ClinicalTrials.gg
RecruitingNCT05788679Updated Dec 5, 2023

A Study Using Subject-specific MRD to Adopt Treatment After HSCT for Subjects With MDS

A Phase 2 interventional study of Azacitidine and Donor lymphocytes in Myelodysplastic Syndromes, Acute Myeloid Leukemia With Myelodysplasia Related Disease and < 30% Blasts and Mixed Myelodysplastic/Myeloproliferative Disease, sponsored by Karolinska University Hospital. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by Karolinska University Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2022; still recruiting 3 years 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 130 studies testing azacitidine in Myelodysplastic Syndromes — 13 open to participants now, 25 under way, 3 of them phase 3. Azacitidine · Myelodysplastic Syndromes.

Planned enrollment
8th of 126
200 · median 38
Started
2022
with 3 others
Phase 2
63 of 130
5 open now
Primary completion
2026-12
later than 11 of 24 live
Registered
117th of 130
by date

Among the 130 studies testing azacitidine in Myelodysplastic Syndromes, this one is the 8th largest by planned enrollment of the 126 interventional ones that give a count, is one of 4 that started in 2022, is one of 63 in phase 2, reaches primary completion later than 11 of the 24 other live ones, and was the 117th registered.

Myelodysplastic Syndromes

1,997 studies on the registry are indexed under Myelodysplastic Syndromes; 324 are open to participants now.

Browse Myelodysplastic Syndromes studies →

Open to participants now

13 of the 130 studies testing azacitidine in Myelodysplastic Syndromes are open now, in 12 countries. Recruiting first, the newest first:

7 more — sign in →

By country, each count listing its studies:

All 13 open studies →

About azacitidine

Azacitidine: first FDA approval 2004 (VIDAZA), first EMA approval 2008. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 264 Myelodysplastic Syndromes studies recruiting now, 167 (63%) set no upper age limit and 70 (27%) stop at 75 or younger; 57 take children under 18; 17 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 130 studies testing azacitidine in Myelodysplastic Syndromes, or all of them as a file.
02

Study summary

The goal of this interventional study is to evaluate if pre-emptive intervention using Azacitidine and / or donor lymphocytes or tapering of immune suppression in measurable residual disease (MRD) positive subjects can prevent clinical relapse. Participants will undergo MRD surveillance and be subjected to intervention in case of MRD positivity. Results will be compared with NMDSG14B, part one, in which MRD was analyzed in included patients without recieving intervention.

03

Conditions studied

  • Myelodysplastic Syndromes
  • Acute Myeloid Leukemia With Myelodysplasia Related Disease and < 30% Blasts
  • Mixed Myelodysplastic/Myeloproliferative Disease
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Signed

  • Age ≥ 18 years
  • Subjects eligible for SCT
  • Subjects having the disease MDS, mixed myelodysplastic/myeloproliferative syndrome or AML with myelodysplasia related dysplasia and 20-29% marrow blasts
  • All female subjects of have to have negative pregnancy test within 2 weeks prior to inclusion to the study

Exclusion criteria

Exclusion Criteria:

  • No traceable genetic aberration identified either in screening next generation sequencing panel or next generation sequencing panel performed at diagnosis
  • Uncontrolled hypertension, heart, liver, kidney related or other uncontrolled medical or psychiatric disorders
  • Mental inability, reluctance or language difficulties that results in difficulty understanding the meaning of study participation
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Intervention in MRD positive patients

    Azacitidine and / or Donor lymphocytes or tapering of immune suppression

    Drug: Azacitidine · Other: Donor lymphocytes · Other: Tapering of immune suppression

Interventions

  • Azacitidine

  • OtherDonor lymphocytes

    Donor lymphocytes in patients without immune suppression

  • OtherTapering of immune suppression

    Tapering of immune suppression in patients who are on immune suppressive drugs

06

What researchers measure

Primary outcomes

  1. Clinical event defined as relapse or death within 1 year from first MRD+ sample

    Time frame: Within 1 year from first MRD+ sample

Secondary outcomes

  1. Number of MRD+ patients achieving MRD negativity

    Time frame: From MRD positivity until 2y after transplantation

  2. Incidence and severity of graft-versus host disease

    Time frame: From transplantation until 2y after transplantation

  3. Safety, adverse events reporting

    Time frame: After start of Azacitidine until 30 days after last azacitidine injection

  4. Relapse-free survival

    Time frame: From transplantation until 2y after transplantation

  5. Overall survival

    Time frame: From transplantation until 2y after transplantation

07

Study locations

1 of 1 sites recruiting
  • Department of Hematology, Karolinska University Hospital
    Stockholm, Sweden
    Recruiting
    • Magnus Tobiasson, PhD · Contact
    • Andreas Björklund · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2022 (actual). Primary completion is estimated for Dec 2026, 49 months after the start.

Of 227 non-industry phase 2 interventional studies under Myelodysplastic Syndromes, half reached primary completion within 76 months of starting (the median), counting those still running; a quarter within 44 and three quarters within 116. This study's planned 49 months is below that.

Counting every sponsor, half of 279 studies reached it within 66 months; a quarter within 40 and three quarters within 104.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 27, 2023
First posted
Mar 29, 2023
StartActual
Nov 22, 2022
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Dec 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05788679
Collaborators
Nordic MDS Group
Responsible party
Magnus Tobiasson (Coordinating investigator, Karolinska University Hospital) — Principal investigator
First posted
Mar 29, 2023
Start date
Nov 22, 2022
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Dec 5, 2023

Study contacts

Magnus Tobiasson, PhD
Contact
magnus.tobiasson@ki.se
0046858580000
Magnus Tobiasson, PhD
principal investigator · Karolinska University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Azacitidine

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