New Low-Dose cocktail aims to outsmart MDS resistance

NCT ID NCT04187703

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This early study tests a new way of giving two FDA-approved drugs (5-azacitidine and decitabine) for myelodysplastic syndromes (MDS), a type of bone marrow failure. Instead of standard doses, the drugs are given at low doses on alternating weeks to try to overcome resistance. About 20 adults with MDS or related disorders will take part to see if this approach improves blood cell counts and reduces side effects.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
5-azacitidine and decitabine (low-dose, alternating schedule)
What this could lead to
If this works, it could offer a gentler, more effective way to control MDS by using lower doses of two approved drugs in rotation.
What could go wrong
This is a very early, small study (20 people) testing a new dosing schedule. It may not work better than standard treatment, and side effects are still unknown.

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

  • Cleveland Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

    RECRUITING

    Cleveland, Ohio, 44106, United States

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