Could a pill replace shots for MDS? early trial begins
NCT ID NCT04608110
First seen Jun 26, 2026 · Last updated Aug 11, 2026 · Updated 3 times
Summary
This early-stage trial is testing an oral form of the cancer drug azacitidine (called ASTX030) for people with myelodysplastic syndrome (MDS). The goal is to see if the pill version reaches similar levels in the blood as the standard injection. About 40 adults with MDS will take part to help find the right dose.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- ASTX030 (oral azacitidine plus cedazuridine)
- What this could lead to
- If successful, this could provide a more convenient oral treatment option for MDS, potentially replacing injections.
- What could go wrong
- This is a very early Phase 1 trial with only 40 people, focused on dosing, not on proving the drug works. The oral version may not work as well as the injection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Fukushima Medical University Hospital
RECRUITINGFukushima, Japan
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Kindai University Hospital
RECRUITINGSakai, Japan
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NTT Medical Center Tokyo
RECRUITINGShinagawa-Ku, Japan
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Nagasaki University Hospital
RECRUITINGNagasaki, Japan
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Nippon Medical School Hospital
RECRUITINGBunkyō City, Japan
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Osaka City General Hospital
RECRUITINGOsaka, Japan
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Saitama Medical University Hospital
RECRUITINGIruma, Japan
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Tokyo Medical University Hospital
RECRUITINGShinjuku-Ku, Japan
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University Hospital, Kyoto Prefectural University of Medicine
RECRUITINGKyoto, Japan
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Yamagata University Hospital
RECRUITINGYamagata, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New pill targets genetic weakness in Hard-to-Treat blood cancers
- New transplant cocktail aims to tame blood cancer without severe side effects
- Experimental drug tested for Post-Transplant blood cancers — but study halted early
- New drug cocktail shows promise for rare blood cancer
- New combo aims to cut infections in bone marrow cancer
- One donor, two transplants: could this end lifelong Anti-Rejection drugs?