Myelodysplastic SyndromeO-MDS-ProtocolNCT01291745
Collection of Biological Data With Potential Prognostic Relevance in Patients With MYELODYSPLASTIC SYNDROMES
An observational study of Myelodysplastic Syndrome, run by Fondazione Amelia Scorza Onlus at 14 sites in Italy.
Trial summary
The present study is designed to determine the mutational status of markers (TET2 and PLCb2, cytogenetic aberrations) together with methylation status of the above genes using bone marrow and matched buccal cell samples from MDS patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Myelodysplastic Syndrome
- How many people
- 200 participants
- Where
- 14 sitesItaly
- Study dates
- Sep 2010to Sep 2015
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients diagnosed with MDS detected by current diagnostic techniques (i.e., peripheral blood cytopenia, bone marrow morphology, cytogenetics andFISH analysis).
Who may be able to join
- Written informed consent
- Patients diagnosed with MDS according to FAB, WHO and IPSS classifications
- All clinically treatable MDS patients with EPO or Lenalidomide or 5-Azacytidine;
- Hb < 10 g/dL
- Age ≥ 18 years
- Gender: Male or Female
- Sufficient amount of biological samples for molecular studies
Who cannot join
- Age <18 years
- Patients who do not require treatment on "watch and wait" strategy
- Insufficient amount of biological samples for molecular studies
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
Italy14 sites, 14 recruiting
- Not yet recruiting
U.O. Ematologia - A.O. Spedali Civili di Brescia
Brescia, Brescia
Giuseppe Rossi, MD, +390303996573, ematologia@spedalicivili.brescia.it
Giuseppe Rossi, MD
- Not yet recruiting
Divisione di Ematologia Presidio Ospedaliero "A. Perrino"
Brindisi, Brindisi
Giovanni Quarta, MD, +390831537507, quarta.gianni@gmail.com
Giovanni Quarta, MD
- Not yet recruiting
Divisione Clinicizzata di Ematologia con Trapianto di Midollo Osseo. Ospedale Ferrarotto. Azienda Policlinico
Catania, Catania
Giuseppe Palumbo, MD, ga.palumbo@gmail.com
Giuseppe Palumbo, MD
- Not yet recruiting
S.O.C. Ematologia Azienda Ospedaliera di Catanzaro"Pugliese-Ciaccio"
Catanzaro, Catanzaro
Domenico Magro, MD, +390961883120, magro.dom@virgilio.it
Domenico Magro, MD
- Not yet recruiting
U.O. Medicina Interna Universitaria 2 ed Ematologia Ospedale Civile San Salvatore
Coppito, L'Aquila, 67010
Alessandro Lucchesi, MD, +390862368589, ale.lucchesi@gmail.com
Alessandro Lucchesi, MD
- Recruiting
Unità Operativa Complessa di Ematologia- Azienda Ospedaliera di Cosenza
Cosenza, Cosenza, 87100
Fortunato Morabito, MD, +390984681329, omdsprotocol@fondazioneameliascorza.it
Fortunato Morabito, MD
- Not yet recruiting
Unità di Ematologia, Ospedale Madonna delle Grazie, ASM
Matera, Matera
Alberto Fragasso, MD, alberto.fragasso@libero.it
Alberto Fragasso, MD
- Not yet recruiting
Dipartimento di Oncologia, Oncoematologia e Unità Trapianto di Midollo Osseo, 'La Maddalena'
Palermo, Palermo
Maurizio Musso, MD, +390916806814, mamusso@libero.it
Maurizio Musso, MD
- Not yet recruiting
U.O. di Ematologia Azienda Ospedaliera Universitaria Pisana
Pisa, Pisa
Mario Petrini, MD
Sara Galimberti, MD, s.galimberti@med.unipi.it
- Not yet recruiting
Divisione Ematologia - Azienda Ospedaliera "Bianchi-Melacrino-Morelli"
Reggio Calabria, Reggio Calabria
Esther Oliva, MD, estheroliva@hotmail.com
Esther Oliva, MD
- Not yet recruiting
Unità di Ematologia e Trapianto di Midollo Osseo, IRCCS-CROB, Centro di Riferimento Oncologico della Basilicata
Rionero in Vulture, Potenza
Pellegrino Musto, MD, +390972726225, p.musto@crob.it
Pellegrino Musto, MD
- Not yet recruiting
Dipartimento di Biotecnologie Cellulari ed Ematologia, Università La Sapienza
Roma, Roma, 00161
Giuliana Alimena, MD, alimena@bce.uniroma1.it
Giuliana Alimena, MD
- Not yet recruiting
U.O.C. di Ematologia - Policlinico Agostino Gemelli-
Roma, Roma
Maria T Voso, MD, 0630154278 ext. 0039, mtvoso@rm.unicatt.it
Maria T Voso, MD
- Not yet recruiting
U. O. C. Ematologia - Azienda Ospedaliera Sant'Andrea
Rome, Roma, 00189
Maria A Aloe Spiriti, MD, +390633775052, aloespiritisapienza@gmail.com
Maria A Aloe Spiriti, MD
About this study
The present study is designed to determine the mutational status of markers (TET2 and PLCb2, cytogenetic aberrations) together with methylation status of the above genes using bone marrow and matched buccal cell samples from MDS patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). All patients included in the study will be followed for at least 2 years.
