Ignite Creation Date:
2025-12-25 @ 2:34 AM
Ignite Modification Date:
2025-12-31 @ 10:25 PM
Study NCT ID:
NCT01048034
Status:
COMPLETED
Last Update Posted:
2013-10-29
First Post:
2010-01-12
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Evaluation of Azacitidine in Transfusion Dependent Patients With Low-risk Myelodysplastic Syndrome (MDS) or Chronic Myelomonocytic Leukemia (CMML)
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D009190', 'term': 'Myelodysplastic Syndromes'}, {'id': 'D015477', 'term': 'Leukemia, Myelomonocytic, Chronic'}], 'ancestors': [{'id': 'D001855', 'term': 'Bone Marrow Diseases'}, {'id': 'D006402', 'term': 'Hematologic Diseases'}, {'id': 'D006425', 'term': 'Hemic and Lymphatic Diseases'}, {'id': 'D007951', 'term': 'Leukemia, Myeloid'}, {'id': 'D007938', 'term': 'Leukemia'}, {'id': 'D009370', 'term': 'Neoplasms by Histologic Type'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D054437', 'term': 'Myelodysplastic-Myeloproliferative Diseases'}, {'id': 'D002908', 'term': 'Chronic Disease'}, {'id': 'D020969', 'term': 'Disease Attributes'}, {'id': 'D010335', 'term': 'Pathologic Processes'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D001374', 'term': 'Azacitidine'}, {'id': 'D004921', 'term': 'Erythropoietin'}], 'ancestors': [{'id': 'D001372', 'term': 'Aza Compounds'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D003562', 'term': 'Cytidine'}, {'id': 'D011741', 'term': 'Pyrimidine Nucleosides'}, {'id': 'D011743', 'term': 'Pyrimidines'}, {'id': 'D006573', 'term': 'Heterocyclic Compounds, 1-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}, {'id': 'D009705', 'term': 'Nucleosides'}, {'id': 'D009706', 'term': 'Nucleic Acids, Nucleotides, and Nucleosides'}, {'id': 'D012263', 'term': 'Ribonucleosides'}, {'id': 'D003115', 'term': 'Colony-Stimulating Factors'}, {'id': 'D006023', 'term': 'Glycoproteins'}, {'id': 'D006001', 'term': 'Glycoconjugates'}, {'id': 'D002241', 'term': 'Carbohydrates'}, {'id': 'D016298', 'term': 'Hematopoietic Cell Growth Factors'}, {'id': 'D016207', 'term': 'Cytokines'}, {'id': 'D036341', 'term': 'Intercellular Signaling Peptides and Proteins'}, {'id': 'D010455', 'term': 'Peptides'}, {'id': 'D000602', 'term': 'Amino Acids, Peptides, and Proteins'}, {'id': 'D011506', 'term': 'Proteins'}, {'id': 'D001685', 'term': 'Biological Factors'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 30}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2010-01'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2013-10', 'completionDateStruct': {'date': '2012-08', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2013-10-28', 'studyFirstSubmitDate': '2010-01-12', 'studyFirstSubmitQcDate': '2010-01-12', 'lastUpdatePostDateStruct': {'date': '2013-10-29', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2010-01-13', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2012-08', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Hemoglobin level', 'timeFrame': 'Week 28'}, {'measure': 'Number of patients reaching transfusion independency after treatment with Azacitidine', 'timeFrame': 'Week 28'}], 'secondaryOutcomes': [{'measure': 'Effect on leucocyte, platelet count', 'timeFrame': 'Week 28 and End of Trial'}, {'measure': 'Effect on bone marrow morphology and cytogenetics', 'timeFrame': 'Week 28 and End of Trial'}, {'measure': 'Number of patients reaching transfusion independency after treatment with Azacitidine and Epo', 'timeFrame': 'End of Trial'}, {'measure': 'Effect on genetic and epigenetic profile', 'timeFrame': 'Week 28'}, {'measure': 'Hemoglobin level', 'timeFrame': 'End of