Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06670222

Oral Arsenic (ATO) in Low-risk Myelodysplastic Syndromes (MDS)

Led by Groupe Francophone des Myelodysplasies · Updated on 2025-07-31

24

Participants Needed

3

Research Sites

101 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Phase I study with dose-escalation and expansion evaluating the safety and efficacy of oral Arsenic (ATO) in low-risk Myelodysplastic Syndromes having failed to Erythropoiesis Stimulating Agents and Luspatercept (or ineligible for the latter).

CONDITIONS

Official Title

Oral Arsenic (ATO) in Low-risk Myelodysplastic Syndromes (MDS)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of Myelodysplastic Syndrome according to WHO 2022 classification
  • Age 18 years or older
  • Low-risk MDS based on Revised International Prognostic Scoring System (very low, low, intermediate)
  • Failed or relapsed after Erythropoiesis Stimulating Agents (ESA) or ineligible for ESA
  • Failed or relapsed after Luspatercept if sideroblastic MDS
  • Failed or relapsed after Lenalidomide if del(5q) MDS
  • Transfusion dependence with at least 3 red blood cell transfusions within 16 weeks and at least 2 transfusion episodes
  • Not eligible for another clinical trial
  • Adequate kidney function with creatinine below 1.5 times upper limit of normal and creatinine clearance at least 40 mL/min
  • Adequate liver function with bilirubin and transaminases less than 1.5 times upper limit of normal
  • Not refractory to platelet transfusions
  • Written informed consent provided
  • Able to follow study visit schedule and comply with protocol
  • Performance status 0-2 at screening
  • Female of childbearing potential must have negative pregnancy tests and agree to use effective contraception during and after study
  • Male participants must agree to use condoms during and after study
Not Eligible

You will not qualify if you...

  • Severe infection or any uncontrolled severe condition
  • Uncontrolled hypertension
  • Significant heart disease (NYHA Class III or IV) or heart attack within last 6 months
  • QTcF interval greater than 460 milliseconds
  • Use of investigational agents within 30 days or anticancer therapy (excluding hydroxyurea) within 2 weeks before study
  • Use of Erythropoiesis Stimulating Agents within 4 weeks before study
  • Active cancer or cancer within the last year except basal cell carcinoma or carcinoma in situ of cervix or breast
  • Currently enrolled in another investigational drug trial
  • Known HIV infection or active hepatitis B or C
  • Women who are pregnant, could become pregnant, or breastfeeding
  • Medical or psychiatric conditions preventing informed consent
  • Eligible for allogeneic stem cell transplantation
  • No affiliation with a health insurance system

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 3 locations

1

CHU de Nice - Hôpital l'Archet - Service d'hématologie clinique

Nice, France, 06200

Not Yet Recruiting

2

Hôpital Saint Louis - Service Hématologie séniors

Paris, France, 75010

Actively Recruiting

3

Institut Gustave Roussy - Service d'hématologie

Villejuif, France, 94805

Not Yet Recruiting

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Research Team

T

Thomas CLUZEAU, MD/PhD

CONTACT

J

Jean Baptiste MICOL, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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