New hope for older blood cancer patients: smarter transplants aim to cut relapse

NCT ID NCT04217278

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This clinical trial is testing different treatment strategies to improve outcomes for older adults with acute myeloid leukemia (AML) or high-risk myelodysplastic syndrome (MDS) who are getting a stem cell transplant. The study compares a new pre-transplant drug (Vyxeos) with standard therapy, and also tests different conditioning regimens before transplant based on age. Around 333 participants are being followed for at least two years to see which approach works best.

What this could mean

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

Active substance

Vyxeos, Fludarabine, Busulphan, Thiotepa, Cytarabine

What this could lead to

If successful, this could lead to better survival and lower relapse rates for older adults with AML or high-risk MDS after stem cell transplant.

What could go wrong

This is a mid-stage trial with 333 participants, and results may not apply to all patients. Transplants carry serious side effects, and the new therapies might not improve outcomes.

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 myeloblastic leukemia with maturation acute myeloid leukemia myelodysplastic syndrome

As listed by the trial registrant

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

Contacts and locations

Locations

  • Addenbrooke's Hospital

    Cambridge, United Kingdom

  • Churchill Hospital

    Oxford, United Kingdom

  • Derriford Hospital

    Plymouth, United Kingdom

  • Freeman Hospital

    Newcastle, United Kingdom

  • Hammersmith Hospital

    London, United Kingdom

  • King's College Hospital

    London, United Kingdom

  • Leicester Royal Infirmary

    Leicester, United Kingdom

  • Manchester Royal Infirmary

    Manchester, United Kingdom

  • Nottingham City Hospital

    Nottingham, United Kingdom

  • Queen Elizabeth Hospital

    Birmingham, United Kingdom

  • Queen Elizabeth Hospital Glasgow

    Glasgow, United Kingdom

  • St James' University Hospital

    Leeds, United Kingdom

  • University Hospital of Wales

    Cardiff, United Kingdom

  • University Hospitals Bristol

    Bristol, United Kingdom