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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04401748
Other study ID # M15-954
Secondary ID 2023-507153-16-0
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date September 10, 2020
Est. completion date September 10, 2025

Study information

Verified date June 2024
Source AbbVie
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Myelodysplastic Syndrome (MDS) is a group of disorders that gradually affect the ability of a person's bone marrow (semi-liquid tissue present in many bones like backbones) to produce normal blood cells. Some people with MDS have a risk of the disease progressing to acute myeloid leukemia (AML), and a risk of death from the disease itself. Symptoms of MDS include fatigue, shortness of breath, unusual paleness due to anemia (low red blood cell count), easy or unusual bruising, and red spots just beneath the skin caused by bleeding. The purpose of this study is to see how safe and effective venetoclax and azacitidine (AZA) combination are when compared to AZA and a placebo (contains no medicine), in participants with newly diagnosed higher-risk MDS. Venetoclax is an investigational drug being developed for the treatment of MDS. The study consists of two treatment arms - In one arm, participants will receive venetoclax and AZA. In another arm, participants will receive AZA and placebo. Adult participants with newly diagnosed higher-risk MDS will be enrolled. Around 500 participants will be enrolled in approximately 220 sites worldwide. Participants in one arm will receive oral doses of venetoclax tablet and intravenous (infusion in the vein) or subcutaneous (given under the skin) AZA solution. Participants in another arm will receive oral doses of placebo tablet and intravenous or subcutaneous AZA solution. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood and bone marrow tests, checking for side effects, and completing questionnaires.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 531
Est. completion date September 10, 2025
Est. primary completion date September 10, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Participants with a diagnosis of Myelodysplastic Syndrome (MDS) according to the 2016 World Health Organization (WHO) classification wtih presence of < 20% bone marrow blasts per marrow biopsy/aspirate at screening. - Participants must meet the following disease activity criteria: - Overall Revised International Prognostic Scoring System (IPSS-R) score > 3 (intermediate, high or very high). - Eastern Cooperative Oncology Group (ECOG) performance status of <= 2. - Hematopoietic stem cell transplant (HSCT) eligible with no pre-arranged HSCT at the time of Study Day 1, or HSCT ineligible without plan for HSCT at the time of Study Day 1. Exclusion Criteria: - Prior therapy for MDS with any hypomethylating agent, chemotherapy, or allogenic stem cell transplantation. - Prior diagnosis of therapy-related MDS (t-MDS), MDS evolving from a pre-existing myeloproliferative neoplasm (MPN), MDS/MPN including chronic myelomonocytic leukemia (CMML), atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN.

Study Design


Intervention

Drug:
Venetoclax
Tablet: Oral
Azacitidine
Subcutaneous (SC) or Intravenous (IV) injection
Placebo
Tablet; Oral

Locations

Country Name City State
Australia Royal Adelaide Hospital /ID# 221805 Adelaide South Australia
Australia Duplicate_Blacktown Hospital /ID# 234079 Blacktown New South Wales
Australia St Vincent's Hospital Melbourne /ID# 221809 Fitzroy Melbourne Victoria
Australia Austin Health /ID# 221807 Heidelberg Victoria
Australia St George Hospital /ID# 221810 Kogarah New South Wales
Australia Port Macquarie Base Hospital /ID# 234078 Port Macquarie New South Wales
Australia Gold coast University Hospital /ID# 222606 SouthPort Queensland
