Using Ruxolitinib and Decitabine for patients with high risk blood cancers undergoing stem cell transplantation

Ruxolitinib and Decitabine Intensified Conditioning Regimen for Patients With High Risk Hematological Malignancies Underwenting Allogeneic Stem Cell Transplantation

Phase1; Phase2 Interventional Chinese PLA General Hospital · NCT04582604

This study is testing a new treatment combining Ruxolitinib and Decitabine to see if it helps people with high-risk blood cancers have better outcomes after a stem cell transplant.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Enrollment60 (estimated)
Ages12 Years to 65 Years
SexAll
SponsorChinese PLA General Hospital Academic / other
Drugs / interventionsRuxolitinib
Locations1 site (Beijing, Beijing)
Trial IDNCT04582604 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the safety and effectiveness of a modified conditioning regimen that combines Ruxolitinib and Decitabine for patients with high-risk hematological malignancies who are undergoing allogeneic peripheral blood stem cell transplantation. The investigators are testing this intensified regimen to improve transplant outcomes for patients with conditions such as relapsed or refractory acute leukemia and myelodysplastic syndromes. Eligible participants will receive the modified Bu/Cy conditioning regimen and will be monitored for efficacy and feasibility throughout the process.

Who should consider this trial

Good fit: Ideal candidates include patients aged 12 to 65 with high-risk hematological malignancies who are eligible for allogeneic stem cell transplantation.

Not a fit: Patients with uncontrolled infections, severe mental illness, or those who are pregnant will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve transplant outcomes for patients with high-risk blood cancers.

How similar studies have performed: While this approach is novel, similar studies have shown promise in improving outcomes for patients undergoing stem cell transplantation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Relapsed/refractory acute leukemia with indications for allogeneic hematopoietic stem cell transplantation; High risk acute leukemia with indications for allogeneic hematopoietic stem cell transplantation;
2. Medium to high risk myelodysplastic syndrome, myeloproliferative disease, myelodysplastic syndrome/myeloproliferative disease, Chronic myelomonocytic leukemia;
3. Have matched sibling donors, ≥8/10 HLA matched unrelated donors or haploidentical donors
4. All patients should aged 12 to 65 years;
5. Liver function: ALT and AST≤2.5 times the upper limit of normal , bilirubin≤2 times the upper limit of normal;
6. Renal function: creatinine ≤the upper limit of normal;
7. Patients without any uncontrolled infections , without organ dysfunction or without severe mental illness;
8. Eastern Cooperative Oncology Group (ECOG) performance status ≤2;
9. Have signed informed consent.

Exclusion Criteria:

1. pregnant women;
2. Patients with mental illness or other states unable to comply with the protocol;
3. AML patients with t (15;17);

Where this trial is running

Beijing, Beijing

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 Peripheral Blood Stem Cell Transplantation
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.