Milder chemo before transplant could help older blood cancer patients

NCT ID NCT05436561

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase 2 trial tests a reduced-intensity chemotherapy regimen (fludarabine, busulfan, melphalan) before stem cell transplant in 61 patients aged 55 and older with myeloid cancers like AML, MDS, or CMML. The goal is to see if this gentler approach can improve disease-free survival while reducing side effects. Participants must have a matched or haploidentical donor and be in remission or early disease stages.

What this could mean

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

Active substance

MBF-RIC (fludarabine, busulfan, melphalan)

What this could lead to

If successful, this milder chemo regimen could make stem cell transplants safer and more effective for older adults with myeloid cancers, potentially improving long-term survival without relapse.

What could go wrong

This is a small, early-phase study (61 participants) without a comparison group. The regimen may still cause serious side effects, and results may not apply to all patients or donors.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

acute myeloid leukemia chronic myelomonocytic leukemia myelodysplastic syndrome

As listed by the trial registrant

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

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Blood & Marrow Transplantation Center, RuiJin Hospital

    RECRUITING

    Shanghai, Shanghai Municipality, 200025, China

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Shanghai No 6 Hospital

    RECRUITING

    Shanghai, China

    Contact Phone: •••-•••-•••• Email: •••••@•••••