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CompletedNCT02757989Updated Aug 2, 2024

Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Myelodysplastic Syndrome Low Risk

An interventional study of transplantation in MDS, sponsored by Groupe Francophone des Myelodysplasies. Completed at 37 sites in France. Open to participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2024-08-02.

Sponsored by Groupe Francophone des Myelodysplasies · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
79
Allocation
Non-randomized
Ages
18 Years to 69 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • MDS

Keywords

  • Low risk MDS
  • Transplantation
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 79 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.

04

Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Signed Informed consent
  2. Classical IPSS intermediate 1 or low myelodysplastic syndrome associated with at least one poor prognosis feature:

    1. Intermediate or higher risk revised IPSS
    2. RBC transfusion dependent anemia and failure to 2 or more lines or therapy (including EPO, Lenalidomide or demethylating agent...)
    3. thrombocytopenia \< 20 G/L requiring transfusion
    4. neutropenia \< 0.5 G/L associated with severe infection (defined as requiring hospitalization)
  3. Patient aged ≥ 18 and \< 70 years For young patients, 18-45 years, Fanconi disease and dyskeratosis should be ruled out
  4. 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
  5. Performance status 0-2 on the Eastern Cooperative Oncology Group (ECOG) Scale (At time of screening)
  6. Negative pregnancy and adequate contraception (including in male patients wishing to father), if relevant.
  7. Wash-out of at least 30 days since a previous treatment with Vidaza, Lenalidomide, EPO or any other treatment inducing cytopenias.

Exclusion criteria

Exclusion Criteria:

  1. MDS classified according to classical IPSS as intermediate 2 or High risk
  2. Transformation in Acute myeloid Leukemia (AML)
  3. Severe active infection or any other uncontrolled severe condition.
  4. 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
    • Symptomatic cardiac failure
    • Renal clearance \< 60ml/min
  5. Prior malignancy (except in situ cervix carcinoma, limited basal cell carcinoma, or other tumors if not active during the last 3 years)
  6. MDS with the following causal germline disease : Fanconi anemia, GATA2 related syndromes and telomere disorders
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    Patients with donor

    Patients with a matched donor (8/8 at molecular level unrelated donor or matched sibling)

    Other: transplantation

  • No intervention
    Patients without donor

    Patients without a matched donor

Interventions

  • Othertransplantation

    allogeneic hematopoietic stem cell transplantation in patients with donor

06

What researchers measure

Primary outcomes

  1. overall survival

    comparison of overall survival in patients with or without a matched donor (8/8 unrelated donor or matched sibling) at 36 months

    Time frame: 36 months

Secondary outcomes

  1. 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

    Time frame: 12, 24 and 36 months

  2. 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

    Time frame: 36 months

  3. 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

    Time frame: 36 months

  4. 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

    Time frame: 16 months

  5. 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.

    Time frame: 3 and 16 months

  6. 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

    Time frame: 3 and 16 months

  7. 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

    Time frame: 36 months

07

Study locations

37 sites
  • CHU d'Amiens
    Amiens, 80054, France
  • CHU d'Angers
    Angers, 49933, France
  • Centre hospitalier Victor Dupouy
    Argenteuil, 95100, France
  • CHU Jean Minjoz
    Besançon, 25030, France
  • Hôpital Avicenne
    Bobigny, 93009, France
  • CHU de Haut Lévèque
    Bordeaux, 33604, France
  • CHRU Côte de Nacre
    Caen, 14033, France
  • CHU Estaing
    Clermont Ferrand, 63000, France
  • CHSF Gilles de Corbeil
    Corbeil-Essonnes, 91106, France
  • Hôpital Henri Mondor
    Créteil, 94010, France
  • CHU de Grenoble
    Grenoble, 38043, France
  • CH Le Mans
    Le Mans, 72037, France
  • Hôpital Saint Vincent de Paul
    Lille, 59020, France
  • Hôpital Huriez
    Lille, 59037, France
  • Hôpital Dupuytren
    Limoges, 87042, France
  • Centre hospitalier Lyon Sud
    Lyon, 69495, France
  • GHEF, site de Meaux
    Meaux, 77100, France
  • CHRU de Montpellier
    Montpellier, 34295, France
  • CHU de Nantes
    Nantes, 44093, France
  • CHU de Nice
    Nice, 06202, France
  • CHU de Nîmes
    Nîmes, 30029, France
  • Hôpital Saint Louis
    Paris, 75010, France
  • Hôpital Pitié Salpétrière
    Paris, 75013, France
  • Hôpital Cochin
    Paris, 75014, France
  • Hôpital Necker
    Paris, 75015, France
  • CH Joffre
    Perpignan, 66046, France
  • CHU de Poitiers
    Poitiers, 86021, France
  • CH René Dubos
    Pontoise, 95300, France
  • CHU de Reims
    Reims, 51092, France
  • Hôpital Pontchaillou
    Rennes, 35033, France
  • Centre Henri Becquerel
    Rouen, 76038, France
  • Institut Curie
    Saint-Cloud, 92210, France
  • Institut de cancérologie Lucien Neuwirth
    Saint-Priest-en-Jarez, 42271, France
  • Hôpital civil
    Strasbourg, 67091, France
  • IUCT-Oncopole
    Toulouse, 31059, France
  • Hôpital Bretonneau
    Tours, 37000, France
  • Hôpital de Brabois
    Vandoeuvre les nancy, 54550, France
08

References and documents

Publications

  • Robin 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 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02757989
Lead sponsor
Groupe Francophone des Myelodysplasies
Collaborators
Novartis, Neovii Biotech
Responsible party
Sponsor
First posted
May 2, 2016
Start date
May 31, 2016
Primary completion
Jun 7, 2024
Completion
Jun 7, 2024
Last update
Aug 2, 2024

Study contacts

Marie Robin, MD
principal investigator · Saint-Louis Hospital, Paris, France

Oversight

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

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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