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临床试验/EUCTR2005-002830-36-CZ
EUCTR2005-002830-36-CZ进行中(未招募)不适用

Intravenous low-dose decitabine versus supportive care in elderly patients withprimary Myelodysplastic Syndrome (MDS) (>10 % blasts or high-risk cytogenetics),secondary MDS or Chronic Myelomonocytic Leukemia (CMML) who are noteligible for intensive therapy: an EORTC-German MDS Study Group randomizedphase III study

European Organisation for Research and Treatment of Cancer0 个研究点目标入组 220 人开始时间: 2005年11月25日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
220

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • ? Patients aged 60 years and older with either:
  • ? primary MDS without any pretreatment
  • ? primary MDS pretreated with either growth factors, immunosuppressive
  • agents or hydroxyurea. These drugs have to be stopped > 6 weeks before
  • randomisation.
  • ? secondary MDS (previous radio-/chemotherapy for solid tumors or
  • and based on a BM aspiration or, in case of dry tap, on a BM biopsy, with either:
  • ? Bone marrow blast count of 11-20%,
  • ? Bone marrow blast count of = 10% with poor cytogenetics: any numerical or
  • structural abnormality of chromosome 7 and/or complex abnormalities (= 3
  • abnormalities)
  • ? Bone marrow blast count of 21-30% (AML from MDS according to WHO
  • proposal, RAEB-t according to FAB) in centers not participating in the AML
  • elderly study of the EORTC. For these patients an observation period of one
  • month is necessary to exclude those patients with a rapid progression
  • towards full-blown AML.
  • NB: - The BM sample should be done within 3 weeks prior to randomization, the cytogenetics
  • examination should be done within 8 weeks prior to randomization, the blood sample
  • should be done within 1 week prior to randomization.
  • - Patients for whom the cytogenetic examination was unsuccesful (this means that
  • cytogenetic examination has been performed on BM or on blood material, but that the
  • result was considered as a failure; ex: NN with < 10 mitoses), may be included in this
  • trial, provided that the % of BM blasts is =5 % and/or 2-3 cytopenias are present.
  • ? Absence of blast crisis of chronic myeloid leukemia.
  • ? Absence of t(8;21), alone or in combination with other abnormalities
  • ? Absence of pretreatment for MDS or AML with chemotherapy other than hydroxyurea.
  • ? Absence of active malignancy in previous three years with the exception of basal or squamous
  • cell skin cancer or cervical carcinoma in situ within two years of study registration.
  • ? Ineligible for intensive chemotherapy (ex: an anthracycline and Ara-C)
  • ? Performance status according to the WHO scale: 0, 1 or 2.
  • ? Adequate renal and liver function: creatinine and bilirubin < 1.5 times the upper limit of normal.
  • ? Absence of severe cardiovascular disease, i.e., arrhythmias requiring chronic treatment,
  • congestive heart failure (NYHA Class III or IV) or symptomatic ischemic heart disease, where
  • New-York Heart Association (NYHA)
  • Class III: marked limitation of activity; less than ordinary activity results in symptoms
  • Class IV: unable to carry on any physical activity without discomfort; symptoms at rest.
  • ? HIV negative and HBsAg negative.
  • ? Absence of active uncontrolled infection.
  • ? No prior history or current evidence of central nervous system and psychiatric disorders
  • requiring hospitalization.
  • ? Absence of any psychological, familial, sociological or geographical condition potentially
  • hampering compliance with the study protocol and follow-up schedule; those conditions should
  • be discussed with the patient before registration in the trial.
  • ? Before patient randomization, signed written informed consent must be given according to ICH
  • GCP, and national/local regulations.
  • N.B. Patients can be randomized only once in this trial.
  • 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
  • 另有 2 项未显示

排除标准

  • 未提供

研究者

发起方
European Organisation for Research and Treatment of Cancer

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Intravenous low-dose decitabine versus supportive... | 临床试验