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.

myelodysplastic syndrome Myelodysplastic Syndromes

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Fukushima Medical University Hospital

    RECRUITING

    Fukushima, Japan

  • Kindai University Hospital

    RECRUITING

    Sakai, Japan

  • NTT Medical Center Tokyo

    RECRUITING

    Shinagawa-Ku, Japan

  • Nagasaki University Hospital

    RECRUITING

    Nagasaki, Japan

  • Nippon Medical School Hospital

    RECRUITING

    Bunkyō City, Japan

  • Osaka City General Hospital

    RECRUITING

    Osaka, Japan

  • Saitama Medical University Hospital

    RECRUITING

    Iruma, Japan

  • Tokyo Medical University Hospital

    RECRUITING

    Shinjuku-Ku, Japan

  • University Hospital, Kyoto Prefectural University of Medicine

    RECRUITING

    Kyoto, Japan

  • Yamagata University Hospital

    RECRUITING

    Yamagata, Japan

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