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Myelodysplastic SyndromePLASMYCNCT02809222

Plasmatic L-AScorbic Acid in MYelodyplastic Syndroms and Controls

A study testing Samples and Quality of life questionnaire in people with Myelodysplastic Syndrome and Secondary Acute Myeloid Leukemia, run by University Hospital, Tours at 2 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Myelodysplastic syndromes (MDS) is a group of heterogeneous diseases characterised by the clonal evolution of dysplastic hematopoietic stem cells. This evolution is associated with accumulation of cytogenetic mutations which leads to acute myeloid leukaemia (AML). Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
What is being tested?
Samples and Quality of life questionnaire
Could I receive a placebo?
No, everyone receives an active treatment
How many people
138 participants
Where
2 sitesFrance
Study dates
25 Oct 2016to 1 Mar 2021
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 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Diagnosis of myelodysplastic syndrome according to the 2008 WHO classification
  • Patient diagnosed for less than 4 months before inclusion
  • Patient untreated by other means than blood transfusions
  • Age ≥ 60 years
  • Patient affiliated to social security scheme
  • Informed consent signed by the patient
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  • Diagnosis of myelodysplastic syndrome according to the 2008 WHO classification
  • Patient not included in patients MDS "at diagnosis" group
  • Patient diagnosed for more than 12 months
  • Treated with hypomethylating agents and/or erythropoiesis-stimulating agents and/or blood transfusions.
  • Age ≥ 60 years
  • Patient affiliated to social security scheme
  • Informed consent signed by the patient
  • Age ≥ 60 years
  • Patient affiliated to social security scheme
  • Informed consent signed by the patient

Who cannot join

  • Previous allogenic stem cell transplantation
  • Patient with a history of another primary malignancy that is currently clinically significant or currently requires active intervention
  • Active inflammatory disease
  • Patient under legal protection measure
  • Patient unwilling or who cannot submit to prospective biological follow-up
  • Patients MDS "in treatment" group selection criteria:
Show all 16Show fewer
  • Previous allogenic stem cell transplantation
  • Patient with a history of another primary malignancy that is currently clinically significant or currently requires active intervention
  • Active inflammatory disease
  • Patient under legal protection measure
  • Patient unwilling or who cannot submit to prospective biological follow-up
  • Healthy volunteers group selection criteria:
  • History of another primary malignancy that is currently clinically significant or currently requires active intervention
  • History of active inflammatory diseases
  • Volunteer under legal protection measure
  • Volunteer unwilling or who cannot submit to prospective biological follow-up

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • Clinical Research Center, University Hospital, Tours

    Tours, 37044

  • Department of Haematology and Cell Therapy, University Hospital, Tours

    Tours, 3704

Other trials in France

About this study

Official title: Kinetics of the Plasmatic Concentration of L-Ascorbic Acid in Patient With Myelodysplastic Syndromes and Control Subjects

Myelodysplastic syndromes (MDS) is a group of heterogeneous diseases characterised by the clonal evolution of dysplastic hematopoietic stem cells. This evolution is associated with accumulation of cytogenetic mutations which leads to acute myeloid leukaemia (AML). Evolution of MDS is also associated with increase of reactive oxygen species (ROS). The increase of ROS is associated with accumulation of cytogenetic mutations. Ascorbic acid (AA) is an actor of the regulation of the oxidative metabolism in the human body.

Studies showed that supplementation with AA can change the proliferation status of MDS cells. Adjuvant treatment with AA is associated with a beneficial effect on the evolution of MDS and AML. The present study aim at describing the variations of plasmatic ascorbic acid concentrations between healthy volunteers and patients with myelodysplastic syndromes advanced in their treatment or recently diagnosed during a follow-up of 12 months.

Read the detailed description

Myelodysplastic syndromes (MDS) is a group of heterogeneous life threatening diseases characterised by the clonal evolution of dysplastic myeloid hematopoietic stem cells. This evolution is initially associated with an excess of apoptosis followed by an excess of proliferation then, after accumulation of cytogenetic mutations, a transformation in acute myeloid leukaemia (AML) can appear. Evolution of MDS is also associated with increase of reactive oxygen species (ROS) . In MDS mice, perturbations of the metabolism of ROS is associated with increases in the number of cytogenetic mutations.

Ascorbic acid (AA) is an actor of the regulation of the oxidative metabolism in the human body. In vitro studies showed that supplementation with AA can change the proliferation status of MDS cells . Guinea pigs with a phenotype with excess of ROS supplemented with AA have less somatic mutations and less MDS. Adjuvant treatment with AA is associated with a beneficial effect on the evolution of MDS and AML.