Trial'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['Myelodysplastic syndrome', 'Chronic myelomonocytic leukemia', 'Transfusion therapy', 'Transfusion dependency', 'Hypomethylating therapy', 'Azacitidine', 'DNA-methylation', 'Epigenetic modifications'], 'conditions': ['Myelodysplastic Syndrome', 'Chronic Myelomonocytic Leukemia']}, 'descriptionModule': {'briefSummary': 'Azacitidine has proved prolonged overall survival in patients with high-risk MDS. Minor pilot studies have shown that treatment with Azacitidine can induce transfusion independency in previous transfusion dependent patients with low-risk MDS. This study will evaluate the effect of Azacitidine in transfusion dependent patients with low-risk MDS (IPSS low or int-1) or low risk CMML. Included patients should first have failed, or considered not being eligible to, treatment with EPO +/- G-CSF. Our hypothesis is that Azacitidine can lead to transfusion independency in this group of patients. Those patients who do not respond to treatment with Azacitidine alone, will be given treatment with the combination of Azacitidine and EPO where our hypothesis is that Azacitidine can restore sensitivity to EPO.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Must be 18 years of age at the time of signing the informed consent form\n* MDS at IPSS Low or Int-1, or mixed MDS/MPD; either CMML with \\< 10% marrow blasts or RARS-T\n* Patients with high or intermediate probability for response according to the predictive model (see Hellstrom-Lindberg et al, Br J Haematol 99:344-51 1997)should be refractory to EPO / darbepoetin (equivalent to \\> 60 000 U of EPO / week for \\> 8 weeks) followed by EPO + G-CSF for \\> 8 weeks, or biosimilar drugs in equipotent doses, or EPO + G-CSF upfront for 8 weeks. Patients with low probability for response according to the predictive model, could be included without prior EPO/G-CSF treatment\n* Transfusion need \\>4 units over the last 8 weeks, or \\>8 units over the last 26 weeks.\n* Subject has signed the informed consent document.\n* Men and women of childbearing potential must use effective contraception during, and for up to 3 months after treatment.\n\nExclusion Criteria:\n\n* Pregnant or lactating females.\n* Patients who are eligible for curative treatment\n* Expected survival less than 24 weeks.\n* Symptomatic thrombocytopenia / active bleeding\n* Patients with JAK-2 positive RARS-T if eligible for new investigational drugs\n* Serum biochemical values as follows\n\n 1. Serum creatinine \\>2.0 mg/dL (177 micromol/L)\n 2. Serum aminotransferase (AST)/serum glutamic-oxaloacetic transaminase (SGOT) or alanine transaminase (ALT)/serum glutamate pyruvate transaminase (SGPT) \\>3.0 x upper limit of normal (ULN)\n 3. Serum total bilirubin \\>1.5 mg/dL (26 micromol/L)\n* Uncontrolled systemic infection\n* Considered not capable of following the study protocol'}, 'identificationModule': {'nctId': 'NCT01048034', 'briefTitle': 'Evaluation of Azacitidine in Transfusion Dependent Patients With Low-risk Myelodysplastic Syndrome (MDS) or Chronic Myelomonocytic Leukemia (CMML)', 'organization': {'class': 'NETWORK', 'fullName': 'Nordic MDS Group'}, 'officialTitle': 'Clinical and Biological Evaluation of Azacitidine in Transfusion-dependent Patients With Low and Intermediate-1 Risk MDS, and Low-risk CMML, Who Are Either Refractory to or Not Eligible for Treatment With Erythropoietin +/- G-CSF', 'orgStudyIdInfo': {'id': 'NMDSG08A'}, 'secondaryIdInfos': [{'id': '2009-011483-11', 'type': 'EUDRACT_NUMBER'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Azacitidine +/- erythropoetin', 