Austria Ordensklinikum Linz GmbH Elisabethinen /ID# 221387 Linz Oberoesterreich
Austria Landeskrankenhaus Salzburg-Universitaetsklinikum der PMU (LKH) /ID# 221092 Salzburg
Austria Medizinische Universitaet Wien /ID# 221446 Vienna Wien
Austria Klinikum Wels-Grieskirchen GmbH /ID# 221386 Wels Oberoesterreich
Austria Hanusch Krankenhaus /ID# 221093 Wien
Belgium ZNA Middelheim /ID# 218907 Antwerp
Belgium AZ Sint-Jan Brugge /ID# 218212 Brugge
Belgium UZ Gent /ID# 218767 Gent Oost-Vlaanderen
Belgium Hospital La Louviere Site Jolimont - Helora /ID# 218921 La Louvière Hainaut
Belgium Universitair Ziekenhuis Leuven /ID# 218905 Leuven Vlaams-Brabant
Belgium Cliniques Universitaires UCL Saint-Luc /ID# 219066 Woluwe-Saint-Lambert Bruxelles-Capitale
Belgium Université Catholique de Louvain-Namur - Centre Hospitalier Universitaire Dinant /ID# 219064 Yvoir Namur
Brazil Hospital Universitario Walter Cantidio /ID# 223434 Fortaleza Ceara
Brazil Hospital Universitário Pedro Ernesto /ID# 223080 Rio de Janeiro
Brazil Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao /ID# 221339 Sao Paulo
Brazil Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein /ID# 221370 São Paulo Sao Paulo
Canada CIUSSS du Nord-de-l'ile-de-Montréal_Hopital du Sacré-Coeur de Montréal /ID# 218973 Montreal Quebec
Canada McGill University Health Center Research Institute /ID# 222519 Montreal Quebec
Canada Ottawa Hospital Research Institute /ID# 219105 Ottawa Ontario
Canada CHUQ- Hôpital de l'Enfant-Jesus /ID# 221200 Quebec City Quebec
Canada BC Cancer - Surrey /ID# 219098 Surrey British Columbia
Canada Sunnybrook Health Sciences Ctr /ID# 219103 Toronto Ontario
China Peking University International Hospital /ID# 222987 Beijing
China West China Hospital, Sichuan University /ID# 221601 Chengdu Sichuan
China Guangdong Provincial People's Hospital /ID# 221442 Guangzhou Guangdong
China Nanfang Hospital of Southern Medical University /ID# 224566 Guangzhou Guangdong
China Zhujiang Hospital of Southern Medical University /ID# 222071 Guangzhou Guangdong
China Sir Run Run Shaw Hospital Zhejiang University School of Medicine /ID# 225982 Hangzhou Zhejiang
China The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 221494 Hangzhou Zhejiang
China Lanzhou University Second Hospital /ID# 225980 Lanzhou Gansu
China The First Affiliated Hospital of Nanchang University /ID# 225983 Nanchang Jiangxi
China Jiangsu Province Hospital /ID# 221342 Nanjing Jiangsu
China Zhongda Hospital Southeast University /ID# 221849 Nanjing Jiangsu
China Shanghai Sixth People's Hospital /ID# 221546 Shanghai Shanghai
China Shengjing Hospital of China Medical University /ID# 222945 Shenyang Liaoning
China The Second Hospital of Hebei Medical University /ID# 222919 Shijiazhuang Hebei
China The First Affiliated Hospital of Soochow University /ID# 221640 Suzhou Jiangsu
China Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sc /ID# 221567 Tianjin Tianjin
China Tianjin Medical University General Hospital /ID# 226810 Tianjin
China Tongji Hospital Tongji Medical College of HUST /ID# 221474 Wuhan Hubei
China Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 221475 Wuhan Hubei
China Shaanxi Provincial people's Hospital /ID# 225728 Xi'an Shaanxi
China The Fourth Affiliated Hospital Zhejiang University School of Medicine /ID# 225918 Yiwu Zhejiang
China Henan Cancer Hospital /ID# 221447 Zhengzhou Henan
China People's Hospital of Henan Province /ID# 225790 Zhengzhou Henan
Czechia Fakultni nemocnice Brno /ID# 221351 Brno
Czechia Fakultni nemocnice Hradec Kralove /ID# 221163 Hradec Kralove
Czechia Fakultni Nemocnice Ostrava /ID# 219143 Ostrava
Czechia Fakultni nemocnice Plzen /ID# 221162 Plzen
Czechia Ustav hematologie a krevni transfuze /ID# 221350 Praha
Czechia Vseobecna fakultni nemocnice v Praze /ID# 221229 Praha
France CH Henri Duffaut /ID# 225185 Avignon CEDEX 9 Vaucluse
