Could a common diabetes pill treat anemia in MDS patients?
NCT ID NCT07516847
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether dapagliflozin, a drug used for diabetes, can help treat anemia in people with lower-risk myelodysplastic syndromes (MDS). Anemia is a common problem in MDS, causing fatigue and often requiring blood transfusions. The trial will give 37 participants dapagliflozin daily for 24 weeks to see if it raises hemoglobin levels and reduces transfusion needs.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dapagliflozin (a diabetes drug, also known as Forxiga)
- What this could lead to
- If it works, this could offer a new treatment option for anemia in lower-risk MDS patients, potentially reducing fatigue and the need for blood transfusions.
- What could go wrong
- This is a small, early-phase trial with only 37 participants and no placebo group. The drug may not improve anemia significantly, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 37 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged ≥18 years * Diagnosis of myelodysplastic syndromes (MDS) according to WHO or ICC criteria * Revised International Prognostic Scoring System (IPSS-R) very low, low, or intermediate risk * Hemoglobin ≤10 g/dL at screening * Transfusion independent or low transfusion burden (Defined as ≤2 units of red blood cell transfusion within 8 weeks prior to enrollment) * If receiving erythropoiesis-stimulating agents (ESA) or other anemia-directed therapy, on a stable dose for at least 8 weeks prior to enrollment * Eastern Cooperative Oncology Group (ECOG) performance status 0-2 * Absolute neutrophil count (ANC) ≥0.75 ×10⁹/L * Platelet count ≥50 ×10⁹/L * Adequate organ function: Creatinine clearance ≥30 mL/min AST or ALT ≤3 × upper limit of normal Exclusion Criteria: * IPSS-R intermediate-high or high-risk MDS * Transformation to acute myeloid leukemia or ≥20% blasts * Initiation or dose change of MDS- or anemia-directed therapy (e.g., ESA, luspatercept, hypomethylating agents) within 8 weeks prior to screening * Red blood cell transfusion \>2 units within 8 weeks prior to enrollment * Current use of SGLT2 inhibitors or history of serious adverse reaction to SGLT2 inhibitors * Uncontrolled diabetes mellitus (e.g., HbA1c \>10%) or history of diabetic ketoacidosis * Estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m² * Active or uncontrolled infection * Absolute neutrophil count (ANC) \<0.75 ×10⁹/L or platelet count \<50 ×10⁹/L * Pregnant or breastfeeding women * Any condition that, in the investigator's judgment, would make participation inappropriate
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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