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临床试验/EUCTR2008-006268-12-DE
EUCTR2008-006268-12-DE进行中(未招募)不适用

Early treatment with deferasirox (Exjade®) in low risk MDS - Exjade-Early-Trial

Friedrich-Alexander-Universitaet Erlangen-Nuernberg0 个研究点开始时间: 2009年7月20日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方

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

  • -MDS of subtype RA, RARS, RCMD, RCMD-RS (i.e. lower risk)
  • -RAEB I allowed, if clinically stable for > 3 months
  • -5q-minus syndrome allowed, if lenalidomide unsuccessful or unavailable at the time
  • of inclusion
  • -IPSS score < intermediate-1
  • -transfusion dependent or Hb < 10,5 g/dl
  • -History of less than 20 units of red blood cell transfusions or 100mL/kg of
  • prepacked red blood cells (PRBCs), except for tranfusions for acute bleeding
  • -Serum ferritin > 300 µg/l and < 1500 µg/l. This level should have been verified at
  • least at two occasions within 3 months. Samples must be obtained in the absence
  • of concomitant severe infection
  • -no indication for EPO (due to high endogenous EPO levels) or EPO without benefit
  • in the past
  • -no indication and/or no plans for cytostatic drugs
  • -no previous exposure to cytostatic drugs, thalidomide, lenalidomide, G-CSF or EPO
  • or exposure to any of these drugs has been terminated since > 8 weeks (4 weeks
  • for G-CSF).
  • -no indication and/or no plans for stem cell transplantation
  • -stable or worsening cytopenia during the past 8 weeks. If in doubt, extend
  • screening period to > 8 weeks
  • -Patients of either gender and age > 18 years
  • -Life expectancy > 12 months
  • -Females of childbearing potential must use double-barrier contraception.
  • -Written informed consent by the patient
  • 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

排除标准

  • -Treatment with deferasirox or other chelation therapy for periods > 4 weeks before
  • study start
  • -Patients with a concomitant second malignant disease, possibly interfering with life
  • -Patients with mean levels of alanine aminotransferase (ALT) > 5x ULN
  • -Patients with uncontrolled systemic hypertension
  • -Patients with serum creatinine > 1.5x the upper limit of normal (ULN) or a creatinine
  • clearance < 60 ml/min according to the MDRD formula (Levey 2005)
  • -History of nephrotic syndrome
  • -Systemic diseases (cardiovascular, renal, hepatic, etc.) which would prevent the patient from undergoing study treatment
  • -Patients with psychiatric or addictive disorders which prevent them from giving their
  • informed consent or undergoing study treatment
  • -Patients treated with systemic investigational drugs within the past 4 weeks or
  • topical investigational drug within the past 7 days
  • -Any other surgical or medical condition which might significantly alter the
  • absorption, distribution, metabolism or excretion of any drug. The investigator
  • should be guided by evidence of any of the following:
  • *history of inflammatory bowel syndrome, gastritis, ulcers, gastrointestinal or
  • rectal bleeding;
  • *history of major gastrointestinal tract surgery such as gastrectomy,
  • gastroenterostomy, or bowel resection;
  • *history of pancreatic injury or pancreatitis; indications of impaired pancreatic
  • function/injury as indicated by abnormal lipase or amylase;
  • *history of urinary obstruction or difficulty in voiding
  • -History of non-compliance to medical regimens and patients who are considered
  • potentially unreliable and/or not cooperative
  • -History of drug or alcohol abuse within the 12 months prior to dosing or evidence of
  • such abuse as indicated by the laboratory assays conducted during the run-in period
  • -Patients with active uncontrolled infectious disease
  • -Pregnancy or breast feeding
  • -QT > 470 msec on screening ECG
  • -Patients with a history of Torsades de Pointes

研究者

发起方
Friedrich-Alexander-Universitaet Erlangen-Nuernberg

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