--- title: Antithymocyte Globulin Compared With Supportive Care in Treating Patients With Myelodysplastic Syndrome nct_id: NCT00017550 overall_status: COMPLETED phase: PHASE2 sponsor: Genzyme, a Sanofi Company study_type: INTERVENTIONAL primary_condition: Myelodysplastic Syndromes countries: United States, Canada canonical_url: "https://parkinsonspathways.com/agent/trials/NCT00017550.md" clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT00017550" ct_last_update_post_date: 2021-01-27 last_seen_at: "2026-05-12T06:51:48.514Z" source: ClinicalTrials.gov (mirrored, no enrichment) --- # Antithymocyte Globulin Compared With Supportive Care in Treating Patients With Myelodysplastic Syndrome **Official Title:** An Open Label, Prospective, Stratified, Randomized, Controlled, Multi-Center, Phase IIB Study of the Impact of Thymoglobulin Therapy on Transfusion Needs of Patients With Early Myelodysplastic Syndrome (MDS) **NCT ID:** [NCT00017550](https://clinicaltrials.gov/study/NCT00017550) ## Key Facts - **Status:** COMPLETED - **Phase:** PHASE2 - **Study Type:** INTERVENTIONAL - **Lead Sponsor:** Genzyme, a Sanofi Company - **Conditions:** Myelodysplastic Syndromes - **Start Date:** 2000-09 - **Completion Date:** 2003-11 - **CT.gov Last Update:** 2021-01-27 ## Brief Summary RATIONALE: Immunosuppressive therapy may improve bone marrow abnormalities and may be effective treatment for myelodysplastic syndrome. It is not yet known whether immunosuppressive therapy is more effective than supportive care in treating myelodysplastic syndrome. PURPOSE: Randomized phase II trial to compare the effectiveness of antithymocyte globulin with that of supportive care in treating patients who have myelodysplastic syndrome. ## Detailed Description OBJECTIVES: * Compare the clinical response rate of patients with early myelodysplastic syndrome treated with rabbit anti-thymocyte globulin vs standard supportive care. * Evaluate the safety of anti-thymocyte globulin in these patients. * Compare the time to and duration of clinical response, rates of partial response and therapy failure, and rate of disease progression in patients treated with these regimens. * Compare the ECOG performance score, number of transfusions and/or growth factor use, and maximum time between transfusions in patients treated with these regimens. * Compare the infection risk, use of medical resources, and quality of clinical response in patients treated with these regimens. OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to myelodysplastic syndrome (MDS) subtype (refractory anemia (RA) vs RA with excess blasts or hypocellular MDS). Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients receive rabbit anti-thymocyte globulin (ATG) IV over at least 8-12 hours on days 1-4. * Arm II: Patients receive standard supportive therapy for 6 months. At the end of 6 months, patients may receive ATG as in arm I. Patients are followed for 6 months. PROJECTED ACCRUAL: A total of 72 patients (48 in arm I and 24 in arm II) will be accrued within a minimum of 6 months. ## Eligibility - **Minimum age:** 18 Years - **Maximum age:** 120 Years - **Sex:** ALL - **Healthy Volunteers:** No ``` DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed early myelodysplastic syndrome (MDS) with less than 10% bone marrow blasts * Refractory anemia (RA) * RA with excess blasts (RAEB) * Hypocellular myelodysplasia * Low or intermediate-1 prognostic risk * Transfusion-dependent * Need for 2 or more units of red blood cells or platelets per month for 2 or more months prior to study OR * History of prior transfusions and 2 consecutive (at least 21 days apart) hemoglobin levels less than 8.0 g/dL or platelet counts less than 20,000/mm\^3 during the past 2 months * Hemoglobin no greater than 12.0 g/dL after prior transfusion * No myelosclerosis occupying more than 30% of bone marrow space * No RA with ringed sideroblasts, RAEB in transformation, or chronic myelomonocytic leukemia * No therapy-related MDS * No history of immune-related hematologic disorder (e.g., idiopathic thrombocytopenic purpura) PATIENT CHARACTERISTICS: Age: * 18 and over Performance