To our knowledge no study have demonstrated the variations of the parameters of the oxidative metabolism during the evolution of MDS. The present study aim at describing the variations of plasmatic ascorbic acid concentrations between healthy volunteers and patients diagnosed with MDS in treatment or recently diagnosed during a follow-up of 12 months. During the follow-up a collection of plasma from volunteers and patients will be created for later analysis.

Being tested
Samples, Quality of life questionnaire
Keywords
Myelodysplastic syndrome, Ascorbic acid, Oxidative stress, Preleukemia
Medical subject headings
Myelodysplastic Syndromes, Preleukemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SamplesOther

    Blood samples

  • Quality of life questionnaireOther

    Also called EORTC QLQ-C30

    Questionnaire to assess the quality of life of cancer patients

Study groups in NCT02809222
Study groupRoleWhat they receive
Patients with MDS at diagnosisOtherThe intervention, specific to the study, is to take blood samples on patients with MDS at diagnosis. A quality of life questionnaire will also be used to monitor patients
Receives: Other: Samples; Other: Quality of life questionnaire
Patients with MDS in treatmentOtherThe intervention, specific to the study, is to take blood samples on patients with MDS receiving treatment. A quality of life questionnaire will also be used to monitor patients
Receives: Other: Samples; Other: Quality of life questionnaire
Healthy volunteersOtherThe intervention, specific to the study, is to take blood samples on patients healthy volunteers.
Receives: Other: Samples

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plasmatic ascorbic acid concentration at baseline

    For all groups: Plasmatic ascorbic acid concentration at first visit (0 month)

    Measured: month 0

Secondary outcomes (10)
  1. Plasmatic ascorbic acid concentration during follow-up

    For all groups: Plasmatic ascorbic acid concentrations at 6 months and 12 months visits with an extra plasmatic ascorbic acid concentrations at 3 months for patients MDS groups

    Measured: at 3 months, 6 months and 12 months

  2. Plasmatic antioxidants concentrations

    For all groups: Plasmatic antioxidants concentrations at 0 months, 6 months and 12 months

    Measured: at 0 months, 6 months and 12 months

  3. Collection of plasma

    For all groups: Creation of a collection of plasma samples for later analysis at 0 month, 6 months and 12 months with an extra plasma sample at 3 months for patients MDS groups

    Measured: at 0 month, 3 months, 6 months and 12 months

  4. Complete blood count and blood blasts cells

    For patients MDS groups: Complete blood count and blood blasts cells at 0 month, 3 months, 6 months and 12 months

    Measured: at 0 month, 3 months, 6 months and 12 months

  5. Polyunsaturated fatty acids

    For patients MDS groups: Polyunsaturated fatty acids at 0 month, 3 months, 6 months and 12 months

    Measured: at 0 month, 3 months, 6 months and 12 months

  6. Plasmatic ascorbic acid concentration and number of adverse events

    For patients MDS groups: Plasmatic ascorbic acid concentration at 3 months, 6 months and 12 months and number of adverse events during follow-up

    Measured: at 3 months, 6 months and 12 months

  7. Oxidative stress parameters and number of adverse events

    For patients MDS groups: Oxidative stress parameters at 3 months, 6 months and 12 months and number of adverse events during follow-up

    Measured: at 3 months, 6 months and 12 months

  8. Plasmatic ascorbic acid concentration and parameters of iron metabolism

    For patients MDS groups: Plasmatic ascorbic acid concentration and parameters of iron metabolism at 0 month and 12 months

    Measured: at 0 month and 12 months

  9. Plasmatic ascorbic acid concentration and quality of life

    For patients MDS groups: Plasmatic ascorbic acid concentration and quality of life evaluated by the EORTC QLQ-C30 3rd version at 0 month, 3 months, 6 months and 12 months

    Measured: at 0 month, 3 months, 6 months and 12 months

  10. Collection of frozen cells

    For patients MDS groups: Creation of a collection of frozen cells for DNA analysis at 0 month and in case of evolution of the disease.

    Measured: 0 month and in case of evolution of the disease

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jun 2016 (estimated)
  2. Study start25 Oct 2016
  3. Primary completion3 Mar 2020
  4. Study completion1 Mar 2021

Resources

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
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02809222
Sponsor's protocol ID
PHAO16-EG/PLASMYC
Other IDs
2016-A00539-42
Acronym
PLASMYC
Status last verified
Apr 2021
First submitted
17 Jun 2016
Last updated
19 Apr 2021
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Das A, Dey N, Ghosh A, Das T, Chatterjee IB. NAD(P)H: quinone oxidoreductase 1 deficiency conjoint with marginal vitamin C deficiency causes cigarette smoke induced myelodysplastic syndromes. PLoS One. 2011;6(5):e20590. doi: 10.1371/journal.pone.0020590. Epub 2011 May 31.

