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A Phase Ⅳ Study of Decitabine in Myelodysplastic Syndrome

Phase 4
Conditions
Myelodysplastic Syndrome
Interventions
Registration Number
NCT02013102
Lead Sponsor
Cttq
Brief Summary

The purpose of this study is to evaluate of the safety and efficacy of decitabine treatment of Myelodysplastic Syndrome.

Detailed Description

Total subjects: 240, doseⅠgroup of 120 patients, doseⅡgroup of 120 patients. Subjects are stratified randomize. If necessary, participants accepted best supportive therapy.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Age≥18;
  • The diagnosis of MDS patients comply WHO2008 standards;
  • IPSS score≥0.5;
  • WHO classification for patients RCUD, RARS and transfusion-dependent RCMD;
  • ECOG PS score: 0-2;
  • Expected survival≥3 months;
  • Serum bilirubin≤1.5*ULN, serum ALT and AST≤2.5*ULN, serum Cr≤1.5*ULN;
  • Subjects signed informed consent form in line with GCP requirements.
Exclusion Criteria
  • Can not marrow biopsy;
  • Previously diagnosed AML;
  • Received azacitidine or decitabine treatment any time before;
  • Being diagnosed with other malignancies in the prior 12 months;
  • Pregnant or lactating women;
  • Failure to control systemic fungal, bacterial or viral infection;
  • Known or suspected allergy to decitabine;
  • Known human immunodeficiency virus (HIV) or hepatitis B or C classes of active viral infection;
  • Have a history of neurological or psychiatric disorders, including epilepsy or dementia;
  • CTCAE 3 or 4 degree peripheral neuropathy;
  • According to the investigator's judgment, there are concomitant diseases with a serious safety hazard or affect the patients completed the study in patients;
  • Using other experimental drugs or participating in other clinical trials in the prior one months.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm ⅠDecitabine InjectionDecitabine Injection 20mg/m2/d\*5d, IV\> 1h, one cycles per 4 weeks.
Arm ⅡDecitabine InjectionDecitabine Injection 12mg/m2/d\*8d, IV\> 1h, one cycles per 4 weeks.
Primary Outcome Measures
NameTimeMethod
The safety and efficacy of decitabine treatment of Myelodysplastic Syndrome.2-4 months

The primary efficacy evaluation: ORR The secondary efficacy evaluation: CR,mCR,PR,HI, PFS in one year, Cytogenetic response, transfusion requirements, et al.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tianjin Medical University General Hospital

🇨🇳

Tianjin, Tianjin, China

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