MDSNCT02757989
Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Myelodysplastic Syndrome Low Risk
A study testing transplantation in people with MDS, run by Groupe Francophone des Myelodysplasies at 37 sites in France.
Trial summary
Comparison of survival in patients with or without a matched donor at 36 months Read more about this study
- Who is it for?
- Ages 18 to 69 years
- Conditions the study is for
- MDS
- What is being tested?
- transplantation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 79 participants
- Where
- 37 sitesFrance
- Study dates
- 31 May 2016to 7 Jun 2024
- Phase
- Interventional
- 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 to 69 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed Informed consent
- Classical IPSS intermediate 1 or low myelodysplastic syndrome associated with at least one poor prognosis feature:
- Intermediate or higher risk revised IPSS
- RBC transfusion dependent anemia and failure to 2 or more lines or therapy (including EPO, Lenalidomide or demethylating agent…)
- thrombocytopenia < 20 G/L requiring transfusion
- neutropenia < 0.5 G/L associated with severe infection (defined as requiring hospitalization)
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- Patient aged ≥ 18 and < 70 years For young patients, 18-45 years, Fanconi disease and dyskeratosis should be ruled out
- Patient for whom a transplantation from a matched donor, (8/8 (HLA A, B, C, DRB1) identical at molecular level)unrelated donor or matched sibling), is considered irrespective of donor availability
- Performance status 0-2 on the Eastern Cooperative Oncology Group (ECOG) Scale (At time of screening)
- Negative pregnancy and adequate contraception (including in male patients wishing to father), if relevant.
- Wash-out of at least 30 days since a previous treatment with Vidaza, Lenalidomide, EPO or any other treatment inducing cytopenias.
Who cannot join
- MDS classified according to classical IPSS as intermediate 2 or High risk
- Transformation in Acute myeloid Leukemia (AML)
- Severe active infection or any other uncontrolled severe condition.
- Organ dysfunctions including the following
- Hepatic : total bilirubin > 2 times upper limit of normal (ULN) (except moderate unconjugated hyperbilirubinemia due to intra medullary hemolysis or Gilbert syndrome) , alanine transaminase (ALT) and aspartate transaminase (AST) > 3xULN
- Symptomatic respiratory chronic failure
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- Symptomatic cardiac failure
- Renal clearance < 60ml/min
- Prior malignancy (except in situ cervix carcinoma, limited basal cell carcinoma, or other tumors if not active during the last 3 years)
- MDS with the following causal germline disease : Fanconi anemia, GATA2 related syndromes and telomere disorders
Trial locations and contacts
37 sites in 1 country.
37 sites in 1 country
France37 sites
CHU d'Amiens
Amiens, 80054
CHU d'Angers
Angers, 49933
Centre hospitalier Victor Dupouy
Argenteuil, 95100
CHU Jean Minjoz
Besançon, 25030
Hôpital Avicenne
Bobigny, 93009
CHU de Haut Lévèque
Bordeaux, 33604
CHRU Côte de Nacre
Caen, 14033
CHU Estaing
Clermont-Ferrand, 63000
CHSF Gilles de Corbeil
Corbeil-Essonnes, 91106
Hôpital Henri Mondor
Créteil, 94010
CHU de Grenoble
Grenoble, 38043
CH Le Mans
Le Mans, 72037
Hôpital Saint Vincent de Paul
Lille, 59020
Hôpital Huriez
Lille, 59037
Hôpital Dupuytren
Limoges, 87042
Centre hospitalier Lyon Sud
Lyon, 69495
GHEF, site de Meaux
Meaux, 77100
CHRU de Montpellier
Montpellier, 34295
CHU de Nantes
Nantes, 44093
CHU de Nice
Nice, 06202
CHU de Nîmes
Nîmes, 30029
Hôpital Saint Louis
Paris, 75010
Hôpital Pitié Salpétrière
Paris, 75013
Hôpital Cochin
Paris, 75014
Hôpital Necker
Paris, 75015
CH Joffre
Perpignan, 66046
CHU de Poitiers
Poitiers, 86021
CH René Dubos
Pontoise, 95300
CHU de Reims
Reims, 51092
Hôpital Pontchaillou
Rennes, 35033
Centre Henri Becquerel
Rouen, 76038
Institut Curie
Saint-Cloud, 92210
Institut de cancérologie Lucien Neuwirth
Saint-Priest-en-Jarez, 42271
Hôpital civil
Strasbourg, 67091
IUCT-Oncopole
Toulouse, 31059
Hôpital Bretonneau
Tours, 37000
Hôpital de Brabois
Vandœuvre-lès-Nancy, 54550
About this study
Official title: Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Low or Intermediate-1 Myelodysplastic Syndrome: A Prospective Multicenter Phase II Study Based on Donor Availability on Behalf of the GFM & SFGM-TC
Comparison of survival in patients with or without a matched donor at 36 months
Read the detailed description
Patients with a matched donor (8/8 at molecular level unrelated donor or matched sibling) received an allogeneic hematopoietic stem cell transplantation.