'interventionNames': ['Drug: Azacitidine', 'Drug: Erythropoetin']}], 'interventions': [{'name': 'Azacitidine', 'type': 'DRUG', 'description': '100 mg / m(2) subcutaneously day 1-5 every 4 weeks for 6 cycles. Another three cycles will be given together with epo for those not responding to the first 6 cycles of Azacitidine', 'armGroupLabels': ['Azacitidine +/- erythropoetin']}, {'name': 'Erythropoetin', 'type': 'DRUG', 'description': 'For those patients not responding to Azacitidine alone, the combination of Azacitidine and erythropoetin 60 000 U / week for 16 weeks will be given.', 'armGroupLabels': ['Azacitidine +/- erythropoetin']}]}, 'contactsLocationsModule': {'locations': [{'city': 'Aalborg', 'country': 'Denmark', 'facility': 'Department of Hematology, Aalborg University Hospital', 'geoPoint': {'lat': 57.048, 'lon': 9.9187}}, {'city': 'Aarhus', 'country': 'Denmark', 'facility': 'Department of Hematology, Aarhus Univsersity Hospital', 'geoPoint': {'lat': 56.15674, 'lon': 10.21076}}, {'city': 'Copenhagen', 'country': 'Denmark', 'facility': 'Department of Hematology, Rigshospitalet Univsersity Hospital', 'geoPoint': {'lat': 55.67594, 'lon': 12.56553}}, {'city': 'Herlev', 'country': 'Denmark', 'facility': 'Department of Hematology, Herlev Hospital', 'geoPoint': {'lat': 55.72366, 'lon': 12.43998}}, {'city': 'Odense', 'country': 'Denmark', 'facility': 'Department of Hematology, Odense University Hospital', 'geoPoint': {'lat': 55.39594, 'lon': 10.38831}}, {'city': 'Bergen', 'country': 'Norway', 'facility': 'Department of Medcine, Haukeland University Hospital', 'geoPoint': {'lat': 60.39299, 'lon': 5.32415}}, {'city': 'Oslo', 'country': 'Norway', 'facility': 'Department of Hematology, Rikshospitalet University Hospital', 'geoPoint': {'lat': 59.91273, 'lon': 10.74609}}, {'city': 'Eskilstuna', 'country': 'Sweden', 'facility': 'Department of Medicine, Mälarsjukhuset Hospital', 'geoPoint': {'lat': 59.36661, 'lon': 16.5077}}, {'city': 'Falun', 'country': 'Sweden', 'facility': 'Department of medicine, Falun Hospital', 'geoPoint': {'lat': 60.60357, 'lon': 15.62597}}, {'city': 'Gothenburg', 'country': 'Sweden', 'facility': 'Department of Medicine, Sahlgrenska University Hospital / Östra', 'geoPoint': {'lat': 57.70716, 'lon': 11.96679}}, {'city': 'Linköping', 'country': 'Sweden', 'facility': 'Department of Hematology, Linköping University Hospital', 'geoPoint': {'lat': 58.41086, 'lon': 15.62157}}, {'city': 'Luleå', 'country': 'Sweden', 'facility': 'Department of Medicine, Sunderbyn Hospital', 'geoPoint': {'lat': 65.58415, 'lon': 22.15465}}, {'city': 'Lund', 'country': 'Sweden', 'facility': 'Department of Hematology, Lund University Hospital', 'geoPoint': {'lat': 55.70584, 'lon': 13.19321}}, {'city': 'Stockholm', 'country': 'Sweden', 'facility': 'Department of Hematology, Karolinska University Hospital', 'geoPoint': {'lat': 59.32938, 'lon': 18.06871}}, {'city': 'Stockholm', 'country': 'Sweden', 'facility': 'Department of Medicine, Södersjukhuset Hospital', 'geoPoint': {'lat': 59.32938, 'lon': 18.06871}}, {'city': 'Umeå', 'country': 'Sweden', 'facility': 'Department of Medicine, Umeå University Hospital', 'geoPoint': {'lat': 63.82842, 'lon': 20.25972}}, {'city': 'Uppsala', 'country': 'Sweden', 'facility': 'Department of Medicine, Uppsala University Hospital', 'geoPoint': {'lat': 59.85882, 'lon': 17.63889}}], 'overallOfficials': [{'name': 'Magnus Tobiasson, M.D.', 'role': 'STUDY_DIRECTOR', 'affiliation': 'Nordic MDS Group'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Nordic MDS Group', 'class': 'NETWORK'}, 'responsibleParty': {'type': 'SPONSOR'}}}}