- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00600860
A Prospective, Multicentre European Registry for Newly Diagnosed Patients With Myelodysplastic Syndromes (EUMDS)
A Prospective, Multicentre European Registry for Newly Diagnosed Patients With Myelodysplastic Syndromes (MDS), Including Acute Myeloid Leukaemia With 20-<30 Percent Marrow Blasts (Former RAEB-t), and Chronic Myelomonocytic Leukaemia (CMML)
Study Objectives:
To collect and describe demographics, disease-management, and treatment outcomes of Myelodysplastic Syndromes (MDS) patients who are newly diagnosed and classified according to the World Health Organization (WHO) criteria.
To perform observational studies concerning relevant scientific research questions in MDS using clinical data and biological samples, and to present relevant research outcomes in the fields of diagnosis and prognostication, health related quality of life issues, health economics, and risk stratification for newly developed classes of drugs.
To disseminate results of the studies to all stakeholders involved.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Methodology:
Data on patients with MDS will be collected prospectively at diagnosis and at 6-months intervals after diagnosis. The data will be gathered by seventeen (or more) countries that are represented within the LeukemiaNet MDS Working Party and will be combined in one central European Database. Data analyses will be conducted by the Data Management Centre at the University of York in various sub studies, at specific time points as decided or requested by the steering committee, but at least once a year included in the European Registry and at the end of the follow-up period.
Number of Patients & Centres Over 149 hematology centres in eighteen (or more) different countries (Austria, Croatia, Czech Republic, Denmark, France, Germany, Greece, Israel, Italy, The Netherlands, Romania, Spain, Sweden, Switzerland and United Kingdom) will participate as referral centres in this Registry. The recruitment target is a minimum of 3000 cases lower-risk MDS and 1000 higher-risk cases.
Population:
The study population will consist of newly diagnosed patients with all subtypes of MDS classified according to the WHO criteria, including therapy-related MDS and MDS-F, AML with 20-<30 percent marrow blasts (former RAEB-t), and CMML and other forms of mixed MDS/MPD.
Study Duration:
The enrolment time is scheduled to continue until at least December 2022 but extension of the recruitment period is possible. Patients will be followed until withdrawal (for any reason) or termination of the EUMDS Registry.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Corine J van Marrewijk, PhD
- Phone Number: +31-24-3614794
- Email: corine.vanmarrewijk@radboudumc.nl
Study Contact Backup
- Name: Rosalie Lubbers, MSc
- Phone Number: +31-24-3614794
- Email: rosalie.lubbers@radboudumc.nl
Study Locations
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Innsbruck, Austria
- Recruiting
- University of Innsbruck Fachartz fur Innere Medizin, Dept of Hematology
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Zagreb, Croatia
- Recruiting
- Clinical Hospital Merkur
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Prague, Czechia
- Recruiting
- Institute of Haematology and Blood Transfusion U nemocnice
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Aarhus, Denmark
- Recruiting
- Aarhus University Hospital
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Paris, France
- Recruiting
- Hopital Avicenne Universite Paris, Dept of Hematology
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Dusseldorf, Germany
- Recruiting
- Medizinische Klinik und Poliklinik fur Haematologie, Onkologie und Klinische Immunologie
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Patras, Greece
- Recruiting
- University of Patras Medical School, Haematology Division, Dept of Internal Medicine
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Tel-Aviv, Israel
- Recruiting
- Tel-Aviv Sourasky Medical Center, Dept. of Medicine A
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Pavia, Italy
- Recruiting
- University of Pavia Medical SChool, Dept of Hematology
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Nijmegen, Netherlands
- Recruiting
- Radboud University Nijmegen Medical Centre, dept of Hematology
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Warszawa, Poland
- Recruiting
- Medical University, Dept of Hematology, Oncology and Internal Medicine
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Lisbon, Portugal
- Recruiting
- Instituto Português de Oncologia de Lisboa,
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Bucharest, Romania
- Recruiting
- Fundeni CLinical Institute, Clinic of Hematology
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Novi Sad, Serbia
- Recruiting
- Clinical Center of Vojvodina
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Valencia, Spain
- Recruiting
- Hospital La Fe, Dept of Hematology
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Stockholm, Sweden
- Recruiting
- Karolinsky Institute Huddinge University Hospital, Dept of Medicine Division HAematology
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Bern, Switzerland
- Recruiting
- Inselspital
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Leeds, United Kingdom
- Recruiting
- Leeds General Infirmary Dept of Hematology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Patients must meet all of the following criteria
- Age > 18 years
- Newly diagnosed patient (within 100 days from the date of the diagnostic bone marrow (BM) aspirate)
MDS classified according to current WHO criteria
- All sub groups of MDS
- Therapy-related MDS
- MDS with Fibrosis (MDS-F)
- AML with 20-<30 percent marrow blasts (former RAEB-t)
- CMML and other forms of mixed MDS/MPD
- IPSS and IPSS-R Risk group classification (mandatory)
- Able and willing to provide the written informed consent
Exclusion Criteria:
- Age <18 years
- Patient unwilling or unable to give consent
- AML with ≥30 percent marrow blasts according to WHO
- Patients with inv(16), t(5;17) and t(8;21) are considered AML and therefore not eligible
- Patients with higher risk MDS progressed from a previously diagnosed lower risk MDS that was not registered within 100 days after first diagnosis of (lower risk) MDS
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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MDS patients
Patients with MDS according to current WHO criteria and International Prognostic Scoring System (IPSS) classification
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Only registration of clinical practice
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Demographics
Time Frame: 14.5 years of follow-up (FU)
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The primary objective of this study is collect and describe demographics, clinical and lab manifestations, epidemiological data, genetic characteristics, HRQoL, disease-management, and treatment outcomes of MDS patients who are newly diagnosed and classified according to the WHO-2008 and WHO-2016 criteria
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14.5 years of follow-up (FU)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Correlations
Time Frame: 14.5 years of FU
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To investigate the relationship between:
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14.5 years of FU
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New prognostic scoring systems
Time Frame: 14.5 years of FU
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To derive and validate new prognostic scoring systems
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14.5 years of FU
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Scientific research in MDS
Time Frame: 14.5 years of FU
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To perform observational studies concerning relevant scientific research questions in MDS using clinical data and biological samples and to present relevant research outcomes in the fields of diagnosis & prognostication, HRQoL issues, health economics, risk stratification for newly developed classes of drugs.