Patients without a matched donor received the best available treatment. All patients will be followed at least 36 months or until the end of the study.
- Conditions
- MDS
- Being tested
- transplantation
- Keywords
- Low risk MDS, Transplantation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
transplantationOther
allogeneic hematopoietic stem cell transplantation in patients with donor
| Study group | Role | What they receive |
|---|---|---|
| Patients with donor | Experimental | Patients with a matched donor (8/8 at molecular level unrelated donor or matched sibling) Receives: Other: transplantation |
| Patients without donor | No intervention | Patients without a matched donor |
What is being measured
The primary outcome is the main question the study is designed to answer.
overall survival
comparison of overall survival in patients with or without a matched donor (8/8 unrelated donor or matched sibling) at 36 months
Measured: 36 months
Secondary outcomes (7)
quality of life
comparison of quality of life in patients with or without a matched donor, quality of life assessed by questionnaire (EORTC version 3) at inclusion, 12, 24 and 36 months
Measured: 12, 24 and 36 months
number of patients with complete response at 36 month
comparison between patients with or without a donor for cumulative incidence of complete response at 36 month
Measured: 36 months
number of patients with transformation in AML at 36 month
comparison between patients with or without a donor for cumulative incidence of transformation in AML at 36 month
Measured: 36 months
proportion of patients with iron overload
proportion of patients with iron overload (Serum Ferritin (SF)>1000 ng/mL or Red Blood Cells transfusion>20) at time of inclusion and at 16 month after inclusion for non-transplanted patients and 12 months post-transplant for transplanted patients
Measured: 16 months
evolution of innovative iron markers including Non-transferrin binding iron (NTBI), labile plasmatic Iron (LPI) and Hepcidine
evolution of innovative iron markers including Non-transferrin binding iron (NTBI), labile plasmatic Iron (LPI) and Hepcidine measured at time of inclusion, at 3 month and 16 month post-inclusion for all patients; In transplanted patients these markers will be measured just before conditioning regimen (J-5), Just before the transplantation (J0), at D7, 30, 100 and 12 month after transplant.
Measured: 3 and 16 months
efficiency of chelation
the effect of chelation will be assessed at 3 month after inclusion for all patient and post transplant by measuring Serum ferritin level
Measured: 3 and 16 months
number of patients with adverse events grade III and IV as assessed by CTCAE v4.0
comparison between patients with or without a donor for number of Grade III and IV toxicities (hematological and non-hematological) recorded according to NCI CTCAE criteria versions 4.0 during the 36 months
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 May 2016 (estimated)
- Study start31 May 2016
- Primary completion7 Jun 2024
- Study completion7 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MDSStudies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 79 participants (actual)
Sponsor and investigators
- Lead sponsor
- Groupe Francophone des Myelodysplasies
- Sponsor type
- University, hospital or other
- Collaborators
- Novartis, Neovii Biotech
- Responsible party
- Sponsor
- Investigators
- Marie Robin, MD, Principal investigator, Saint-Louis Hospital, Paris, France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02757989
- Sponsor's protocol ID
- MDS-ALLO-RISK
- Other IDs
- 2015-A00292-47
- Status last verified
- Feb 2024
- First submitted
- 31 Mar 2016
- Last updated
- 2 Aug 2024
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Sebert M, Thepot S, Cluzeau T, Duployez N, Lefebvre T, Chaffaut C, Orvain C, Loschi M, Peterlin P, Chevallier P, D'Aveni M, Rubio MT, Rauzy O, Huynh A, Charbonnier A, Sapena R, Chermat F, Ceballos P, Fossard G, Nguyen S, Park S, Ades L, Peffault de Latour R, Preudhomme C, Fenaux P, Chevret S, Robin M. Transplantation in patients with lower-risk MDS: a prospective phase 2 trial based on donor availability. Blood Adv. 2026 Jan 27;10(2):494-504. doi: 10.1182/bloodadvances.2025017035.
PubMed 41061188Robin M, Fenaux P. Which lower risk myelodysplastic syndromes should be treated with allogeneic hematopoietic stem cell transplantation? Leukemia. 2020 Oct;34(10):2552-2560. doi: 10.1038/s41375-020-0967-x. Epub 2020 Jul 13.