France CHU Grenoble - Hopital Michallon /ID# 220988 La Tronche Isere
France CHRU Lille - Hopital Claude Huriez /ID# 220991 Lille Nord
France Hopital de la Conception /ID# 224882 Marseille Bouches-du-Rhone
France CHU de Nantes, Hotel Dieu -HME /ID# 222074 Nantes Pays-de-la-Loire
France CHU de Nice - Hôpital Archet 1 /ID# 220992 Nice Alpes-Maritimes
France AP-HP - Hopital Saint-Louis /ID# 222075 Paris
France Centre Hospitalier Universitaire de Bordeaux /ID# 220989 Pessac CEDEX Gironde
France Centre Henri Becquerel /ID# 220986 Rouen
Germany Charite Universitaetsklinikum Berlin - Campus Benjamin Franklin /ID# 221189 Berlin
Germany Universitaetsklinikum Duesseldorf /ID# 221169 Düsseldorf Nordrhein-Westfalen
Germany Medizinische Hochschule Hannover /ID# 221173 Hannover
Germany Universitaetsklinikum Koeln /ID# 234219 Köln Nordrhein-Westfalen
Germany Universitaetsklinikum Leipzig /ID# 221168 Leipzig Sachsen
Germany Universitatsklinikum Mannheim /ID# 221172 Mannheim Baden-Wuerttemberg
Germany Klinikum rechts der Isar /ID# 221170 Munich
Germany Stauferklinikum Schwaebisch Gmuend /ID# 224917 Mutlangen Baden-Wuerttemberg
Hungary Duplicate_Debreceni Egyetem Klinikai Kozpont /ID# 221702 Debrecen Hajdu-Bihar
Hungary Somogy Varmegyei Kaposi Mor Oktato Korhaz /ID# 221703 Kaposvár Somogy
Hungary Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz /ID# 221704 Nyiregyhaza Szabolcs-Szatmar-Bereg
Hungary Szegedi Tudományegyetem /ID# 221705 Szeged
Hungary Fejér Vármegyei Szent György Egyetemi Oktató Kórház /ID# 222953 Szekesfehervar Fejer
Israel Rabin Medical Center /ID# 221184 Haifa
Israel Rambam Health Care Campus /ID# 221083 Haifa H_efa
Israel Hadassah Medical Center-Hebrew University /ID# 222006 Jerusalem Yerushalayim
Israel Shaare Zedek Medical Center /ID# 233181 Jerusalem Yerushalayim
Israel The Chaim Sheba Medical Center /ID# 221110 Ramat Gan Tel-Aviv
Israel Tel Aviv Sourasky Medical Center /ID# 221896 Tel Aviv Tel-Aviv
Italy IRCCS Azienda Ospedaliero-Universitaria di Bologna /ID# 220810 Bologna
Italy Azienda Ospedaliera di Rilievo Nazionale Antonio Cardarelli /ID# 220816 Napoli
Italy Grande Ospedale Metropolitano Bianchi Melacrino Morelli /ID# 220818 Reggio Calabria
Italy Azienda Ospedaliero-Universitaria Sant'Andrea /ID# 220819 Rome
Italy Istituto Clinico Humanitas /ID# 220815 Rozzano Milano
Japan University of Fukui University Hospital /ID# 221568 ??? Fukui
Japan Kyushu University Hospital /ID# 223473 Fukuoka-shi Fukuoka
Japan Fukushima Medical University Hospital /ID# 222015 Fukushima-shi Fukushima
Japan Chugoku Central Hospital /ID# 222955 Fukuyama Hiroshima
Japan National Hospital Organization Mito Medical Center /ID# 222278 Higashi Ibaraki-gun Ibaraki
Japan Saitama Medical Center /ID# 222016 Kawagoe-shi Saitama
Japan Kobe City Medical Center General Hospital /ID# 221977 Kobe-shi Hyogo
Japan Nagasaki University Hospital /ID# 222241 Nagasaki-shi Nagasaki
Japan Nagoya University Hospital /ID# 221566 Nagoya-shi Aichi
Japan Okayama Medical Center /ID# 222310 Okayama-shi Okayama
Japan Kindai University Hospital /ID# 222284 Osakasayama-shi Osaka
Japan Aiiku Hospital /ID# 222351 Sapporo Hokkaido
Japan Sapporo Hokuyu Hospital /ID# 222133 Sapporo-shi Hokkaido
Japan Tohoku University Hospital /ID# 221976 Sendai-shi Miyagi
Japan NTT Medical Center Tokyo /ID# 222365 Shinagawa-ku Tokyo
Japan Yamagata University Hospital /ID# 221574 Yamagata-shi Yamagata
Korea, Republic of Pusan National University Hospital /ID# 232353 Busan
Korea, Republic of Seoul National University Bundang Hospital /ID# 221695 Seongnam-si Gyeonggido
Korea, Republic of Asan Medical Center /ID# 221227 Seoul Seoul Teugbyeolsi
Korea, Republic of Samsung Medical Center /ID# 221224 Seoul
Korea, Republic of Seoul National University Hospital /ID# 221226 Seoul
Korea, Republic of Yonsei University Health System Severance Hospital /ID# 233171 Seoul Seoul Teugbyeolsi
