Know Cancer

forgot password

A Phase II Study of Darbepoetin Alpha in Myelodysplastic Syndromes (MSD)

Phase 2
18 Years
Open (Enrolling)
Myelodysplastic Syndromes

Thank you

Trial Information

A Phase II Study of Darbepoetin Alpha in Myelodysplastic Syndromes (MSD)

Inclusion of MDS with IPSS low or int-1 and hemoglobin < 10/dL.

Study drug: Darbepoetin alfa (Aranesp) 500 microg every two weeks subcutaneously during 12
weeks, combined to filgrastim 300 microg twice weekly for an additional 12 weeks in non

Response will be evaluated at 12 weeks. Patients with major or minor erythroid response
(HI-E major or minor according to IWG 2000 criteria) will be continued on Aranesp. In
non-responders, an additional 12 weeks of Aranesp at the same dosing, combined to Filgrastim
(300 ug twice weekly, then adjusted to maintain WBC between 5000 and 10000/mm3) will be
proposed. In case of response, the treatment will be continued for a total duration of 24
months. If Hb level reaches levels > 13 g/dl at any time, Aranesp should be discontinued
until Hb levels are less than 12 g/dl. Aranesp should then be resumed at 500 µg/injection
every 3 weeks. Intervals between injections should be further increased by one week every
time they lead to Hb levels > 13 g/dl. The purpose of this dose adjustment is to reach the
Aranesp schedule allowing a maintenance Hb level between 11 and 12 g/dl.

Inclusion Criteria:

- 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

Exclusion Criteria:

- 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

- 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

- Previous history of thrombotic events

- Concomitant treatment with thalidomide

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Erythroid response at 12 weeks according to IWG 2000 (major and minor hematologic improvement) and IWG 2006 criteria

Principal Investigator

Charikleia KELAIDI, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Groupe Francophone des Myelodysplasies


France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)

Study ID:




Start Date:

December 2006

Completion Date:

July 2008

Related Keywords:

  • Myelodysplastic Syndromes
  • Myelodysplastic syndromes with IPSS Low or Int-1
  • Anemia
  • Myelodysplastic Syndromes
  • Preleukemia