Azacitidine and Chimerism in MDS or AML Patients After Allogeneic Stem Cell Transplant

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorHenry Ford Health System

About this trial

Previous studies provide a rationale for administration of AZA after allo SCT for decreasing chimerism. The investigators hypothesize that azacitidine can be well tolerated after SCT and help decrease rate of decreasing donor chimerism and hence decrease relapse without increasing GVHD

Eligibility criteria

Qualifiers

Patients with AML/MDS/MPN, CMML post Allogeneic SCT who experience any drop in total or myeloid chimerism any time after day 30, or their day 30 or day100 myeloid donor chimerism is below 98% without concurrent hematologic relapse (that is, patients with <5% bone marrow blasts as obtained at that time point) will be offered treatment with azacitidine

>=30 -180 days post SCT and patients must have ANC> 1000, PLT > 50,000

Age 18-75 years old

Performance score of at least 70% by Karnofsky

Disqualifiers

Positive for HIV, HBsAg, HCV or other viral hepatitis or cirrhosis from any cause

Active or prior CNS leukemia, unless in complete remission for at least 2 months.

History of serious chronic mental disorder or drug-abuse accompanied by documented problems of compliance with therapeutic programs.

Uncontrolled infection

Trial design

Treatments tested in this trial

  • azacitidine

Treatment groups

43 Participants
are divided into 1 treatment group

Sponsors and collaborators