Netherlands Maxima Medisch Centrum /ID# 223010 Eindhoven
Netherlands Medisch Spectrum Twente /ID# 223012 Enschede
Netherlands Maastricht Universitair Medisch Centrum /ID# 221630 Maastricht
Netherlands Erasmus Medisch Centrum /ID# 218937 Rotterdam
Netherlands Isala /ID# 223011 Zwolle
Poland Szpital Uniwersytecki nr 2 im. dr. Jana Biziela /ID# 233321 Bydgoszcz Kujawsko-pomorskie
Poland Uniwersyteckie Centrum Kliniczne /ID# 222069 Gdansk Pomorskie
Poland Pratia Onkologia Katowice /ID# 224728 Katowice
Poland Wojewódzki Szpital Specjalistyczny im. M.Kopernika w Lodzi /ID# 221784 Lodz Lodzkie
Poland Uniwersytecki Szpital Kliniczny Nr 1 w Lublinie /ID# 221667 Lublin Lubelskie
Poland Lux Med Onkologia - Szpital Szamocka /Id# 222203 Warszawa Mazowieckie
Poland MTZ Clinical Research Powered by Pratia /ID# 221354 Warszawa Mazowieckie
Puerto Rico Hospital Erasto Gaertner /ID# 221341 Curitiba
Puerto Rico Pan American Center for Oncology Trials, LLC /ID# 221010 Rio Piedras
Puerto Rico VA Caribbean Healthcare System /ID# 221012 San Juan
Russian Federation Kaluga Regional Clinical Hospital /ID# 221211 Kaluga Kaluzhskaya Oblast
Russian Federation Hospital n.a. V.V. Veresaev /ID# 225435 Moscow
Russian Federation MMCC Kommunarka /ID# 221213 Moscow
Russian Federation Republican hospital named after V.A. Baranov /ID# 221214 Petrozavodsk
Russian Federation Clinic UZI 4D /ID# 221215 Pyatigorsk Stavropol Skiy Kray
Russian Federation Almazov National Medical Research Centre /ID# 221449 Sankt-Peterburg
Spain Hospital Universitario Germans Trias i Pujol /ID# 221274 Badalona Barcelona
Spain Hospital Universitario Vall d'Hebron /ID# 221323 Barcelona
Spain Hospital Universitario Reina Sofia /ID# 221273 Córdoba Cordoba
Spain Hospital General Universitario Gregorio Maranon /ID# 221271 Madrid
Spain Hospital Universitario 12 de Octubre /ID# 221272 Madrid
Spain Hospital Universitario Quirón Salud Madrid /ID# 221275 Pozuelo de Alarcón Madrid
Spain Hospital Universitario de Salamanca /ID# 221297 Salamanca
Spain Hospital Universitario Virgen del Rocio /ID# 221276 Sevilla
Spain Hospital Universitario y Politecnico La Fe /ID# 221270 Valencia
Taiwan Kaohsiung Chang Gung Memorial Hospital /ID# 223573 Kaohsiung City Kaohsiung
Taiwan China Medical University Hospital /ID# 218987 Taichung
Taiwan Chi-Mei Medical Center /ID# 218991 Tainan
Taiwan National Cheng Kung University Hospital /ID# 218989 Tainan
Turkey Ankara City Hospital /ID# 222093 Ankara
Turkey Hacettepe University Faculty of Medicine /ID# 222094 Ankara
Turkey Akdeniz Universitesi Tip Fakul /ID# 222095 Antalya
Turkey Duplicate_Erciyes University Medical Fac /ID# 222090 Melikgazi Kayseri
Turkey Ondokuz mayis University Facul /ID# 222091 Samsun
Turkey Acibadem Maslak Hastanesi /ID# 222072 Tuzla
United Kingdom NHS Grampian /ID# 222509 Aberdeen
United Kingdom University Hospitals Birmingham NHS Foundation Trust /ID# 221233 Birmingham
United Kingdom University Hospitals Bristol /ID# 222510 Bristol Bristol, City Of
United Kingdom Cardiff & Vale University Health Board /ID# 221236 Cardiff Wales
United Kingdom The Royal Marsden NHS Foundation Trust /ID# 221232 London
United Kingdom University College London Hospitals NHS Foundation Trust /ID# 221240 London
United Kingdom Oxford University Hospitals NHS Foundation Trust /ID# 221231 Oxford Oxfordshire
United Kingdom Derriford Hospital and the Royal Eye Infirmary /ID# 222514 Plymouth Devon
United Kingdom University Hospitals Dorset NHS Foundation Trust /ID# 221237 Poole Dorset
United States New York Oncology Hematology - Albany Cancer Center /ID# 223778 Albany New York
United States VA Ann Arbor Healthcare System /ID# 221365 Ann Arbor Michigan
United States Texas Oncology - Austin Midtown /ID# 223729 Austin Texas
United States Hematology/Oncology Clinic /ID# 224257 Baton Rouge Louisiana
United States Bend Memorial Clinic /ID# 220999 Bend Oregon