- Conditions
- Myelodysplastic Syndrome
- Medical subject headings
- Myelodysplastic Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Patients with MYELODYSPLASTIC SYNDROMES | Patients diagnosed with MDS according to FAB, WHO and IPSS classifications. Patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Analyze the incidence of TET2 gene mutations and Validation of the prognostic potential of TET2 mutations and MPLA screening
Analyze the incidence of TET2 gene mutations in a series of MDS patients and describe the clinical status of patients carrying mutations
Validation of the prognostic potential of TET2 mutations and MPLA screening on:
- Response rate to treatment with Epo, Lenalidomide and Azacitidine
- Progression Free Survival (PFS )
Measured: 2 years
Secondary outcomes (1)
Validation of the prognostic potential of TET2 mutations
Validation of the prognostic potential of Tet2 mutations on:
- Overall Survival;
- Validation of MLPA analyisis in the identification of cytogenetic abnormalities in MDS patients as a complementary screening tool;
- Validation of the prognostic relevance of MLPA analysis
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2011 (estimated)
- Study startSep 2010
- Primary completionSep 2013 (estimated)
- Study completionSep 2015 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (29)Papers the sponsor has linked to this study.
- Other trials for Myelodysplastic SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fondazione Amelia Scorza Onlus
- Sponsor type
- University, hospital or other
- Investigators
- Fortunato Morabito, MD, Principal investigator, Unità Operativa Complessa di Ematologia- Azienda Ospedaliera di Cosenza - Italy
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01291745
- Sponsor's protocol ID
- O-MDS-PROTOCOL
- Acronym
- O-MDS-Protocol
- Status last verified
- Feb 2011
- First submitted
- 7 Feb 2011
- Last updated
- 8 Feb 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Abdel-Wahab O, Mullally A, Hedvat C, Garcia-Manero G, Patel J, Wadleigh M, Malinge S, Yao J, Kilpivaara O, Bhat R, Huberman K, Thomas S, Dolgalev I, Heguy A, Paietta E, Le Beau MM, Beran M, Tallman MS, Ebert BL, Kantarjian HM, Stone RM, Gilliland DG, Crispino JD, Levine RL. Genetic characterization of TET1, TET2, and TET3 alterations in myeloid malignancies. Blood. 2009 Jul 2;114(1):144-7. doi: 10.1182/blood-2009-03-210039. Epub 2009 May 6.
PubMed 19420352Bacher U, Haferlach C, Schnittger S, Kohlmann A, Kern W, Haferlach T. Mutations of the TET2 and CBL genes: novel molecular markers in myeloid malignancies. Ann Hematol. 2010 Jul;89(7):643-52. doi: 10.1007/s00277-010-0920-6. Epub 2010 Mar 2.
PubMed 20195608Bennett JM, Catovsky D, Daniel MT, Flandrin G, Galton DA, Gralnick HR, Sultan C. Proposals for the classification of the myelodysplastic syndromes. Br J Haematol. 1982 Jun;51(2):189-99.
