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Brief Title: Thalidomide at Low Dose for the Treatment of Patient With Myelodysplastic Syndromes - THAL-SMD-200
Official Title: Thalidomide for the Treatment of Cytopenias of Patients With Low Risk Myelodysplastic Syndromes
Study ID: NCT00455910
Brief Summary: The GFM previously conducted a dose-escalating phase II trial of thalidomide in MDS with a minimum dose of 200mg/d and a maximum dose 800mg/d. Responses were evaluated according to IWG criteria at week 16 and thalidomide continued up to week 56 in responders. 82% patients received at least 8 weeks of treatment and were evaluable. 59% had hematological improvement, mainly on the erythroid lineage (Increase of Hemoglobin). Most responses were observed at low doses and between 4 and 8 weeks. The objectives of this trial (Thal-SMD-20) are to evaluate the efficacy and tolerance of lower doses thalidomide in low risk MDS patients with transfusion-dependant anemia.
Detailed Description: Thalidomide: First part of the trial: 82 patients at 200mg/day given at bedtime x 12 weeks, decreased to 100mg/day if grade 1 or 2 side. Stopped temporally for 1 week if grade 3 or 4 side effects. Then reintroduced at the same dose. If side effects again, definitively stopped. Responses evaluated at 12 weeks according to IWG criteria for the erythroid lineage At week 12: * If no Hematological improvement (HI): increased to 300mg/day for 8 weeks and then eventually to 400mg/day for 8 weeks more, if no HI. * If Hematological improvement (HI): continued at the same dose. Second part of the trial: 30 patients treated at 50mg/day x 12 weeks. Responses evaluated at 12 weeks according to IWG criteria for the erythroid lineage At week 12: * If no Hematological improvement (HI): increased to 100mg/day for 8 weeks and then eventually to 200mg/day for 8 weeks more, if no HI. * If Hematological improvement (HI): continued at the same dose.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU d'Angers, Angers, , France
CH d'Avignon, Avignon, , France
CH de la Cote Basque, Bayonne, , France
Hopital Avicenne, Bobigny, , France
CHU de Brest - Hopital Morvan, Brest, , France
CHU Dijon, Dijon, , France
CHU Albert Michallon, Grenoble, , France
CHRU de Lille - Hopital C. Huriez, Lille, , France
CHU de Limoges, Limoges, , France
Institut Paoli Calmette, Marseille, , France
CHU de Nantes, Nantes, , France
CHU de Nice - Hopital de l'Archet 1, Nice, , France
Hotel Dieu, Paris, , France
Hopital Saint Antoine, Paris, , France
Hopital Cochin, Paris, , France
Hopital Necker, Paris, , France
CH Joffre, Perpignan, , France
Centre Henry Becquerel, Rouen, , France
CHU Purpan, Toulouse, , France
CHU Nancy-Brabois, Vandoeuvre les Nancy, , France
Name: Didier Bouscary, MD, Ph-D
Affiliation: Groupe Francophone des Myelodysplasies
Role: PRINCIPAL_INVESTIGATOR