Myelodysplastic Syndrome Clinical Trial
5-Azacytidine Prior to Allogeneic Stem Cell Transplant in High Risk Myelodysplastic Syndrome
Summary
The purpose of this study is to examine the feasibility and efficacy of using the demethylating agent 5-Azacytidine prior to allogeneic stem cell transplantation in patients with high risk myelodysplastic syndrome (MDS).
Full Description
The study drug, 5-azacytidine, is given daily intravenously for 7 days. After every 2 cycles study participants will have a bone marrow test to evaluate the effect of the 5-azacytidine on the Myelodysplastic Syndrome (MDS). Participants continue to get cycles of 5-Azacytidine until 2 bone marrow tests show the MDS has stopped responding to the treatment. At that time they will undergo a transplant if a donor is available.
Eligibility Criteria
Inclusion Criteria:
Patients fulfilling the following criteria will be eligible for study entry:
Diagnosis of MDS according to WHO criteria
Intermediate-2 or high risk by IPSS score
Clinically able to receive 5-Azacytidine
Serum bilirubin levels =1.5 times the upper limit of the normal range for the laboratory (ULN). Higher levels are acceptable if these can be attributed to active hemolysis or ineffective erythropoiesis
Serum glutamic-oxaloacetic transaminase (SGOT) or serum glutamic-pyruvic transaminase (SGPT) levels =2 x ULN
Serum creatinine levels =1.5 x ULN
Negative serum pregnancy test prior to 5-Azacytidine treatment for women of childbearing potential
Women and men of childbearing potential agree to use contraception while receiving treatment with 5-Azacytidine
Potentially eligible for allogeneic transplantation
No prior allogeneic transplant
Age 18 to 70, inclusive.
Exclusion Criteria:
Known or suspected hypersensitivity to 5-azacytidine or mannitol
Patients previously treated with 5-azacytidine or deoxyazacytidine
Pregnant or breast feeding
Patients with advanced malignant hepatic tumors
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There is 1 Location for this study
Richmond Virginia, 23298, United States
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