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临床试验/NCT01133886
NCT01133886Unknown2 期

Use of Decitabine in Myelodysplastic Syndrome (MDS) Following Azacitidine (AZA) Failure

King's College London1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2010年9月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
入组人数
50
试验地点
1
主要终点
Overall response rate in the efficacy-evaluable (EE) population

研究概览

简要总结

The purpose of this study is to assess the response rate at 6 months in Myelodysplastic Syndrome (MDS) patients, Chronic Myelomonocytic Leukaemia (CMML-2) patients, and Acute Myeloid Leukaemia (AML) patients with up to 30% bone marrow blasts, treated with low-dose decitabine who have previously failed therapy with 5-azacitidine.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Written signed informed consent.
  • ≥18 years of age.
  • Diagnosed MDS with 5% or more marrow blasts and IPSS risk intermediate 2 or high risk; or chronic myelomonocytic leukemia (CMML-2); or AML with 20-30% bone marrow blasts.
  • Patients who have failed therapy with azacitidine.
  • Performance status 0-2 (ECOG scale).
  • Adequate hepatic (bilirubin < 1.5 X ULN or AST< 2.5 X ULN) and renal functions (creatinine <1.5 X ULN).

排除标准

  • Nursing and pregnant females.
  • Females of childbearing potential and males not willing to practice an effective method of contraception whilst receiving decitabine and for 2 months after the last infusion.
  • Patients with previous malignancy or concurrent malignancy.
  • Uncontrolled intercurrent illness including, but not limited to, symptomatic congestive heart failure and unstable angina pectoris.
  • Ongoing oral corticosteroids are not permitted. However, use of corticosteroids (topical and inhaled) is permitted and prophylactic steroids are allowed for transfusion reactions.
  • Patients who have received any investigational agent within the 30 days preceding the first dose of study drug.
  • Patients who have received prior intensive combination chemotherapy or high-dose cytarabine (>/= 1g/m*2 per dose). (Prior biologic therapies, targeted therapies and single agent chemotherapy are allowed).
  • Patients who have an active viral or bacterial infection. Note: No patient is allowed to enter the study unless infections have been fully treated and the patient has remained afebrile for 7 days without antibiotics.
  • Patients who have concurrent autoimmune hemolytic anemia or immune thrombocytopenia.
  • Patients who have previously been treated with decitabine.
  • Patients who have known positive serology for HIV.
  • Patients with a condition that may be unable to comply with the treatment and monitoring requirements of the study.

研究组 & 干预措施

Decitabine

Experimental

干预措施: Decitabine (Drug)

结局指标

主要结局

Overall response rate in the efficacy-evaluable (EE) population

时间窗: 6 months

次要结局

  • Overall survival(18 months)
  • Time to AML progression (for MDS and CMML-2 patients only) or death(18 months)
  • Haematological improvement(18 months)
  • Transfusion requirements(18 months)
  • Cytogenetic response(18 months)
  • Treatment related toxicity(Up until one month after last IMP dose)

研究者

申办方类型
Other

研究点 (1)

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