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Trial Title: A Pilot, Open-Label Study of Luspatercept for Patients With Lower Risk Myelodysplastic Syndromes (MDS)

NCT ID: NCT06113302

Condition: Myelodysplastic Syndromes

Conditions: Official terms:
Preleukemia
Myelodysplastic Syndromes
Syndrome
Luspatercept

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Luspatercept
Description: Given by SC or (Injection)
Arm group label: Cohort 1
Arm group label: Cohort 2

Other name: ACE-536

Summary: To learn if luspatercept is more effective in helping to reduce the number of blood transfusions needed by patients with LR-MDS.

Detailed description: Objectives: Primary Objectives: - To assess the clinical activity and safety of luspatercept in patients with transfusion independent lower risk MDS - To assess the clinical activity and safety of luspatercept in patients with transfusion dependent lower risk MDS - To study the effects on hematopoeisis of luspatercept in patients treated on this study Secondary Objectives: - To assess the duration of response of patients with treated with luspatercept in this study - To assess the overall survival and time to transformation of patients with treated with luspatercept in this study - To assess transfusion free survival period in patients that were transfusion independent treated with luspatercept in this study - To measure trends in neutrophil and platelet counts in patients treated in this study

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age ≥ 18 years; as MDS there is no significant experience with luspatercept in pediatric patients 2. Cohorts #1 and #2: Diagnosis of MDS according to WHO 2023 criteria (5) and with low or int-1 risk by IPSS or a score of ≤ 3.5 by IPSS-R.(3, 22) 3. Cohort #2: Patient defined as transfusion dependent by documentation of receiving at least 2 units of packed red blood cells (PRBCs) for a hemoglobin of less than 8.0 g/dL during an 8-week period prior to study enrollment. 4. Cohort #1: Patients with symptomatic anemia that are transfusion independent defined as not requiring a transfusion for a hemoglobin of less than 8.0 g/dL during an 8-week period prior to study enrollment. 5. MDS patients with either a platelet count of ≤100 K/uL and/or ANC of ≤1.8 K/uL 6. Patient must have signed an informed consent and is willing to participate in the study. 7. Adequate hepatic function with total bilirubin ≤3 x ULN, AST or ALT ≤3xULN. 8. Serum creatinine clearance ≥40mL/min and no end/stage renal disease (using Cockcroft-Gault). 9. ECOG performance status

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: M D Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Guillermo Garcia-Manero, M D

Phone: 713-745-3428
Email: ggarciam@mdanderson.org

Investigator:
Last name: Guillermo Garcia-Manero, M D
Email: Principal Investigator

Start date: March 1, 2024

Completion date: June 2, 2026

Lead sponsor:
Agency: M.D. Anderson Cancer Center
Agency class: Other

Source: M.D. Anderson Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06113302
http://www.mdanderson.org

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