United States St. Luke's Mountain State Tumor Institute /ID# 220838 Boise Idaho
United States Beth Israel Deaconess Medical Center /ID# 225069 Boston Massachusetts
United States Dana-Farber Cancer Institute /ID# 219162 Boston Massachusetts
United States Massachusetts General Hospital /ID# 225068 Boston Massachusetts
United States Rocky Mountain Cancer Centers - Boulder /ID# 223723 Boulder Colorado
United States University at Buffalo /ID# 221206 Buffalo New York
United States Novant Health Presbyterian Medical Center /ID# 222561 Charlotte North Carolina
United States Tennessee Oncology - Chattanooga / McCallie /ID# 221311 Chattanooga Tennessee
United States Duplicate_Rush University Medical Center /ID# 221007 Chicago Illinois
United States Northwestern University Feinberg School of Medicine /ID# 220843 Chicago Illinois
United States Oncology Hematology Care, Inc. /ID# 223724 Cincinnati Ohio
United States Maryland Oncology Hematology /ID# 223776 Columbia Maryland
United States Pontchartrain Cancer Center - Covington /ID# 221005 Covington Louisiana
United States Texas Oncology - Medical City Dallas /ID# 223725 Dallas Texas
United States Texas Oncology- Baylor Charles A. Sammons Cancer Center /ID# 223727 Dallas Texas
United States Titan Health Partners LLC, d/b/a Astera Cancer Care /ID# 221003 East Brunswick New Jersey
United States Willamette Valley Cancer Institute and Research Center /ID# 223733 Eugene Oregon
United States Florida Cancer Specialists - Fort Myers /ID# 221319 Fort Myers Florida
United States Duplicate_Parkview Cancer Institute /ID# 223620 Fort Wayne Indiana
United States Texas Oncology - Forth Worth /ID# 223777 Fort Worth Texas
United States Duplicate_Providence Medical Foundation /ID# 222633 Fullerton California
United States Virginia Cancer Specialists - Gainesville /ID# 223726 Gainesville Virginia
United States Cancer & Hematology Centers /ID# 220848 Grand Rapids Michigan
United States Ingalls Memorial Hosp /ID# 220844 Harvey Illinois
United States Comprehensive Cancer Centers of Nevada - Horizon Ridge /ID# 222635 Henderson Nevada
United States Memorial Healthcare System /ID# 222703 Hollywood Florida
United States MD Anderson Cancer Center at Texas Medical Center /ID# 219163 Houston Texas
United States MidAmerica Division, Inc. /ID# 221895 Kansas City Missouri
United States University of California, Los Angeles /ID# 221760 Los Angeles California
United States Tennessee Oncology-Nashville Centennial /ID# 220854 Nashville Tennessee
United States Yale University School of Medicine /ID# 222764 New Haven Connecticut
United States Weill Cornell Medical College /ID# 222898 New York New York
United States Helen F. Graham Cancer Center & Research Institute /ID# 223731 Newark Delaware
United States The Valley Hospital /ID# 232337 Paramus New Jersey
United States Illinois Cancer Care, PC /ID# 220840 Peoria Illinois
United States UPMC Hillman Cancer Ctr /ID# 223201 Pittsburgh Pennsylvania
United States Virginia Cancer Institute at Reynolds Crossing /ID# 221002 Richmond Virginia
United States Virginia Commonwealth University Medical Center Main Hospital /ID# 221590 Richmond Virginia
United States Metro Minnesota Community Oncology Research Consortium (MMCORC) /ID# 221321 Saint Louis Park Minnesota
United States Florida Cancer Specialists - North /ID# 221318 Saint Petersburg Florida
United States Utah Cancer Specialists Salt Lake Clinic /ID# 219160 Salt Lake City Utah
United States Texas Oncology - San Antonio Medical Center /ID# 223728 San Antonio Texas
United States VA Puget Sound Health Care System /ID# 221358 Seattle Washington
United States Avera Cancer Institute /ID# 243461 Sioux Falls South Dakota
United States Stony Brook University Hospital /ID# 224450 Stony Brook New York
United States Florida Cancer Specialists - Panhandle /ID# 221315 Tallahassee Florida