status: * ECOG 0-2 Life expectancy: * At least 3 months Hematopoietic: * See Disease Characteristics * No other causes of cytopenia unrelated to MDS (e.g., gastrointestinal blood loss) * Iron present on marrow examination OR * Transferrin saturation at least 20% and ferritin at least 50 ng/mL Hepatic: * Bilirubin no greater than 2 mg/dL OR * SGOT/SGPT no greater than 2 times normal * No active or chronic hepatitis B or C Renal: * Creatinine no greater than 2 mg/dL Cardiovascular: * No symptomatic cardiac disease * No congestive heart failure (even if medically controlled) * No myocardial infarction within the past 6 months Pulmonary: * No severe pulmonary disease * If history of pulmonary insufficiency, must have pO\_2 at least 90 mm/Hg on room air or pCO\_2 no greater than 40 mm/Hg Other: * No history of unresolved B12 or folate deficiency since diagnosis of MDS * No untreated acute or chronic infection (afebrile for 7 days without antibiotics prior to study) * No active or chronic HIV * No concurrent cytomegalovirus infection * No other malignancy within the past 2 years except adequately treated localized squamous cell or basal cell skin cancer or carcinoma in situ of the cervix * No concurrent drug or alcohol abuse * No significant medical or psychosocial problems * No known allergy to rabbit protein * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: * At least 8 weeks since prior biologic agents, colony-stimulating factors, or epoetin alfa for MDS * At least 8 weeks since other prior investigational biologic agents * No prior or concurrent bone marrow transplantation * No concurrent epoetin alfa * No concurrent growth factors except filgrastim (G-CSF) or sargramostim (GM-CSF) for neutropenic fevers * No other concurrent biologic agents Chemotherapy: * At least 8 weeks since prior cytotoxic drugs for MDS * Concurrent chemotherapy for clinical indications of disease progression or leukemic transformation allowed Endocrine therapy: * At least 8 weeks since prior androgenic hormonal therapy for MDS * At least 8 weeks since prior danazol for MDS Radiotherapy: * No prior radiotherapy Surgery: * No prior organ transplantation Other: * At least 8 weeks since prior investigational drugs * At least 8 weeks since prior immunosuppressive drugs or other drugs for MDS * No concurrent immunosuppressive therapy * No other concurrent experimental drugs ``` ## Interventions - **anti-thymocyte globulin** (BIOLOGICAL) ## Locations (28) - Washington Cancer Institute, Washington D.C., District of Columbia, United States - University of Florida Health Science Center, Gainesville, Florida, United States - Sylvester Cancer Center, University of Miami, Miami, Florida, United States - H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States - Veterans Affairs Medical Center - Tampa (Haley), Tampa, Florida, United States - Winship Cancer Institute of Emory University, Atlanta, Georgia, United States - Rush Cancer Institute, Chicago, Illinois, United States - Indiana Blood and Marrow Transplant, Beech Grove, Indiana, United States - Holden Comprehensive Cancer Center, Iowa City, Iowa, United States - University of Kansas Medical Center, Kansas City, Kansas, United States - Tulane University School of Medicine, New Orleans, Louisiana, United States - Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States - University of Missouri Kansas City School of Medicine, Kansas City, Missouri, United States - Saint Louis University Cancer Center, St Louis, Missouri, United States - Siteman Cancer Center, St Louis, Missouri, United States - University of Nebraska Medical Center, Omaha, Nebraska, United States - Hackensack University Medical Center, Hackensack, New Jersey, United States - New York Presbyterian Hospital - Cornell Campus, New York, New York, United States - Mount Sinai Medical Center, NY, New York, New York, United States - James P. Wilmot Cancer Center, Rochester, New York, United States - New York Medical College, Valhalla, New York, United States - Comprehensive Cancer Center at Wake Forest University, Winston-Salem, North Carolina, United States - Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States - Texas Oncology P.A., Dallas, Texas, United States - Medical College of Wisconsin, Milwaukee, Wisconsin, United States - Foothills Hospital, Calgary, Alberta, Canada - Department of Medicine, Vancouver, British Columbia, Canada - Princess Margaret Hospital, Toronto, Ontario, Canada ## Recent Field Changes (last 30 days) - `eligibility.maxAge` — added _(2026-05-12)_ - `eligibility.sex` — added _(2026-05-12)_ - `armsInterventions.interventions` — added _(2026-05-12)_ - `sponsor.lead` — added _(2026-05-12)_ - `results.hasResults` — added _(2026-05-12)_ - `locations.washington cancer institute|washington d.c.|district of columbia|united states` — added _(2026-05-12)_ - `eligibility.criteria` — added _(2026-05-12)_ - `eligibility.minAge` — added _(2026-05-12)_ - `status.overallStatus` — added _(2026-05-12)_ - `status.primaryCompletionDate` — added _(2026-05-12)_ - `status.completionDate` — added _(2026-05-12)_ - `status.lastUpdatePostDate` — added _(2026-05-12)_ - `design.phases` — added _(2026-05-12)_ - `locations.university of florida health science center|gainesville|florida|united states` — added _(2026-05-12)_ - `locations.sylvester cancer center, university of miami|miami|florida|united states` — added _(2026-05-12)_ - `locations.h. lee moffitt cancer center and research institute|tampa|florida|united states` — added _(2026-05-12)_ - `locations.veterans affairs medical center - tampa (haley)|tampa|florida|united states` — added _(2026-05-12)_ - `locations.winship cancer institute of emory university|atlanta|georgia|united states` — added _(2026-05-12)_ - `locations.rush cancer institute|chicago|illinois|united states` — added _(2026-05-12)_ - `locations.indiana blood and marrow transplant|beech grove|indiana|united states` — added _(2026-05-12)_ - `locations.holden comprehensive cancer center|iowa city|iowa|united states` — added _(2026-05-12)_ - `locations.university of kansas medical center|kansas city|kansas|united states` — added _(2026-05-12)_ - `locations.tulane university school of medicine|new orleans|louisiana|united states` — added _(2026-05-12)_ - `locations.sidney kimmel comprehensive cancer center at johns hopkins|baltimore|maryland|united states` — added _(2026-05-12)_ - `locations.university of missouri kansas city school of medicine|kansas city|missouri|united states` — added _(2026-05-12)_ - `locations.saint louis university cancer center|st louis|missouri|united states` — added _(2026-05-12)_ - `locations.siteman cancer center|st louis|missouri|united states` — added _(2026-05-12)_ - `locations.university of nebraska medical center|omaha|nebraska|united states` — added _(2026-05-12)_ - `locations.hackensack university medical center|hackensack|new jersey|united states` — added _(2026-05-12)_ - `locations.new york presbyterian hospital - cornell campus|new york|new york|united states` — added _(2026-05-12)_ - `locations.mount sinai medical center, ny|new york|new york|united states` — added _(2026-05-12)_ - `locations.james p. wilmot cancer center|rochester|new york|united states` — added _(2026-05-12)_ - `locations.new york medical college|valhalla|new york|united states` — added _(2026-05-12)_ - `locations.comprehensive cancer center at wake forest university|winston-salem|north carolina|united states` — added _(2026-05-12)_ - `locations.cleveland clinic taussig cancer center|cleveland|ohio|united states` — added _(2026-05-12)_ - `locations.texas oncology p.a.|dallas|texas|united states` — added _(2026-05-12)_ - `locations.medical college of wisconsin|milwaukee|wisconsin|united states` — added _(2026-05-12)_ - `locations.foothills hospital|calgary|alberta|canada` — added _(2026-05-12)_ - `locations.department of medicine|vancouver|british columbia|canada` — added _(2026-05-12)_ - `locations.princess margaret hospital|toronto|ontario|canada` — added _(2026-05-12)_ --- *Canonical: https://parkinsonspathways.com/agent/trials/NCT00017550.md* *Source data (authoritative): https://clinicaltrials.gov/study/NCT00017550* *This page is a raw mirror with no AI summary, no editorial enrichment, and no Parkinson's-specific filtering.*