PubMed 6952920Cazzola M, Malcovati L. Myelodysplastic syndromes--coping with ineffective hematopoiesis. N Engl J Med. 2005 Feb 10;352(6):536-8. doi: 10.1056/NEJMp048266. No abstract available.
PubMed 15703418Couronne L, Lippert E, Andrieux J, Kosmider O, Radford-Weiss I, Penther D, Dastugue N, Mugneret F, Lafage M, Gachard N, Nadal N, Bernard OA, Nguyen-Khac F. Analyses of TET2 mutations in post-myeloproliferative neoplasm acute myeloid leukemias. Leukemia. 2010 Jan;24(1):201-3. doi: 10.1038/leu.2009.169. Epub 2009 Aug 27. No abstract available.
PubMed 19710701Greenberg P, Cox C, LeBeau MM, Fenaux P, Morel P, Sanz G, Sanz M, Vallespi T, Hamblin T, Oscier D, Ohyashiki K, Toyama K, Aul C, Mufti G, Bennett J. International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood. 1997 Mar 15;89(6):2079-88.
PubMed 9058730Harris NL, Jaffe ES, Diebold J, Flandrin G, Muller-Hermelink HK, Vardiman J, Lister TA, Bloomfield CD. The World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues. Report of the Clinical Advisory Committee meeting, Airlie House, Virginia, November, 1997. Ann Oncol. 1999 Dec;10(12):1419-32. doi: 10.1023/a:1008375931236.
PubMed 10643532Kosmider O, Gelsi-Boyer V, Cheok M, Grabar S, Della-Valle V, Picard F, Viguie F, Quesnel B, Beyne-Rauzy O, Solary E, Vey N, Hunault-Berger M, Fenaux P, Mansat-De Mas V, Delabesse E, Guardiola P, Lacombe C, Vainchenker W, Preudhomme C, Dreyfus F, Bernard OA, Birnbaum D, Fontenay M; Groupe Francophone des Myelodysplasies. TET2 mutation is an independent favorable prognostic factor in myelodysplastic syndromes (MDSs). Blood. 2009 Oct 8;114(15):3285-91. doi: 10.1182/blood-2009-04-215814. Epub 2009 Aug 7.
PubMed 19666869Langemeijer SM, Kuiper RP, Berends M, Knops R, Aslanyan MG, Massop M, Stevens-Linders E, van Hoogen P, van Kessel AG, Raymakers RA, Kamping EJ, Verhoef GE, Verburgh E, Hagemeijer A, Vandenberghe P, de Witte T, van der Reijden BA, Jansen JH. Acquired mutations in TET2 are common in myelodysplastic syndromes. Nat Genet. 2009 Jul;41(7):838-42. doi: 10.1038/ng.391. Epub 2009 May 31.
PubMed 19483684Lorsbach RB, Moore J, Mathew S, Raimondi SC, Mukatira ST, Downing JR. TET1, a member of a novel protein family, is fused to MLL in acute myeloid leukemia containing the t(10;11)(q22;q23). Leukemia. 2003 Mar;17(3):637-41. doi: 10.1038/sj.leu.2402834. No abstract available.
PubMed 12646957Ma X, Does M, Raza A, Mayne ST. Myelodysplastic syndromes: incidence and survival in the United States. Cancer. 2007 Apr 15;109(8):1536-42. doi: 10.1002/cncr.22570.
PubMed 17345612Malcovati L, Nimer SD. Myelodysplastic syndromes: diagnosis and staging. Cancer Control. 2008 Oct;15 Suppl:4-13. doi: 10.1177/107327480801504s02.
PubMed 18813205Nie HH, H.H., Jenkins JG, Steinmrenner K, Bent DH., SPSS (Statistical Package for the Social Science). 1979, New York, NY: McGraw-Hill.
Ono R, Taki T, Taketani T, Taniwaki M, Kobayashi H, Hayashi Y. LCX, leukemia-associated protein with a CXXC domain, is fused to MLL in acute myeloid leukemia with trilineage dysplasia having t(10;11)(q22;q23). Cancer Res. 2002 Jul 15;62(14):4075-80.
