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Brief Title: A Trial Testing Early vs Late Onset of EPO Alfa Treatment in Lower Risk MDS
Official Title: A Randomized Trial Testing Early vs Late Onset of EPO Alfa Treatment in Lower Risk MDS With Non RBC Transfusion Dependent Anemia and Without Del 5q
Study ID: NCT03223961
Brief Summary: This is an open-label, randomized, multicenter, phase III study Patients with baseline Hb comprised between 9 and 10.5g/dl will be randomized to receive EPO Alfa 60000 UI/week for at least 12 weeks: * Either at diagnosis Or * at the Hb threshold chosen for RBC transfusions (must be \< 9g/dl)
Detailed Description: in this trial we will compare the early introduction of EPO alfa to the delayed introduction in lower risk MDS with non RBC transfusion dependent anemia. At enrollment patients will be randomised in the 2 arms (early and delayed start of EPO alfa). Treatment Regimen Epoetin alfa 60000 UI/week for at least 12 weeks 1. Early onset arm: early onset of EPO ALFA 60000 IU/week , at patient inclusion 2. Delayed onset arm: late introduction of EPO ALFA 60000 IU/week, whenever the patient reaches the level chosen RBC transfusions (based on age, comorbidities, anticipated tolerance of anemia).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Chu Amiens, Amiens, , France
CH Angers, Angers, , France
CH Avignon, Avignon, , France
Centre Hospitalier de La Cote Basque, Bayonne, , France
Hopital Nord Franche-Comté, Belfort, , France
CHU de Besançon, Besançon, , France
Hopital Avicenne, Bobigny, , France
Hôpital Morvan, Brest, , France
CHU de Caen, Caen, , France
CH de Sevigné, Cesson, , France
CH de Cholet, Cholet, , France
CHU Estaing, Clermont-Ferrand, , France
CHSF Gilles de Corbeil, Corbeil-Essonnes, , France
Hôpital Henri-Mondor, Créteil, , France
CHU de Grenoble, Grenoble, , France
Centre Hospitalier du Mans, Le Mans cedex, , France
Clinique Victor Hugo, Le Mans, , France
Hopital Saint-Vincent de Paul, Lille, , France
CHRU Limoges, Limoges, , France
Centre Hospitalier Lyon Sud, Lyon, , France
IPC, Marseille, , France
Centre Hospitalier du Mont de Marsan, Mont-de-Marsan, , France
CHU de Nantes, Nantes, , France
CHU de Nice, Nice, , France
Hopital St Louis T4, Paris, , France
Centre Hospitalier Joffre-Perpignan, Perpignan, , France
Sophie Dimicoli-Salazar, Pessac, , France
CHU de Poitiers, Poitiers, , France
CHR d'Annecy, Pringy, , France
CH de Périgueux, Périgueux, , France
CHRU de Reims, Reims, , France
CHU Pontchaillou, Rennes, , France
Centre Henri Becquerel, Rouen, , France
CH Saint Nazaire, Saint-Nazaire, , France
Centre Hospitalier Universitaire de STRASBOURG, Strasbourg, , France
IUCT Oncopole, Toulouse, , France
CH de Troyes, Troyes, , France
CH Valence, Valence, , France
CHU Brabois, Vandœuvre-lès-Nancy, , France
Name: Sophie Park, Prof
Affiliation: University Hospital, Grenoble
Role: PRINCIPAL_INVESTIGATOR