    PubMed 21655231
  • Ghoti H, Amer J, Winder A, Rachmilewitz E, Fibach E. Oxidative stress in red blood cells, platelets and polymorphonuclear leukocytes from patients with myelodysplastic syndrome. Eur J Haematol. 2007 Dec;79(6):463-7. doi: 10.1111/j.1600-0609.2007.00972.x. Epub 2007 Nov 1.

    PubMed 17976187
  • Hole PS, Darley RL, Tonks A. Do reactive oxygen species play a role in myeloid leukemias? Blood. 2011 Jun 2;117(22):5816-26. doi: 10.1182/blood-2011-01-326025. Epub 2011 Mar 11.

    PubMed 21398578
  • Chung YJ, Robert C, Gough SM, Rassool FV, Aplan PD. Oxidative stress leads to increased mutation frequency in a murine model of myelodysplastic syndrome. Leuk Res. 2014 Jan;38(1):95-102. doi: 10.1016/j.leukres.2013.07.008. Epub 2013 Aug 16.

    PubMed 23958061
  • Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y. Criteria and recommendations for vitamin C intake. JAMA. 1999 Apr 21;281(15):1415-23. doi: 10.1001/jama.281.15.1415.

    PubMed 10217058
  • Park CH. Vitamin C in leukemia and preleukemia cell growth. Prog Clin Biol Res. 1988;259:321-30.

    PubMed 3362876
  • Park CH, Kimler BF. Growth modulation of human leukemic, preleukemic, and myeloma progenitor cells by L-ascorbic acid. Am J Clin Nutr. 1991 Dec;54(6 Suppl):1241S-1246S. doi: 10.1093/ajcn/54.6.1241s.

    PubMed 1962577
  • Park CH, Kimler BF, Bodensteiner D, Lynch SR, Hassanein RS. In vitro growth modulation by L-ascorbic acid of colony-forming cells from bone marrow of patients with myelodysplastic syndromes. Cancer Res. 1992 Aug 15;52(16):4458-66.

    PubMed 1643638
  • Park CH, Kimler BF, Yi SY, Park SH, Kim K, Jung CW, Kim SH, Lee ER, Rha M, Kim S, Park MH, Lee SJ, Park HK, Lee MH, Yoon SS, Min YH, Kim BS, Kim JA, Kim WS. Depletion of L-ascorbic acid alternating with its supplementation in the treatment of patients with acute myeloid leukemia or myelodysplastic syndromes. Eur J Haematol. 2009 Aug;83(2):108-18. doi: 10.1111/j.1600-0609.2009.01252.x. Epub 2009 Mar 5.

    PubMed 19284416
  • Parker JE, Fishlock KL, Mijovic A, Czepulkowski B, Pagliuca A, Mufti GJ. 'Low-risk' myelodysplastic syndrome is associated with excessive apoptosis and an increased ratio of pro- versus anti-apoptotic bcl-2-related proteins. Br J Haematol. 1998 Dec;103(4):1075-82. doi: 10.1046/j.1365-2141.1998.01114.x.

    PubMed 9886323
  • Parker JE, Mufti GJ, Rasool F, Mijovic A, Devereux S, Pagliuca A. The role of apoptosis, proliferation, and the Bcl-2-related proteins in the myelodysplastic syndromes and acute myeloid leukemia secondary to MDS. Blood. 2000 Dec 1;96(12):3932-8.

    PubMed 11090080
  • Saito N, Miyamoto M, Gotoh U, Yoshitomi S. Effect of biscoclaurine alkaloids, prednisolone and ascorbic acid on myelodysplastic syndrome with pancytopenia: a case report. Eur J Haematol. 2000 Jan;64(1):61-5. doi: 10.1034/j.1600-0609.2000.9l036.x. No abstract available.

    PubMed 10680708
  • Welch JS, Klco JM, Gao F, Procknow E, Uy GL, Stockerl-Goldstein KE, Abboud CN, Westervelt P, DiPersio JF, Hassan A, Cashen AF, Vij R. Combination decitabine, arsenic trioxide, and ascorbic acid for the treatment of myelodysplastic syndrome and acute myeloid leukemia: a phase I study. Am J Hematol. 2011 Sep;86(9):796-800. doi: 10.1002/ajh.22092. Epub 2011 Aug 3. No abstract available.

    PubMed 21815182

Questions about this trial

What is this clinical trial studying?

A study testing Samples and Quality of life questionnaire in people with Myelodysplastic Syndrome and Secondary Acute Myeloid Leukemia, run by University Hospital, Tours at 2 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 16 inclusion and 16 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 19 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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?

Plasmatic ascorbic acid concentration at baseline (time frame: month 0). 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 NCT02809222, which also lists 13 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 19 Apr 2021.

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