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Anti-metabolites

Decitabine for Myelofibrosis

Phase 2
Waitlist Available
Led By Olatoyosi M Odenike
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must have anemia (hemoglobin < 11 g/dL) or palpable splenomegaly
Patients with palpable splenomegaly must have spleen size documented ultrasonographically
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 36 weeks (6 cycles)
Awards & highlights

Study Summary

This trial looks at the side effects and effectiveness of decitabine in treating patients with myelofibrosis, a cancer of the blood system. Decitabine may block proteins that turn certain genes off in various cancers including myelofibrosis.

Who is the study for?
This trial is for adults with advanced myelofibrosis, a type of blood cancer. Eligible participants may have had previous treatments but not with decitabine. They should be in stable health otherwise, not pregnant or nursing, and willing to use contraception. Key criteria include specific diagnostic features of myelofibrosis, anemia or noticeable spleen enlargement.Check my eligibility
What is being tested?
The trial is testing the effectiveness and side effects of decitabine in treating advanced myelofibrosis. Decitabine might block proteins that silence genes involved in this cancer's development. Participants will also undergo lab biomarker analysis to monitor responses.See study design
What are the potential side effects?
Decitabine can cause side effects like fatigue, fever, nausea, low blood cell counts leading to increased infection risk or bleeding problems, lung complications and potential allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have anemia or an enlarged spleen.
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My enlarged spleen's size has been measured with an ultrasound.
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I can take care of myself but might not be able to do heavy physical work.
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My condition is confirmed myelofibrosis of any subtype.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 36 weeks (6 cycles)
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 36 weeks (6 cycles) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of Toxicities, Graded According to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v3.0
Response Rate (Complete Response, Partial Response, or Hematologic Improvement.
Secondary outcome measures
CD34+ Cells
CXCR4
Hemoglobin F

Side effects data

From 2022 Phase 2 trial • 14 Patients • NCT04055844
57%
Febrile neutropenia
57%
Neutrophil count decreased
21%
Infections and infestations - Other, specify
21%
Lung infection
21%
Bacteremia
21%
Sepsis
14%
Aspartate aminotransferase increased
14%
Alanine aminotransferase increased
14%
Infections and infestations - Other,
7%
Mucositis oral
7%
White blood cell decreased
7%
Syncope
7%
Upper gastrointestinal
7%
Sinusitis
7%
Hyperglycemia
7%
Hypertension
7%
Encephalopathy
7%
Hepatobiliary disorders
7%
Blood and lymphatic system
7%
General disorders and administration
7%
INR increased
7%
Typhlitis
7%
Upper gastrointestinal hemorrhage
7%
Hepatic failure
7%
Injury, poisoning and procedural
7%
Blood and lymphatic system disorders - Other, specify
7%
Fatigue
7%
Intracranial hemorrhage
7%
Gastrointestinal disorders - Other,
7%
Disease progression
7%
Fever
7%
Skin and subcutaneous tissue disorders - Other, specify
7%
Neoplasms benign, malignant and
7%
Alanine aminotransferase
7%
Tooth infection
7%
Gastrointestinal disorders - Other, specify
7%
Pericardial effusion
7%
General disorders and administration site conditions - Other, specify
7%
Hepatic infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Decitabine + Ruxolitinib + DLI

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (decitabine)Experimental Treatment2 Interventions
Patients receive decitabine SC on days 1-5 and 8-12. Treatment repeats every 42 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Decitabine
2004
Completed Phase 3
~1680

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,654 Previous Clinical Trials
40,933,132 Total Patients Enrolled
69 Trials studying Primary Myelofibrosis
6,820 Patients Enrolled for Primary Myelofibrosis
Olatoyosi M OdenikePrincipal InvestigatorUniversity of Chicago Comprehensive Cancer Center

Media Library

Decitabine (Anti-metabolites) Clinical Trial Eligibility Overview. Trial Name: NCT00095784 — Phase 2
Primary Myelofibrosis Research Study Groups: Treatment (decitabine)
Primary Myelofibrosis Clinical Trial 2023: Decitabine Highlights & Side Effects. Trial Name: NCT00095784 — Phase 2
Decitabine (Anti-metabolites) 2023 Treatment Timeline for Medical Study. Trial Name: NCT00095784 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are Decitabine's most popular uses?

"Decitabine is often used to treat patients in the ipss risk category intermediate-2. This medication can also help patients with other blood disorders like refractory anemias and ipss high risk."

Answered by AI

Is recruitment still underway for subjects of this research?

"This study is not currently enrolling patients. The listing for this clinical trial was first posted on September 29th, 2004 and updated most recently on June 28th, 2022. Other active trials studying primary myelofibrosis and Decitabine are presently recruiting; 95 and 106 studies respectively."

Answered by AI

What is the current thinking on Decitabine's efficacy?

"As of now, there are one hundred and six clinical trials involving Decitabine. Out of those, sixteen have progressed to Phase 3 testing. The majority of these studies originated in Philadelphia, but there are 1,529 total locations running active trials for this medication."

Answered by AI

What is the FDA's most recent stance on Decitabine?

"Decitabine is a phase 2 clinical trial medication, meaning that while there is some evidence of its safety, none exists for its efficacy."

Answered by AI

Is this clinical trial widely available in North America?

"Currently, there are 14 sites recruiting patients for this clinical trial. These locations include University of Maryland/Greenebaum Cancer Center in Baltimore, Ingalls Memorial Hospital in Harvey, and Southern Illinois University School of Medicine in South Bend."

Answered by AI

How many guinea pigs are they letting in on this one?

"Unfortunately, this trial is not currently admitting patients. The study was originally posted on September 29th, 2004 and was last updated on June 28th, 2022. However, there are many other ongoing trials that might be a good fit - for example, there are 95 trials related to primary myelofibrosis and 106 Decitabine studies recruiting patients right now."

Answered by AI
~1 spots leftby Apr 2025