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An open multicenter clinical trial to evaluate the safety, tolerability and efficacy of Deferasirox (ICL670) in patients affected by Myelodysplastic syndrome and transfusional chronic hemosiderosis. - GIMEMA MDS 0306

Conditions
ow and intermediate I risk (IPSS score) Myelodysplastic syndrome and transfusion-induced hemosiderosis.
MedDRA version: 9.1Level: LLTClassification code 10028533Term: Myelodysplastic syndrome
Registration Number
EUCTR2006-006147-31-IT
Lead Sponsor
G.I.M.E.M.A. GRUPPO ITALIANO MALATTIE EMATOLOGICHE DELL'ADULTO
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

?Patients, both males and females, with low and intermediate I risk (IPSS score) Myelodysplastic syndrome and transfusion-induced hemosiderosis.

?Age >=18 years

?Patients who never received chelation therapy or who received a therapy with Desferal after a day of wash out

?Medical history of at least 20 blood transfusions (equivalent to 100 ml/kg of red cells concentrate).

?Availability of data concerning blood transfusions during the 12 weeks before screening

?Serum ferritin >= 1000 ?g/L at least twice (at least 2 week interval between the 2 analysis) during the year before the screening

?Life expectancy > 12 months

?Availability of at least 3 complete blood counts (before transfusions) during the 12 weeks before the screening
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

?Diagnosis different from MDS (i.e. mielofibrosis)

?Severe renal impairment (creatinine clearance < 60 ml/min)

?ALT/AST > 500 U/L

?Active B and/or C hepatitis

?Patients treated during the past 4 weeks with experimental drugs for MDS (including thalidomide, azacitidine, arsenic trioxide). These patients become eligible after a ?wash out? of at least 4 weeks

?Concomitant treatment with another iron-chelating agent

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The primary objective of the trial is to assess the safety and tolerability of Deferasirox in patients with Myelodysplastic syndrome and transfusion-induced hemosiderosis.;Secondary Objective: ?To evaluate the efficacy of Deferasirox as chelation therapy in patients with Myelodysplastic syndrome, in terms of serum ferritin reduction compared to baseline values<br><br><br><br>?To evaluate the impact of chelation therapy with Deferasirox on the requirements of blood transfusions in a group of patients who do not receive growth factors or chemotherapy<br><br><br><br>?Quality of life assessment<br><br><br><br>?Chelation therapy compliance;Primary end point(s): Toxicity grade incidence >2 according to the NCI-CTCAE 3.0
Secondary Outcome Measures
NameTimeMethod
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