Treatment of Patients With Myelodysplastic Syndrome or Acute Myelocytic Leukemia With an Impending Hematological Relapse With Azacitidine (Vidaza)
RELAZA2
Treatment of Patients With MDS or AML With an Impending Hematological Relapse With Azacitidine (Vidaza)
3 other identifiers
interventional
93
1 country
11
Brief Summary
Assessment of efficacy of azacitidine to prevent a relapse
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 Sep 2011
Longer than P75 for phase_2
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 22, 2011
CompletedStudy Start
First participant enrolled
September 1, 2011
CompletedFirst Posted
Study publicly available on registry
October 31, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2021
CompletedNovember 15, 2021
November 1, 2021
6.9 years
June 22, 2011
November 12, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of patients with hematological relapse 6 months after start of treatment with azacitidin
6 months after end of treatment
Secondary Outcomes (4)
Number of occurrence or exacerbation of clinical relevant acute or chronic GvHD
2 years follow-up after treatment
Number of patients with infectious SAEs (rate of SAE)
2 years follow-up after treatment
Rate of changes of methylation in CD34+ cells
2 years follow-up after treatment
Relapse-free survival and overall survival
12, 24 and 30 months after start of treatment
Study Arms (1)
Azacytidine
EXPERIMENTALAzacytidine injection: 75 mg/m²/d, subcutaneous
Interventions
Azacytidine injection: 75 mg/m²/d, subcutaneous; initial minimum 6 cycles; another 6 or 12 cycles according to MRD niveau; maximum 24 cycles
Eligibility Criteria
You may qualify if:
- Screening:
- signed informed consent
- Age ≥18 years
- patients with MDS or AML after conventional chemotherapy or allogeneic HSCT and positive molecular marker such as t(6,9), NPM1 pos. or CD34+ or CD117+ in the case of an allogeneic HSCT
- Treatment:
- MDS or AML without haematological relapse (blasts \<5% in the bone marrow), and
- decrease of CD34 donor chimerism (\<80%) after allogeneic related or unrelated HSCT in CD34+ or CD117+ MDS or AML or
- increase in the AML-specific molecular marker in the quantitative PCR for t(6,9), NPM1+ AML \>1% after conventional chemotherapy or allogeneic HSCT or
- persistence of the (above) MRD levels \>1% (relative to the reference gene) after conventional chemotherapy or allogeneic HSCT
- leukocytes \> 3 Gpt/l and platelets \>75 Gpt/l (transfusion independent)
You may not qualify if:
- Known history of hypersensitivity to any of the drugs used or their constituents or to drugs with similar chemical structure,
- addiction or other disorders that do not allow the concerned person, to assess the nature and scope and possible consequences in the clinical investigation
- pregnant or breast feeding women
- women of childbearing potential, except women who meet the following criteria:
- post-menopausal (12 months natural amenorrhea or 6 months amenorrhea with serum FSH \>40 U/ml)
- postoperative (6 weeks after hysterectomy with or without bilateral ovariectomy )
- regular and proper use of a contraceptive method with error rate \<1% per year (e.g., implants, depot injections, oral contraceptives, intrauterine device, IUD) during study treatment and up to 1 year after completion of therapy
- sexual abstinence during study treatment and up to 1 year after completion of therapy
- Vasectomy of the partner
- Men who do not use one of the following types of effective contraception during study treatment and up to 1 year after completion of therapy:
- sexual abstinence
- State post-vasectomy
- Condom
- Evidence that the participating person is not expected to comply with the protocol (such as lack of cooperation)
- Uncontrolled active infection
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Charité Campus Benjamin Franklin
Berlin, Germany
Universitätsklinikum Bonn
Bonn, Germany
Klinikum Chemnitz (Küchwald)
Chemnitz, Germany
Universitätsklinikum Carl Gustav Carus, Medizinische Klinik und Poliklinik I
Dresden, Germany
Universitätsklinikum Essen, Klinik für Hämatologie (Westdeutsches Tumorzentrum)
Essen, Germany
Klinikum der J. W. Goethe-Universität, Medizinische Klinik II Hämatologie / Onkologie
Frankfurt am Main, Germany
Universitätsklinikum Freiburg
Freiburg im Breisgau, Germany
Universitätsklinikum Heidelberg, Medizinische Klinik, Abt. Innere Medizin V
Heidelberg, Germany
Klinikum rechts der Isar der TU München, III. Med. Klinik und Poliklinik
München, Germany
LMU München, Klinikum Großhadern, Med. Klinik III
München, Germany
Universitätsklinikum Münster, Innere Medizin A - KMT-Zentrum
Münster, Germany
Related Publications (2)
Platzbecker U, Middeke JM, Sockel K, Herbst R, Wolf D, Baldus CD, Oelschlagel U, Mutherig A, Fransecky L, Noppeney R, Bug G, Gotze KS, Kramer A, Bochtler T, Stelljes M, Groth C, Schubert A, Mende M, Stolzel F, Borkmann C, Kubasch AS, von Bonin M, Serve H, Hanel M, Duhrsen U, Schetelig J, Rollig C, Kramer M, Ehninger G, Bornhauser M, Thiede C. Measurable residual disease-guided treatment with azacitidine to prevent haematological relapse in patients with myelodysplastic syndrome and acute myeloid leukaemia (RELAZA2): an open-label, multicentre, phase 2 trial. Lancet Oncol. 2018 Dec;19(12):1668-1679. doi: 10.1016/S1470-2045(18)30580-1. Epub 2018 Nov 12.
PMID: 30442503RESULTPlatzbecker AS, Georgi JA, Middeke JM, Sockel K, Wehner R, Herbst RT, Wolf D, Baldus CD, Oelschlaegel U, Mutherig A, Fransecky L, Noppeney R, Bug G, Gotze KS, Kramer A, Bochtler T, Stelljes M, Esseling E, Stolzel F, von Bonin M, Serve H, Hanel M, Duhrsen U, Harig A, Muller-Tidow C, Schetelig J, Stasik S, Rollig C, Ehninger G, Kramer M, Schmitz M, Bornhauser M, Platzbecker U, Thiede C. Azacitidine to treat measurable residual disease in patients with MDS/AML: final long-term results of the RELAZA2 trial. Blood. 2025 Dec 8:blood.2025030816. doi: 10.1182/blood.2025030816. Online ahead of print.
PMID: 41359791DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Uwe Platzbecker, Prof. Dr.
Universitätsklinikum Carl Gustav Carus, Medizinische Klinik und Poliklinik I, 01307 Dresden
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 22, 2011
First Posted
October 31, 2011
Study Start
September 1, 2011
Primary Completion
August 1, 2018
Study Completion
February 1, 2021
Last Updated
November 15, 2021
Record last verified: 2021-11