PubMed 12124344Rollison DE, Howlader N, Smith MT, Strom SS, Merritt WD, Ries LA, Edwards BK, List AF. Epidemiology of myelodysplastic syndromes and chronic myeloproliferative disorders in the United States, 2001-2004, using data from the NAACCR and SEER programs. Blood. 2008 Jul 1;112(1):45-52. doi: 10.1182/blood-2008-01-134858. Epub 2008 Apr 28.
PubMed 18443215
Study at a glance
From the registry record, last updated by the sponsor on 8 Feb 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Collection of Biological Data With Potential Prognostic Relevance in Patients With MYELODYSPLASTIC SYNDROMES
- ClinicalTrials.gov ID
- NCT01291745
- Acronym / sponsor ID
- O-MDS-Protocol / O-MDS-PROTOCOL
- Conditions
- Myelodysplastic Syndrome
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Fondazione Amelia Scorza OnlusUniversity, hospital or other
- Study start
- Sep 2010
- Primary completion
- Sep 2013 (estimated)
- Study completion
- Sep 2015 (estimated)
- First posted
- 8 Feb 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The present study is designed to determine the mutational status of markers (TET2 and PLCb2, cytogenetic aberrations) together with methylation status of the above genes using bone marrow and matched buccal cell samples from MDS patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). All patients included in the study will be followed for at least 2 years.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patients with MYELODYSPLASTIC SYNDROMES | – | –Patients diagnosed with MDS according to FAB, WHO and IPSS classifications. Patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients diagnosed with MDS detected by current diagnostic techniques (i.e., peripheral blood cytopenia, bone marrow morphology, cytogenetics andFISH analysis).
Key inclusion criteria (7 listed)
- Written informed consent
- Patients diagnosed with MDS according to FAB, WHO and IPSS classifications
- All clinically treatable MDS patients with EPO or Lenalidomide or 5-Azacytidine;
- Hb < 10 g/dL
- Age ≥ 18 years
Key exclusion criteria (3 listed)
- Age <18 years
- Patients who do not require treatment on "watch and wait" strategy
- Insufficient amount of biological samples for molecular studies
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Analyze the incidence of TET2 gene mutations and Validation of the prognostic potential of TET2 mutations and MPLA screening
Time frame: 2 years
Analyze the incidence of TET2 gene mutations in a series of MDS patients and describe the clinical status of patients carrying mutations Validation of the prognostic potential of TET2 mutations and MPLA screening on: * Response rate to treatment with Epo, Lenalidomide and Azacitidine * Progression Free Survival (PFS )
1 secondary outcome
Validation of the prognostic potential of TET2 mutations
Time frame: 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Feb 2011.
- Background: PubMed 19420352Abdel-Wahab O, Mullally A, Hedvat C, Garcia-Manero G, Patel J, Wadleigh M, Malinge S, Yao J, Kilpivaara O, Bhat R, Huberman K, Thomas S, Dolgalev I, Heguy A, Paietta E, Le Beau MM, Beran M, Tallman MS, Ebert BL, Kantarjian HM, Stone RM, Gilliland DG, Crispino JD, Levine RL. Genetic characterization of TET1, TET2, and TET3 alterations in myeloid malignancies. Blood. 2009 Jul 2;114(1):144-7. doi: 10.1182/blood-2009-03-210039. Epub 2009 May 6.
- Background: PubMed 20195608Bacher U, Haferlach C, Schnittger S, Kohlmann A, Kern W, Haferlach T. Mutations of the TET2 and CBL genes: novel molecular markers in myeloid malignancies. Ann Hematol. 2010 Jul;89(7):643-52. doi: 10.1007/s00277-010-0920-6. Epub 2010 Mar 2.
- Background: PubMed 6952920Bennett JM, Catovsky D, Daniel MT, Flandrin G, Galton DA, Gralnick HR, Sultan C. Proposals for the classification of the myelodysplastic syndromes. Br J Haematol. 1982 Jun;51(2):189-99.
