ELEMENT-MDS: A Study to Compare the Efficacy and Safety of Luspatercept in Participants With Myelodysplastic Syndrome (MDS) and Anemia Not Receiving Blood Transfusions (ELEMENT-MDS)
Myelodysplastic Syndromes
About this trial
This is an interventional treatment trial for Myelodysplastic Syndromes focused on measuring Luspatercept, BMS-986346, ACE-536, Myelodysplastic Syndrome, Epoetin alfa, Erythropoietin stimulating agent (ESA), Myelodysplastic Syndromes (MDS), Anaemia
Eligibility Criteria
Inclusion Criteria: Participant has documented diagnosis of MDS according to World Health Organization (WHO) 2016 that meet IPSS-R classification of very low, low, or intermediate-risk disease, (intermediate-risk of ≤ 3.5 IPSS-R score) confirmed via bone marrow aspirate and: i) < 5% blasts in bone marrow and < 1% blasts in peripheral blood. Participant is not transfusion dependent (NTD) based on IWG2018 criteria Participant has never received treatment with an erythropoiesis stimulating agent (ESA) Participant has a baseline endogenous serum erythropoietin (sEPO) level of ≤ 500 U/L. Participant has symptoms of anemia: i) Participant records a severity score of "moderate" or greater on at least 1 PGI-S item of fatigue, weakness, shortness of breath, or dizziness performed during the screening period. Participant has a mean baseline Hb concentration prior to randomization of ≤ 9.5 g/dL. Mean Hb is defined as the mean of all central/ local/ pretransfusion available Hb measurements during the 16 weeks prior to randomization (with a minimum of 2 measurements at least 1 week apart). Only Hb levels > 21 days following a transfusion are acceptable. The last measurement must be within 35 days of randomization. Exclusion Criteria: Participant with secondary MDS (that is, MDS that is known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation for other diseases). Participant with known history of diagnosis of AML. Participant with history of cerebrovascular accident (including ischemic, embolic, and hemorrhagic cerebrovascular accident), transient ischemic attack, deep venous thrombosis (including proximal and distal), pulmonary or arterial embolism, arterial thrombosis, or other venous thrombosis within 6 months prior to randomization. Participant with a history of pure red cell aplasia and/or antibody against erythropoietin. Note: Other protocol-defined inclusion/exclusion criteria apply.
Sites / Locations
- John Muir Medical Center - Concord Campus
- Compassionate Cancer Care Medical Group
- Ventura County Hematology Oncology Specialists
- Innovative Clinical Research Institute
- Florida Cancer Specialists - South
- Baptist MD Anderson Cancer Center
- D&H Cancer Research Center LLC
- Florida Cancer Specialists - North
- Hematology/Oncology of the North Shore
- Orchard Healthcare Research Inc.Recruiting
- American Oncology Partners of Maryland, PARecruiting
- Metro-Minnesota Community Clinical Oncology
- Hattiesburg Clinic Hematology/OncologyRecruiting
- University of New Mexico Comprehensive Cancer Center
- Cleveland Clinic
- The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center
- Avera Cancer Institute
- University of Tennessee Medical CenterRecruiting
- Mays Cancer Center
- Kadlec Clinic Hematology and Oncology
- Fred Hutchinson Cancer Center at University of Washington Medical Center - Northwest
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- Centre Hospitalier Universitaire de Nice - Hôpital l'Archet
- CHU Bordeaux Haut-Leveque
- Chu Grenoble Alpes
- Centre Hospitalier Régional Universitaire de Nancy - Hôpitaux de Brabois
- Hôpital Saint-Louis
- Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE
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- Auxilio Mutuo Cancer Center
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Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Luspatercept
Epoetin Alfa