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CompletedNCT00455910Updated Apr 4, 2007

Thalidomide at Low Dose for the Treatment of Patient With Myelodysplastic Syndromes - THAL-SMD-200

A Phase 2 interventional study of Thalidomide in Myelodysplastic Syndromes, sponsored by Groupe Francophone des Myelodysplasies. Completed at 20 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2007-04-04.

Sponsored by Groupe Francophone des Myelodysplasies · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
112
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The GFM previously conducted a dose-escalating phase II trial of thalidomide in MDS with a minimum dose of 200mg/d and a maximum dose 800mg/d. Responses were evaluated according to IWG criteria at week 16 and thalidomide continued up to week 56 in responders. 82% patients received at least 8 weeks of treatment and were evaluable. 59% had hematological improvement, mainly on the erythroid lineage (Increase of Hemoglobin). Most responses were observed at low doses and between 4 and 8 weeks.

The objectives of this trial (Thal-SMD-20) are to evaluate the efficacy and tolerance of lower doses thalidomide in low risk MDS patients with transfusion-dependant anemia.

Read the detailed description

Thalidomide:

First part of the trial: 82 patients at 200mg/day given at bedtime x 12 weeks, decreased to 100mg/day if grade 1 or 2 side. Stopped temporally for 1 week if grade 3 or 4 side effects. Then reintroduced at the same dose. If side effects again, definitively stopped.

Responses evaluated at 12 weeks according to IWG criteria for the erythroid lineage

At week 12:

  • If no Hematological improvement (HI): increased to 300mg/day for 8 weeks and then eventually to 400mg/day for 8 weeks more, if no HI.
  • If Hematological improvement (HI): continued at the same dose.

Second part of the trial: 30 patients treated at 50mg/day x 12 weeks. Responses evaluated at 12 weeks according to IWG criteria for the erythroid lineage

At week 12:

  • If no Hematological improvement (HI): increased to 100mg/day for 8 weeks and then eventually to 200mg/day for 8 weeks more, if no HI.
  • If Hematological improvement (HI): continued at the same dose.
02

Conditions studied

  • Myelodysplastic Syndromes

Keywords

  • Low risk myelodysplastic syndromes
  • MDS
  • Bone marrow diseases
  • Thalidomide
  • Cytopenias
  • Anemia
03

In context

Preleukemia

1,317 studies on the registry are indexed under Preleukemia; 57 are open to participants now.

This study's enrollment of 112 is above the median of 36 across 1,060 interventional studies indexed under Preleukemia.

Browse Preleukemia studies →

Lead sponsor

Groupe Francophone des Myelodysplasies is the lead sponsor of 43 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients ≥18 years, with IPSS Low or Int-1 MDS
  • Transfusion dependant anemia above 2 packed red blood cells (PRBC)/month
  • ECOG index = 0, 1, 2
  • No peripheral neurological disease

Exclusion criteria

Exclusion Criteria:

  • MDS patients with IPSS Int-2 or High
  • Patients with less than 2 packed red blood cells (PRBC)/month
  • Patients with previous history of venous thrombosis
  • Patient treated with EPO +/- G-CSF in the 2 months before inclusion in the protocol
  • Patient having received intensive chemotherapy in the 3 months before inclusion in the protocol
  • Patient having received Thalidomide in a previous protocol
  • Patient presenting an iron, B12 vitamin or folic acid uncorrected deficiency
  • Patient with peripheral neurological disease
  • Patient not being able to subject itself to a regular clinical and biological follow-up
  • Pregnant patient or patient in a period of lactation
  • Patient refusing to take a contraceptive treatment through out all the study
  • Patient receiving drugs able to interfere with the mechanism of action of Thalidomide
  • Patient refusing to sign the informed consent.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
112 participants

Interventions

  • DrugThalidomide
06

What researchers measure

Primary outcomes

  1. Efficacy evaluated at week 12 according to the IWG criterias

Secondary outcomes

  1. Safety

07

Study locations

20 sites
  • CHU d'Angers
    Angers, 49 033, France
  • CH d'Avignon
    Avignon, 84 000, France
  • CH de la Cote Basque
    Bayonne, 64 100, France
  • Hopital Avicenne
    Bobigny, 93009, France
  • CHU de Brest - Hopital Morvan
    Brest, 29 609, France
  • CHU Dijon
    Dijon, 21 000, France
  • CHU Albert Michallon
    Grenoble, 38 043, France
  • CHRU de Lille - Hopital C. Huriez
    Lille, 59037, France
  • CHU de Limoges
    Limoges, 87 042, France
  • Institut Paoli Calmette
    Marseille, 13009, France
  • CHU de Nantes
    Nantes, 44 093, France
  • CHU de Nice - Hopital de l'Archet 1
    Nice, 06 202, France
  • Hotel Dieu
    Paris, 75 004, France
  • Hopital Saint Antoine
    Paris, 75 012, France
  • Hopital Cochin
    Paris, 75014, France
  • Hopital Necker
    Paris, 75015, France
  • CH Joffre
    Perpignan, 66 046, France
  • Centre Henry Becquerel
    Rouen, 76 038, France
  • CHU Purpan
    Toulouse, 31059, France
  • CHU Nancy-Brabois
    Vandoeuvre les Nancy, 54511, France
08

References and documents

Publications

  • Bouscary D, Legros L, Tulliez M, Dubois S, Mahe B, Beyne-Rauzy O, Quarre MC, Vassilief D, Varet B, Aouba A, Gardembas M, Giraudier S, Guerci A, Rousselot P, Gaillard F, Moreau A, Rousselet MC, Ifrah N, Fenaux P, Dreyfus F; Groupe Francais des Myelodysplasies (GFM). A non-randomised dose-escalating phase II study of thalidomide for the treatment of patients with low-risk myelodysplastic syndromes: the Thal-SMD-2000 trial of the Groupe Francais des Myelodysplasies. Br J Haematol. 2005 Dec;131(5):609-18. doi: 10.1111/j.1365-2141.2005.05817.x. PubMed 16351636 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2007, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00455910
Lead sponsor
Groupe Francophone des Myelodysplasies
First posted
Apr 4, 2007
Start date
Jan 2003
Completion
Mar 2007
Last update
Apr 4, 2007

Study contacts

Didier Bouscary, MD, Ph-D
principal investigator · Groupe Francophone des Myelodysplasies

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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