Quality of Life-Guided Transfusion in Refractory MDS or AML
NCT07328191 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2026-02-12
Summary
Patients with refractory myelodysplastic syndromes (MDS) or acute myeloid leukemia (AML) in exclusive palliative care frequently receive red blood cell transfusions based on hemoglobin thresholds, despite limited evidence of clinical benefit in this setting.
This prospective randomized study compares a standard hemoglobin-based transfusion strategy to a quality-of-life-guided strategy using the EQ-5D-5L questionnaire, with the aim of reducing transfusion burden while maintaining patient safety and quality of life.
Conditions
Interventions
- OTHER
-
Red blood cell transfusions based on EQ-5D-5L questionnaire
Red blood cell transfusions are administered based on patient-reported quality-of-life assessments using the EQ-5D-5L questionnaire, collected weekly. A transfusion is performed when a deterioration of at least one level in any EQ-5D-5L dimension is observed.
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Nice
lead OTHER
Principal Investigators
-
Thomas Cluzeau · Centre Hospitalier Universitaire de Nice
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-09
- Primary Completion
- 2027-02-09
- Completion
- 2028-02-09
Countries
- France
Study Locations
More Related Trials
-
Transfusion in Adult Acute Myeloid Leukemia
NCT02899767 ·Status: COMPLETED
-
A Prospective, Open-label, Randomized Controlled, Multicenter Clinical Study of MSD-HSCT Using a TBI or TMLI Conditioning Regimen for Adult ALL
NCT06557161 ·Status: RECRUITING ·Phase: PHASE2
-
Transfusion Dependency at Diagnosis and Transfusion Intensity During Initial Chemotherapy Are Associated With Poorer Outcomes in Adult Acute Myeloid Leukaemia
NCT02844257 ·Status: COMPLETED
-
Evaluating the Effects of Hemoglobin Threshold-specific Packed Red Blood Cell Transfusions on Quality of Life and Functional Outcomes in Patients With High-grade Myeloid Neoplasms, Acute Myeloid Leukemia, or B Acute Lymphoblastic Lymphoma/Leukemia
NCT06710418 ·Status: RECRUITING ·Phase: NA
-
Pre-DLI or Pro-DLI in Relapsed/Refractory Myeloid Neoplasms After HSCT
NCT07319793 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Early Palliative Care for Patients With Haematological Malignancies
NCT03800095 ·Status: UNKNOWN ·Phase: PHASE3
-
Allogeneic Hematopoietic Stem Cell Transplantation (AlloSCT) Initial Salvage Therapy for Induction Failure Acute Myeloid Leukemia (AML)
NCT02441803 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Chemotherapy vs No Chemotherapy Pre-transplant to MDS Undergoing Allo-HSCT
NCT02850822 ·Status: UNKNOWN
-
Single Agent JNJ-56022473 in MDS and AML Patients FAILING HYPOMETHYLATING AGENT BASED THERAPY
NCT02992860 ·Status: TERMINATED ·Phase: PHASE2
-
Comparing the Addition of an Anti-Cancer Drug, Pomalidomide, to the Usual Chemotherapy Treatment (Daunorubicin and Cytarabine Liposome) in Newly Diagnosed Acute Myeloid Leukemia With Myelodysplastic Syndrome-Related Changes
NCT04802161 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Molecular Epidemiology of Therapy-related Acute Myeloid Leukemia/Myelodysplastic Syndrome (AML/MDS)
NCT00525746 ·Status: UNKNOWN
-
Red Cell Transfusion Goals in Patients With Acute Leukemias
NCT02086773 ·Status: COMPLETED ·Phase: PHASE1
-
HMA+DLI vs DLI Preemptive Therapy Based on MRD for AL Undergoing Allo-HSCT
NCT03662087 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Immunophenotyping of Blast Cells and Immune Effector Cells in Peripheral Whole Blood and Bone Marrow Samples From AML and MDS Patients (AML)
NCT03801005 ·Status: COMPLETED
-
HCT With PTCy in Higher-risk MDS
NCT06098313 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Low-Dose or High-Dose Conditioning Followed by Peripheral Blood Stem Cell Transplant in Treating Patients With Myelodysplastic Syndrome or Acute Myelogenous Leukemia
NCT00322101 ·Status: COMPLETED ·Phase: PHASE3
-
Dose-reduced Versus Standard Conditioning in MDS/sAML
NCT01203228 ·Status: TERMINATED ·Phase: PHASE3
-
Feasibility and Outcomes of Allogeneic HCT Compared to Chemotherapy in Older AML Patients
NCT01929408 ·Status: COMPLETED
-
Adoptive Transfer of Haplo-identical DLI for AML and MDS
NCT02046122 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Unrelated Umbilical Cord Blood Stem Cell Combined With Azacitidine Based Treatment for Advanced MDS,CMML-2 and sAML
NCT05584761 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Allo-HSCT With Alternative Donor in Treatment of Hematologic Malignancy
NCT02487069 ·Status: COMPLETED ·Phase: NA
-
Low Dose Decitabine + Modified BUCY Conditioning Regimen for High Risk Acute Myeloid Leukemia Undergoing Allo-HSCT
NCT03256071 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Pre-emptive Immunomodulation After Allogeneic Stem Cell Transplantation in AML
NCT02888522 ·Status: UNKNOWN
-
Molecular Evaluation of AML Patients After Stem Cell Transplant to Understand Relapse Events
NCT05224661 ·Status: ACTIVE_NOT_RECRUITING
-
High Dose Donor Hematopoietic Stem Cell Infusion for Relapsed/Refractory AML
NCT03080922 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2