- Background: PubMed 15703418Cazzola M, Malcovati L. Myelodysplastic syndromes--coping with ineffective hematopoiesis. N Engl J Med. 2005 Feb 10;352(6):536-8. doi: 10.1056/NEJMp048266. No abstract available.
- Background: PubMed 19710701Couronne L, Lippert E, Andrieux J, Kosmider O, Radford-Weiss I, Penther D, Dastugue N, Mugneret F, Lafage M, Gachard N, Nadal N, Bernard OA, Nguyen-Khac F. Analyses of TET2 mutations in post-myeloproliferative neoplasm acute myeloid leukemias. Leukemia. 2010 Jan;24(1):201-3. doi: 10.1038/leu.2009.169. Epub 2009 Aug 27. No abstract available.
- Background: PubMed 9058730Greenberg P, Cox C, LeBeau MM, Fenaux P, Morel P, Sanz G, Sanz M, Vallespi T, Hamblin T, Oscier D, Ohyashiki K, Toyama K, Aul C, Mufti G, Bennett J. International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood. 1997 Mar 15;89(6):2079-88.
- Background: PubMed 10643532Harris NL, Jaffe ES, Diebold J, Flandrin G, Muller-Hermelink HK, Vardiman J, Lister TA, Bloomfield CD. The World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues. Report of the Clinical Advisory Committee meeting, Airlie House, Virginia, November, 1997. Ann Oncol. 1999 Dec;10(12):1419-32. doi: 10.1023/a:1008375931236.
- Background: PubMed 19666869Kosmider O, Gelsi-Boyer V, Cheok M, Grabar S, Della-Valle V, Picard F, Viguie F, Quesnel B, Beyne-Rauzy O, Solary E, Vey N, Hunault-Berger M, Fenaux P, Mansat-De Mas V, Delabesse E, Guardiola P, Lacombe C, Vainchenker W, Preudhomme C, Dreyfus F, Bernard OA, Birnbaum D, Fontenay M; Groupe Francophone des Myelodysplasies. TET2 mutation is an independent favorable prognostic factor in myelodysplastic syndromes (MDSs). Blood. 2009 Oct 8;114(15):3285-91. doi: 10.1182/blood-2009-04-215814. Epub 2009 Aug 7.
- Background: PubMed 19483684Langemeijer SM, Kuiper RP, Berends M, Knops R, Aslanyan MG, Massop M, Stevens-Linders E, van Hoogen P, van Kessel AG, Raymakers RA, Kamping EJ, Verhoef GE, Verburgh E, Hagemeijer A, Vandenberghe P, de Witte T, van der Reijden BA, Jansen JH. Acquired mutations in TET2 are common in myelodysplastic syndromes. Nat Genet. 2009 Jul;41(7):838-42. doi: 10.1038/ng.391. Epub 2009 May 31.
- Background: PubMed 12646957Lorsbach RB, Moore J, Mathew S, Raimondi SC, Mukatira ST, Downing JR. TET1, a member of a novel protein family, is fused to MLL in acute myeloid leukemia containing the t(10;11)(q22;q23). Leukemia. 2003 Mar;17(3):637-41. doi: 10.1038/sj.leu.2402834. No abstract available.
- Background: PubMed 17345612Ma X, Does M, Raza A, Mayne ST. Myelodysplastic syndromes: incidence and survival in the United States. Cancer. 2007 Apr 15;109(8):1536-42. doi: 10.1002/cncr.22570.
- Background: PubMed 18813205Malcovati L, Nimer SD. Myelodysplastic syndromes: diagnosis and staging. Cancer Control. 2008 Oct;15 Suppl:4-13. doi: 10.1177/107327480801504s02.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fortunato Morabito, MD principal investigator
Unità Operativa Complessa di Ematologia- Azienda Ospedaliera di Cosenza - Italy
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Myelodysplastic Syndrome, run by Fondazione Amelia Scorza Onlus at 14 sites in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 8 Feb 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Fortunato Morabito, MD (+390984681329, omdsprotocol@fondazioneameliascorza.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Analyze the incidence of TET2 gene mutations and Validation of the prognostic potential of TET2 mutations and MPLA screening (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01291745, which also lists 29 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Feb 2011.