Reduced intensity conditioning for older patients with myeloid malignancies

A Multiple-center Phase II Study to Evaluate the Clinical Outcome of Reduced Conditioning Regimen With Melphalan, Busulfan and Fludarabine for Patients >=55 Years With Myeloid Malignancies.

Phase 2 Interventional Shanghai Jiao Tong University School of Medicine · NCT05436561

This study is testing a gentler treatment plan for older patients with blood cancers to see if it helps them live longer and healthier after a stem cell transplant.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment61 (estimated)
Ages55 Years to 65 Years
SexAll
SponsorShanghai Jiao Tong University School of Medicine Academic / other
Drugs / interventionsfludarabine
Locations2 sites (Shanghai, Shanghai Municipality and 1 other locations)
Trial IDNCT05436561 on ClinicalTrials.gov

What this trial studies

This phase II clinical trial evaluates the effectiveness of a reduced intensity conditioning regimen using fludarabine, busulfan, and melphalan in patients aged 55 and older with myeloid malignancies such as AML, MDS, and CMML. The study aims to improve disease-free survival rates by utilizing a combination of double alkylating agents to enhance transplantation outcomes. Participants will be recruited from multiple centers and must have suitable HLA-matched donors. The trial will assess the clinical outcomes associated with this treatment approach.

Who should consider this trial

Good fit: Ideal candidates are patients aged 55-65 with myeloid malignancies who have HLA-matched donors.

Not a fit: Patients with significant liver, renal, or cardiac dysfunction, or those with active infections may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved disease-free survival rates for older patients with myeloid malignancies.

How similar studies have performed: Other studies have shown that reduced intensity conditioning regimens can improve transplantation outcomes in similar patient populations.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 55-65
* patients with HLA-matched sibling donors, 9-10/10 matched unrelated donors or haplo-identical donors.
* patients with AML in remission, or MDS in any stage, or CMML in any stage
* inform consent provided

Exclusion Criteria:

* patients with abnormal liver (\>3N), renal (1.5N) or cardiac function
* patients with active infection

Where this trial is running

Shanghai, Shanghai Municipality and 1 other locations

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 Disease-free Survival
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.