United States Baylor Scott & White Medical Center- Temple /ID# 221332 Temple Texas
United States Torrance Memorial Physician Network Cancer Care /ID# 222702 Torrance California
United States Texas Oncology - Northeast Texas /ID# 223734 Tyler Texas
United States Florida Cancer Specialists - East /ID# 221317 West Palm Beach Florida
United States PIH Health Whittier Hospital /ID# 222647 Whittier California
United States Cancer Center of Kansas /ID# 222648 Wichita Kansas
United States Novant Health Forsyth Medical Center /ID# 221004 Winston-Salem North Carolina

Sponsors (2)

Lead Sponsor Collaborator
AbbVie Genentech, Inc.

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Belgium,  Brazil,  Canada,  China,  Czechia,  France,  Germany,  Hungary,  Israel,  Italy,  Japan,  Korea, Republic of,  Netherlands,  Poland,  Puerto Rico,  Russian Federation,  Spain,  Taiwan,  Turkey,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall survival (OS) OS is defined as the number of days from the date of randomization to the date of death of any cause, or last known date to be alive. Up To 5 Years
Secondary Modified Overall Response (mOR) mOR [complete remission (CR) + marrow complete remission (mCR) + partial response (PR)] is defined as achieving a CR, mCR, or PR at any time point during the study per the modified International Working Group (IWG) 2006 criteria for myelodysplastic syndrome (MDS). Up To 5 Years
Secondary Percentage of Participants Achieving Overall Hematological Improvement (HI) Overall HI is defined as achieving the response of HI-platelet or HI-neutrophil, or HI-erythroid at any time point during the study prior to post-treatment therapy per the modified IWG 2006 criteria for MDS. Up to 5 Years
Secondary Complete Remission (CR) CR is defined as achieving a complete remission at any time point during the study per the modified International Working Group (IWG) 2006 criteria for myelodysplastic syndrome (MDS). Up To 36 Months
Secondary Percentage of Participants Achieving Transfusion Independence (TI) Who are Transfusion Dependent at Baseline TI is when the participants who were transfusion dependent on red blood cell (RBC) and/or Platelet at baseline achieve transfusion independence post baseline. TI is a period of at least 56 days with no transfusion after the date of the first dose of study drug to the last dose of study drug + 30 days, or 1 day before the date of progressive disease/ relapse from CR or PR per the modified IWG 2006 criteria for MDS, or 1 day before the initiation of post-treatment therapy or 1 day before death, whichever is earliest. Up To 5 Years
Secondary Time to Deterioration in Physical Functioning as Measured by Physical Functioning Domain of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Scale Time to deterioration in physical functioning, as measured by the EORTC QLQ-C30 physical functioning score is defined as the time from the date of randomization to the date of death of any cause, or the first time worsening of score from baseline >= a pre-specified threshold. Participants rate items on a 4-point scale, with 1 as "not at all" and 4 as "very much." Up To 5 Years
Secondary Change in Patient-Reported Outcomes Measurement Information System (PROMIS)-Fatigue Short Form (SF) 7a Scale Score Fatigue will be assessed using the PROMIS Fatigue SF 7a Global Fatigue Score. PROMIS Fatigue SF 7a is a 7-item questionnaire that assesses the impact and experience of fatigue over the past 7 days. Participants rate items on a 5-point scale, with 1 as "never" an 5 as "always". Up To 5 Years
Secondary Overall Response (OR) OR [complete remission (CR) + partial response (PR)] is defined as achieving a CR or PR at any time point during the study per the modified IWG 2006 criteria for MDS. Up To 5 Years
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