PubMed 32661295
Study at a glance
From the registry record, last updated by the sponsor on 2 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Low or Intermediate-1 Myelodysplastic Syndrome: A Prospective Multicenter Phase II Study Based on Donor Availability on Behalf of the GFM & SFGM-TC
- ClinicalTrials.gov ID
- NCT02757989
- Acronym / sponsor ID
- MDS-ALLO-RISK
- Conditions
- MDS
- Keywords
- Low risk MDS, Transplantation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 79 participants (actual)
- Lead sponsor
- Groupe Francophone des MyelodysplasiesUniversity, hospital or other
- Collaborators
- Novartis, Neovii Biotech
- Study start
- 31 May 2016 (actual)
- Primary completion
- 7 Jun 2024 (actual)
- Study completion
- 7 Jun 2024 (actual)
- First posted
- 2 May 2016 (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.
Comparison of survival in patients with or without a matched donor at 36 months
Detailed description
Patients with a matched donor (8/8 at molecular level unrelated donor or matched sibling) received an allogeneic hematopoietic stem cell transplantation.
Patients without a matched donor received the best available treatment. All patients will be followed at least 36 months or until the end of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Patients with donor | Experimental | Other: transplantationPatients with a matched donor (8/8 at molecular level unrelated donor or matched sibling) |
| Patients without donor | No intervention | –Patients without a matched donor |
Who may qualify
- Ages
- 18 to 69 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Signed Informed consent
- Classical IPSS intermediate 1 or low myelodysplastic syndrome associated with at least one poor prognosis feature:
- Patient aged ≥ 18 and < 70 years For young patients, 18-45 years, Fanconi disease and dyskeratosis should be ruled out
- Patient for whom a transplantation from a matched donor, (8/8 (HLA A, B, C, DRB1) identical at molecular level)unrelated donor or matched sibling), is considered irrespective of donor availability
- Performance status 0-2 on the Eastern Cooperative Oncology Group (ECOG) Scale (At time of screening)
Key exclusion criteria (10 listed)
- MDS classified according to classical IPSS as intermediate 2 or High risk
- Transformation in Acute myeloid Leukemia (AML)
- Severe active infection or any other uncontrolled severe condition.
- Organ dysfunctions including the following
- Prior malignancy (except in situ cervix carcinoma, limited basal cell carcinoma, or other tumors if not active during the last 3 years)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| transplantationallogeneic hematopoietic stem cell transplantation in patients with donor | Other | Patients with donor |
Primary outcome
overall survival
Time frame: 36 months
comparison of overall survival in patients with or without a matched donor (8/8 unrelated donor or matched sibling) at 36 months
7 secondary outcomes
quality of life
Time frame: 12, 24 and 36 months
number of patients with complete response at 36 month
Time frame: 36 months
number of patients with transformation in AML at 36 month
Time frame: 36 months
proportion of patients with iron overload
Time frame: 16 months
evolution of innovative iron markers including Non-transferrin binding iron (NTBI), labile plasmatic Iron (LPI) and Hepcidine
Time frame: 3 and 16 months
efficiency of chelation
Time frame: 3 and 16 months
number of patients with adverse events grade III and IV as assessed by CTCAE v4.0
Time frame: 36 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Aug 2024.
- Derived from this study: PubMed 41061188Sebert M, Thepot S, Cluzeau T, Duployez N, Lefebvre T, Chaffaut C, Orvain C, Loschi M, Peterlin P, Chevallier P, D'Aveni M, Rubio MT, Rauzy O, Huynh A, Charbonnier A, Sapena R, Chermat F, Ceballos P, Fossard G, Nguyen S, Park S, Ades L, Peffault de Latour R, Preudhomme C, Fenaux P, Chevret S, Robin M. Transplantation in patients with lower-risk MDS: a prospective phase 2 trial based on donor availability. Blood Adv. 2026 Jan 27;10(2):494-504. doi: 10.1182/bloodadvances.2025017035.
- Derived from this study: PubMed 32661295Robin M, Fenaux P. Which lower risk myelodysplastic syndromes should be treated with allogeneic hematopoietic stem cell transplantation? Leukemia. 2020 Oct;34(10):2552-2560. doi: 10.1038/s41375-020-0967-x. Epub 2020 Jul 13.
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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.
Marie Robin, MD principal investigator
Saint-Louis Hospital, Paris, France
37 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing transplantation in people with MDS, run by Groupe Francophone des Myelodysplasies at 37 sites in France.
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 11 inclusion and 10 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: finished, as of the sponsor's last update on 2 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in France. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
overall survival (time frame: 36 months). 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 NCT02757989, which also lists 2 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 2 Aug 2024.