Which Pre-Transplant chemo works best for MDS/AML? new trial aims to find out

NCT ID NCT04994808

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

Summary

This phase II trial tests two different chemotherapy combinations (treosulfan-based vs. clofarabine-based) given before a donor stem cell transplant in adults with myelodysplastic syndromes or acute myeloid leukemia. The goal is to see which regimen leads to better relapse-free survival. The study enrolled 23 participants and is no longer recruiting.

What this could mean

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

Active substance

Treosulfan, Clofarabine, Fludarabine, Total-Body Irradiation

What this could lead to

If successful, this study could show which chemotherapy regimen before a stem cell transplant works better to keep MDS or AML from coming back.

What could go wrong

This is a small, early-phase trial with only 23 participants, so results may not apply to everyone. Both regimens have risks like infection, graft-versus-host disease, and organ damage.

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 myelodysplastic syndrome myelodysplastic syndrome with excess blasts Myelodysplastic Syndromes

As listed by the trial registrant

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

Contacts and locations

Locations

  • Fred Hutch/University of Washington Cancer Consortium

    Seattle, Washington, 98109, United States