New hope for MDS patients: drug may end need for platelet transfusions
NCT ID NCT04797000
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called eltrombopag in adults with a low-risk form of myelodysplastic syndromes (MDS) who regularly need platelet transfusions. The goal is to see if the drug can help them go without transfusions for at least 8 weeks. About 36 people in Japan will take part, and half will get the drug while the other half gets a placebo.
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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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36 people
The number who actually took part.
- Started
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May 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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20 to 100 years
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients diagnosed with MDS according to the WHO classification revised 4th edition by investigator assessment with one of the following prognostic risk categories, based on the International Prognostic Scoring System (IPSS-R): * very low (0-1.5) * low (2-3) * intermediate risks (3.5-4.5) All following criteria for prognostic variables per IPSS-R should be met. * Bone marrow blast \< 5% (per both investigator's assessment and central review) * Cytogenetic very good, good or intermediate risk corresponding to IPSS-R * Platelet transfusion dependence * Refractory, intolerant to, or ineligible for MDS treatments * Eastern Cooperative Oncology Group (ECOG) Performance status (PS) 0 or 1 Exclusion Criteria: * Patients with a history of prior administration of eltrombopag, romiplostim, or other TPO-RA * Therapy-related MDS per WHO classification revised 4th edition * MDS/myeloproliferative neoplasms including chronic myelomonocytic leukaemia per the WHO classification revised 4th edition * MDS with excess blasts (EB) per WHO classification revised 4th edition * Known history of IPSS-R high or very high risk MDS * Currently receiving treatments for MDS (e.g., HMA, cyclosporine A (CsA) or lenalidomide). Supportive treatment with erythropoiesis-stimulating agents (ESAs) or erythroid mutation agent in anemic patients or granulocyte-colony stimulating factor (G-CSF) in patients with severe neutropenia and recurrent infections is allowed if at stable dosage for 3 months prior to screening and continued at the same dosing/schedule until the optimal dose of eltrombopag has been established. * Patients scheduled for hematopoietic stem cell transplantation * Bone marrow fibrosis that leads to an inability to aspirate adequate bone marrow sample * Known thrombophilic risk factors (except in cases where potential benefits of participating in the study outweighed potential risks of thromboembolic events (TEE), as determined by the investigator) Other protocol-defined inclusion/exclusion criteria may apply.
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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
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Novartis Investigative Site
Narita, Chiba, 286-8523, Japan
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Novartis Investigative Site
Kurume, Fukuoka, 830-8543, Japan
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Novartis Investigative Site
Ohtake, Hiroshima, 739-0696, Japan
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Novartis Investigative Site
Nishinomiya, Hyōgo, 663 8501, Japan
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Novartis Investigative Site
Kanazawa, Ishikawa-ken, 920-8530, Japan
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Novartis Investigative Site
Isehara, Kanagawa, 259-1193, Japan
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Novartis Investigative Site
Yokohama, Kanagawa, 221-0855, Japan
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Novartis Investigative Site
Sendai, Miyagi, 9808574, Japan
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Novartis Investigative Site
Nagasaki, Nagasaki, 852-8501, Japan
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Novartis Investigative Site
Sakai, Osaka, 590-0197, Japan
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Novartis Investigative Site
Bunkyo-ku, Tokyo, 113-8603, Japan
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Novartis Investigative Site
Itabashi Ku, Tokyo, 173 8606, Japan
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Novartis Investigative Site
Shimonoseki, Yamaguchi, 750-0061, Japan
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Novartis Investigative Site
Aomori, 030 8553, Japan
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Novartis Investigative Site
Chiba, 260-0852, Japan
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Novartis Investigative Site
Fukushima, 9601295, Japan
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Novartis Investigative Site
Gifu, 5008513, Japan
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Novartis Investigative Site
Kumamoto, 860-0008, Japan
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Novartis Investigative Site
Osaka, 5340021, Japan
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Novartis Investigative Site
Yamagata, 990 9585, Japan
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