Evaluating the response to a biosimilar treatment for anemia in MDS patients

Valutazione Della Risposta Alla Terapia Con Eritropoietina Alfa Biosimilare Nei Pazienti Anemici Affetti da Sindrome Mielodisplastica

Observational IRCCS Azienda Ospedaliero-Universitaria di Bologna · NCT06764511

This study is testing how well a new version of an anemia treatment works for people with Myelodysplastic Syndromes who have either responded to the original treatment before or are starting it for the first time.

Quick facts

Study typeObservational
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorIRCCS Azienda Ospedaliero-Universitaria di Bologna Academic / other
Drugs / interventionschemotherapy
Locations1 site (Bologna)
Trial IDNCT06764511 on ClinicalTrials.gov

What this trial studies

This observational study aims to assess the response of patients with Myelodysplastic Syndromes (MDS) to biosimilar Erythropoietin Alfa therapy. It focuses on patients who have previously responded to the originator EPO alpha and those starting treatment with the biosimilar. The study will analyze real-life data to determine the efficacy and safety of this treatment in symptomatic anemia cases. The goal is to fill the gap in existing knowledge regarding biosimilar ESAs in MDS patients, as current data is limited and primarily based on other conditions.

Who should consider this trial

Good fit: Ideal candidates include adults with symptomatic anemia due to MDS, characterized by low to intermediate risk and specific pre-treatment criteria.

Not a fit: Patients with other causes of anemia or those receiving cytotoxic chemotherapy may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the effectiveness of biosimilar EPO alpha, potentially improving treatment options for anemic MDS patients.

How similar studies have performed: While there is limited data on biosimilar ESAs in MDS, similar studies in other anemia contexts have shown positive outcomes.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

MDS patients with symptomatic anemia (pre-treatment hemoglobin \< 10g/dL) who started treatment with biosimilar EPO alpha, diagnosed according to the WHO 2016 classification, and characterized by very low, low, or intermediate IPSS-R risk and a pre-treatment serum EPO level \< 500 U/L, who started treatment with biosimilar EPO alpha at the U. O. of Hematology of IRCCS AOUBO during the period from 01/06/2018 to 31/12/2021.

* Age ≥ 18 years at the time of enrollment
* Acquisition of informed consent to study participation and data processing

Exclusion Criteria:

* \- Presence of other possible contributory causes of anemia (e.g., anemia from chronic inflammatory disease, hemolysis, hemorrhage)
* Poor compliance with treatment
* Very impaired general clinical condition (ECOG performance status \> 3)
* Concomitant treatment with antineoplastic cytotoxic drugs

Where this trial is running

Bologna

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Myelodysplastic Syndromes
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.