Myelodysplastic Syndromes Clinical Trial
Official title:
Treatment of Anemia With Epoetin Beta in Low Risk Myelodysplastic Syndrome With Analysis of the Impact on Quality of Life and Functional Capacity of Patients
Chronic anemia is the symptom most frequently found at diagnosis in low risk myelodysplastic
syndrome. It generates an increased rate of morbidity and mortality in this population of
patients whose median age is high and the rate of co-mobidities important. The historical
treatment is limited to transfusion support with a significant impact on quality of life and
the incidence of secondary haemosiderosis, which contributes to the emergence of
co-morbidities, especially cardiovascular. Treatment with rHuEPO allows for overall
erythroid response in 40-60% of patients treated.
In this trial, the investigators intend to study the interest of a treatment with epoetin
beta in patients with anemia <10 g / dL in the context of a myelodysplastic syndrome with
IPSS score <1.
In addition to studying the erythroid response, the investigators will measure the impact on
quality of life and functional performance.
Patients will receive epoetin beta (60 000UI/week). Response will be assessed after 12 and
24 weeks of treatment.
Objective of the trial Assess the level of haematological response according to IWG 2000 and
IWG 2006 criteria with a pattern of administration of high doses epoetin beta (NeoRecormon
®) for 12 and 24 weeks of treatment;
To evaluate the predictive value of the rate of reticulocytes at Day 8 on the erythroid
response;
- Assess time to response
- Assess tolerance
- Assess the impact on quality of life using the FACT-An and EQ-5D measurement scales;
- Assess functional capacity:
Cardiovascular performance on effort by the 6-minute walk test Performing the " Short
Physical Performance Battery " tests
Evaluation The evaluation of response according to the IWG 2000 and IWG 2006 criteria will
be held at 12 and 24 weeks of treatment
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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