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14.5 years of FU
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Dissemination
Time Frame: 14.5 years of FU
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To disseminate the results of the studies to all stakeholders involved
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14.5 years of FU
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Collaborators and Investigators
Investigators
- Study Chair: David Bowen, PhD, Leeds General Infirmary
- Study Director: Theo de Witte, Prof Dr, Radboud University Medical Center
Publications and helpful links
General Publications
- de Swart L, Crouch S, Hoeks M, Smith A, Langemeijer S, Fenaux P, Symeonidis A, Cermak J, Hellstrom-Lindberg E, Stauder R, Sanz G, Mittelman M, Holm MS, Malcovati L, Madry K, Germing U, Tatic A, Savic A, Almeida AM, Gredelj-Simec N, Guerci-Bresler A, Beyne-Rauzy O, Culligan D, Kotsianidis I, Itzykson R, van Marrewijk C, Blijlevens N, Bowen D, de Witte T; EUMDS Registry Participants. Impact of red blood cell transfusion dose density on progression-free survival in patients with lower-risk myelodysplastic syndromes. Haematologica. 2020 Mar;105(3):632-639. doi: 10.3324/haematol.2018.212217. Epub 2019 Jun 6.
- Itzykson R, Crouch S, Travaglino E, Smith A, Symeonidis A, Hellstrom-Lindberg E, Sanz G, Cermak J, Stauder R, Elena C, Germing U, Mittelman M, Langemeijer S, Madry K, Tatic A, Holm MS, Almeida AM, Savic A, Simec NG, Luno E, Culligan D, Guerci-Bresler A, Malcovati L, van Marrewijk C, Bowen D, de Witte T, Fenaux P; European MDS Registry members. Early platelet count kinetics has prognostic value in lower-risk myelodysplastic syndromes. Blood Adv. 2018 Aug 28;2(16):2079-2089. doi: 10.1182/bloodadvances.2018020495.
- de Swart L, Reiniers C, Bagguley T, van Marrewijk C, Bowen D, Hellstrom-Lindberg E, Tatic A, Symeonidis A, Huls G, Cermak J, van de Loosdrecht AA, Garelius H, Culligan D, Macheta M, Spanoudakis M, Panagiotidis P, Krejci M, Blijlevens N, Langemeijer S, Droste J, Swinkels DW, Smith A, de Witte T; EUMDS Steering Committee. Labile plasma iron levels predict survival in patients with lower-risk myelodysplastic syndromes. Haematologica. 2018 Jan;103(1):69-79. doi: 10.3324/haematol.2017.171884. Epub 2017 Nov 9.
- Garelius HK, Johnston WT, Smith AG, Park S, de Swart L, Fenaux P, Symeonidis A, Sanz G, Cermak J, Stauder R, Malcovati L, Mittelman M, van de Loosdrecht AA, van Marrewijk CJ, Bowen D, Crouch S, de Witte TJ, Hellstrom-Lindberg E. Erythropoiesis-stimulating agents significantly delay the onset of a regular transfusion need in nontransfused patients with lower-risk myelodysplastic syndrome. J Intern Med. 2017 Mar;281(3):284-299. doi: 10.1111/joim.12579. Epub 2016 Dec 7.
Helpful Links
- European MDS Registry
- European MDS network platform
- Publication (PMID: 25907546): Validation of the revised international prognostic scoring system (IPSS-R) in patients with lower-risk myelodysplastic syndromes: a report from the prospective European LeukaemiaNet MDS (EUMDS) registry
- Publication (PMID: 27926979): Erythropoiesis-stimulating agents significantly delay the onset of a regular transfusion need in nontransfused patients with lower-risk myelodysplastic syndrome
- Publication (PMID: 28526957): Cytomorphology review of 100 newly diagnosed lower-risk MDS patients in the European LeukemiaNet MDS (EUMDS) registry reveals a high inter-observer concordance
- Publication (PMID: 29122992): Labile plasma iron levels predict survival in patients with lower-risk myelodysplastic syndromes
- Publication (PMID: 29572506): Health-related quality of life in lower-risk MDS patients compared with age- and sex-matched reference populations: a European LeukemiaNet study
- Publication (PMID: 30126931): Early platelet count kinetics has prognostic value in lower-risk MDS
- Publication (PMID: 31171638): Impact of red blood cell transfusion dose density on progression-free survival in lower-risk myelodysplastic syndromes patients
- Publication (PMID: 31278207): Impact of treatment with iron chelation therapy in patients with lower-risk myelodysplastic syndromes participating in the European MDS registry
- Publication (PMID: 30037803): The use of immunosuppressive therapy in MDS: clinical outcomes and their predictors in a large international patient cohort
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 883
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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