Status:

RECRUITING

Curcumin to Improve Inflammation and Symptoms in Patients With Clonal Cytopenia of Undetermined Significance, Low Risk Myelodysplastic Syndrome, and Myeloproliferative Neoplasms

Lead Sponsor:

University of Southern California

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Clonal Cytopenia of Undetermined Significance

Essential Thrombocythemia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This phase II trial evaluates how a curcumin supplement (C3 complex/Bioperine) changes the inflammatory response and symptomatology in patients with clonal cytopenia of undetermined significance (CCUS...

Detailed Description

PRIMARY OBJECTIVES: I. To compare the change in inflammatory cytokine levels in study patients treated with curcumin versus placebo over a 12-month follow-up period. II. To compare the change in sym...

Eligibility Criteria

Inclusion

  • Age \>= 18
  • Eastern Cooperative Oncology Group (ECOG) =\< 2
  • Ability to understand and willingness to sign a written informed consent
  • Diagnosis of polycythemia vera (PV), essential thrombocytosis (ET) or myelofibrosis (MF) per World Health Organization (WHO) 2016 diagnostic criteria
  • Presence of at least one symptom measurable using the MPN-/Symptom Assessment Form (SAF) with a severity greater than 3
  • MPN patients determined to have stable disease undergoing surveillance and unlikely to require initiation of new cytoreductive therapy (i.e., hydroxyurea, ruxotinib, interferon within the study period); patients on a stable dose of hydroxyurea for at least 6 months who meet the other inclusion/exclusion criteria may be included
  • A diagnosis of CCUS or LR-MDS
  • CCUS defined as persistent cytopenia for \> 6 months (hemoglobin \[Hgb\] \< 11.3 g/dL \[7 mmol/L\] in women and Hgb \< 12.9 g/dL \[8 mmol/L\] in men, platelet \< 150 x 10\^9/L or neutrophils \< 1.8 x 10\^9/L), normal cytogenetics, presence of detectable MDS associated mutations and bone marrow morphology non-diagnostic of MDS or any other malignancies
  • LR-MDS as defined by WHO 2016 diagnosis criteria
  • Minimum baseline symptom score of 25 in the fatigue section of the symptom questionnaire

Exclusion

  • Patients with intake of curcumin as a dietary supplement, including multivitamin and unwillingness to quit more than 24 hours before study start
  • Patients with inability to understand and adhere to information given
  • Patients receiving active treatment for another malignancy except with hormonal therapy for a malignancy considered to be in remission or growth factors (erythropoietin, granulocyte colony-stimulating factor \[G-CSF\] and luspatercept)
  • Patients with intermediate or high-risk MDS
  • Patients must not be pregnant or nursing
  • Patients must not be on any oral or intravenous steroid or any other anti-inflammatories (ibuprofen \> 200mg/week or 400mg/month, naproxen of any dose, \> 325mg aspirin daily, any herbal anti-inflammatory concoction of any dose)

Key Trial Info

Start Date :

March 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2027

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT06063486

Start Date

March 1 2024

End Date

March 1 2027

Last Update

August 11 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Los Angeles General Medical Center

Los Angeles, California, United States, 90033

2

USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States, 90033