Darbepoetin Alpha in Myelodysplastic Syndromes (MDS)
A Phase II Study of Darbepoetin Alpha in Myelodysplastic Syndromes (MSD)
1 other identifier
interventional
99
1 country
29
Brief Summary
This is an evaluation of the effectiveness of darbepoetin alpha in treating anemia of MDS patients with an International Prognostic Scoring System (IPSS) score of low or intermediate 1.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Dec 2006
29 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2006
CompletedFirst Submitted
Initial submission to the registry
March 4, 2007
CompletedFirst Posted
Study publicly available on registry
March 6, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2008
CompletedMay 17, 2007
March 1, 2007
March 4, 2007
May 15, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Erythroid response at 12 weeks according to IWG 2000 (major and minor hematologic improvement) and IWG 2006 criteria
Secondary Outcomes (5)
Tolerability and safety of darbepoetin alpha
Rate of progression to more severe MDS, with higher IPSS (int 2 or high), or to AML during the treatment and follow-up periods
Overall survival
Quality of life during the study, using the FACT-An and SF36 questionnaires by comparison to pre-treatment values
Overall physical performance as measured by VO2max, 6 minute walk test and the "short physical performance battery" test
Interventions
Eligibility Criteria
You may qualify if:
- MDS of the following subtypes:
- RA, RAS, RAEB with marrow blasts \< 10% (according to FAB),
- RA, RARS, RCMD, RAEB 1, CMML 1 with ≤ 10% WBC counts \< 13000/mm3 (according to WHO classification)
- Anemia, defined by Hb \< 10 g/dl or RBC transfusion requirement in the absence of other causes of anemia (especially renal failure, iron, or folate deficiency)
- IPSS ≤ 1(ie IPSS low or intermediate 1)
- EPO level \< 500 UI/L
- Ability to perform physical tests of exercise tolerance
- No renal failure (creatinine ≤ 120% normal upper value for the center)
- No underlying severe condition
- ECOG performance status score of 0, 1, or 2
- Must be 18 years of age or older at the time of screening
- Written informed consent
You may not qualify if:
- Therapy related MDS
- MDS with IPSS \> 1 (int 2 or high score)
- Chronic myelomonocytic leukemia with \> 10% marrow blasts or WBC \> 13000/mm3
- Uncontrolled systemic hypertension
- Cardiac condition: uncontrolled angina, congestive heart failure, or uncontrolled cardiac arrhythmia
- Creatinine level \> 120% upper normal value for the center.
- Clinically significant systemic infection or chronic inflammatory disease (eg, rheumatoid arthritis) present at the time of screening
- Serum folate ≤ 2.0 ng/mL or vitamin B12 ≤ 200 pg/mL (anemia related to nutritional deficiencies)
- Other causes of anemia (eg, hemolysis, bleeding, sickle cell anemia, renal disease)
- Pregnant (ie, positive βhCG test) or breast feeding female subjects
- Women of childbearing potential and not using adequate contraceptives
- Known positive antibody response to an erythropoietic growth factor
- Known hypersensitivity to darbepoetin alpha or any of its excipients, or to recombinant erythropoietins
- Patient unable to understand the protocol or to be adequately followed up.
- History of seizures
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (29)
CHU d'Amiens
Amiens, 800054, France
CHU d'Angers
Angers, 43033, France
CHU d'Avignon
Avignon, 84000, France
CH de la Cote Basque
Bayonne, 64 100, France
CHU de Brest - Hopital Morvan
Brest, 29 609, France
CHU de Caen
Caen, 14033, France
Hopital Percy
Clamart, 92140, France
Hopital Henri Mondor
Créteil, 94010, France
CHU de Dijon
Dijon, 21034, France
CHU Albert Michallon
Grenoble, 38043, France
CHRU Hurriez
Lille, 59057, France
CHRU Limoges
Limoges, 87046, France
Hopital Edouard Herriot
Lyon, 69437, France
Hopital Paoli Calmette
Marseille, 13273, France
Hopital Hotel Dieu
Nantes, 44093, France
CHU Archet
Nice, 06202, France
Hopital Hotel Dieu
Paris, 75181, France
Hopital Hotel Dieu
Paris, 75181, France
Hopital St Louis
Paris, 75475, France
Hopital Saint Antoine
Paris, 75571, France
Hopital Cochin
Paris, 75679, France
Hopital Jean-Bernard
Poitiers, 86021, France
CHU Robert Debre
Reims, 51092, France
CHU Pontchaillou
Rennes, 35033, France
Hopital Henri Becquerel
Rouen, 76038, France
Hopital Hautepierre
Strasbourg, 67098, France
Hopital Purpan
Toulouse, 31031, France
Hopital Bretonneau
Tours, 37044, France
CHU Nancy-Brabois
Vandœuvre-lès-Nancy, 54511, France
Related Publications (1)
Kelaidi C, Beyne-Rauzy O, Braun T, Sapena R, Cougoul P, Ades L, Pillard F, Lamberto C, Charniot JC, Guerci A, Choufi B, Stamatoullas A, Slama B, De Renzis B, Ame S, Damaj G, Boyer F, Chaury MP, Legros L, Cheze S, Testu A, Gyan E, Bene MC, Rose C, Dreyfus F, Fenaux P. High response rate and improved exercise capacity and quality of life with a new regimen of darbepoetin alfa with or without filgrastim in lower-risk myelodysplastic syndromes: a phase II study by the GFM. Ann Hematol. 2013 May;92(5):621-31. doi: 10.1007/s00277-013-1686-4. Epub 2013 Jan 29.
PMID: 23358617DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Charikleia KELAIDI, MD
Groupe Francophone des Myelodysplasies
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 4, 2007
First Posted
March 6, 2007
Study Start
December 1, 2006
Study Completion
July 1, 2008
Last Updated
May 17, 2007
Record last verified: 2007-03