About this trial
In transfusion-dependent myelodysplastic syndromes patients, regular blood transfusions lead to iron overload, which can cause organ damage, hormonal imbalances, and increased infection risk, ultimately impacting patient survival. Standard oral iron chelation therapies can be intolerable for some patients due to adverse effects. The MEX-CD1 device (class III) could potentially offer an alternative for these patients by reducing serum iron levels through a novel, extracorporeal approach.
MEXIRON clinical investigation focuses on the use of MEX-CD1, a medical device designed for extracorporeal chelation therapy to reduce iron overload in patients suffering from transfusion-dependent myelodysplastic syndromes (MDS) and myelofibrosis.
MEXIRON aims to evaluate the device's use feasibility, safety, and effectiveness in reducing iron levels. Transfusions needs, patient experience and quality of life are also assessed.
Each enrolled patients will undergo three low-volume continuous veno-venous haemodialysis cycles within one week.
Following the three- haemodialysis cycles, patients will be monitored through on-site follow-up visits at 7 days, 28 days, and 90 days post-treatment to assess long-term effects.
Eligibility criteria
Qualifiers
Patient followed for myelodysplastic syndrome or myelofibrosis.
Patient with platelet count ≥50 giga/L at inclusion.
Patients with severe anemia and hemoglobin <70 g/L at baseline.
Patient with intolerance or contraindication to oral or subcutaneous chelation therapy.
Disqualifiers
Patients with primary hemochromatosis (transferrin saturation coefficient CS-Tf > 45%).
Patients with a contraindication to the use of MEX-CD1: weight < 30 kg, iron deficiency.
Patients with a known allergy or contraindication to heparin or citrate.
Patients undergoing azacitidine or other chemotherapy (or considered as such) for myelodysplastic syndrome or myelofibrosis.
Trial design
Treatments tested in this trial
- Low-volume continuous veno-venous haemodialysis with MEX-CD1 use
Treatment groups
Locations
2Map coordinates are unavailable for these locations. Locations are shown below instead.
Sponsors and collaborators
Hospices Civils de Lyon
Lead sponsor
MEXBrain 13 avenue Albert Einstein 69100 Villeurbanne
Collaborator