy, decitabine is associated with a relatively low risk of toxicity. We therefore propose to treat transplant-eligible MDS patients with Decitabine as induction therapy and a bridge to transplant.
Hypothesis:
1. Decitabine is able to reduce disease burden as measured by blood and marrow blast counts prior to allogeneic hematopoietic stem cell transplant to below 5%.
2. Decitabine is well-tolerated by patients with high-risk MDS and will be a safe induction agent and bridge prior to allogeneic transplant in transplant-eligible patients.
Conditions
Interventions
- DRUG
-
Decitabine
20mg/m\^2 infusion one hour per day, for 5days,every 28days,total 2-6cycles.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Singapore General Hospital
lead OTHER
Principal Investigators
-
Aloysius Ho · Singapore General Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 21 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-07-31
- Primary Completion
- 2013-08-31
- Completion
- 2013-08-31
Countries
- Singapore
Study Locations
More Related Trials
-
Eltrombopag With Decitabine in Advanced Myelodysplastic Syndrome (MDS)
NCT02010645 ·Status: TERMINATED ·Phase: PHASE2
-
Safety and Activity of Digoxin With Decitabine in Adult AML and MDS
NCT03113071 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Decitabine for Myelodysplastic Syndromes and Acute Myeloid Leukemia Before Allogeneic Hematopoietic Cell Transplantation
NCT01806116 ·Status: UNKNOWN ·Phase: PHASE4
-
Low-Dose Decitabine Compared With Standard Supportive Care in Treating Older Patients With Myelodysplastic Syndrome
NCT00043134 ·Status: UNKNOWN ·Phase: PHASE3
-
Decitabine Versus Supportive Care in Adults With Advanced-stage MDS
NCT00043381 ·Status: COMPLETED ·Phase: PHASE3
-
Decitabine Augments for Post Allogeneic Stem Cell Transplantation in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome
NCT01809392 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
5-azacytidine Treatment Versus 5-azacytidine Followed by Allogeneic Stem Cell Transplantation in Elderly Patients With Myelodysplastic Syndrome (MDS)
NCT01404741 ·Status: COMPLETED ·Phase: PHASE2
-
HCT With PTCy in Higher-risk MDS
NCT06098313 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Study of PDR001 and/or MBG453 in Combination With Decitabine in Patients With AML or High Risk MDS
NCT03066648 ·Status: COMPLETED ·Phase: PHASE1
-
Decitabine Versus Azacitidine in Myelodysplastic Syndrome Patients With Low and Intermediate-1 Risk
NCT01720225 ·Status: COMPLETED ·Phase: PHASE2
-
Open-label Study of FT-2102 With or Without Azacitidine or Cytarabine in Patients With AML or MDS With an IDH1 Mutation
NCT02719574 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Decitabine and Cytarabine in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia, High Risk Myelodysplastic Syndrome, or Myeloproliferative Neoplasm
NCT02121418 ·Status: COMPLETED ·Phase: NA
-
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
-
Decitabine as Maintenance Therapy After Standard Therapy in Treating Patients With Previously Untreated Acute Myeloid Leukemia
NCT00416598 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of Azacitidine in Transfusion Dependent Patients With Low-risk Myelodysplastic Syndrome (MDS) or Chronic Myelomonocytic Leukemia (CMML)
NCT01048034 ·Status: COMPLETED ·Phase: PHASE2
-
Phase I, Dose Escalation Study of Decitabine
NCT02264873 ·Status: COMPLETED ·Phase: PHASE1
-
Decitabine Plus mBU/CY for High Risk Acute Leukemia With MRD Pre-HSCT
NCT03793517 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
5-Fluoro-2'-Deoxycytidine and Tetrahydrouridine in Treating Patients With Acute Myeloid Leukemia or Myelodysplastic Syndromes
NCT01041443 ·Status: COMPLETED ·Phase: PHASE1
-
Busulfan, Fludarabine Phosphate, and Anti-Thymocyte Globulin Followed By Donor Stem Cell Transplant and Azacitidine in Treating Patients With High-Risk Myelodysplastic Syndrome and Older Patients With Acute Myeloid Leukemia
NCT01168219 ·Status: COMPLETED ·Phase: PHASE2
-
Decitabine Followed by Mitoxantrone Hydrochloride, Etoposide, and Cytarabine in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndromes
NCT01729845 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Study With Azacitidine in Pediatric Subjects With Newly Diagnosed Advanced Myelodysplastic Syndrome (MDS) and Juvenile Myelomonocytic Leukemia (JMML)
NCT02447666 ·Status: COMPLETED ·Phase: PHASE2
-
A Study Using Subject-specific MRD to Adopt Treatment After HSCT for Subjects With MDS
NCT05788679 ·Status: RECRUITING ·Phase: PHASE2
-
A Phase II Study of Maintenance With Azacitidine in MDS Patients
NCT00446303 ·Status: TERMINATED ·Phase: PHASE2
-
Early Discharge and Outpatients Care in Patients With Myelodysplastic Syndrome or Acute Myeloid Leukemia Previously Treated With Intensive Chemotherapy
NCT01235572 ·Status: COMPLETED ·Phase: PHASE2
-
Decitabine Plus mBU/CY Preconditioning for Relapse/Refractory Acute Leukemia
NCT03799224 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3