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NCT07616336Not yet recruitingPhase 2

Chidamide Monotherapy for Intermediate-to-High-Risk Myelodysplastic Syndromes

A Single-Arm, Open-Label Phase II Clinical Trial Evaluating the Efficacy and Safety of Chidamide Monotherapy in Participants With Intermediate-to-High-Risk Myelodysplastic Syndromes

Source: ClinicalTrials.gov · Last updated 1 Jun 2026

Brief summary (registry, in English)

Myelodysplastic syndromes (MDS) are a group of bone marrow disorders that can cause low blood cell counts and may progress to acute leukemia. Treatment options for patients with intermediate-to-high-risk MDS are limited, especially for older patients or those who are not suitable for intensive chemotherapy or hypomethylating agents. Chidamide is an oral histone deacetylase inhibitor that has shown antitumor activity in several hematologic malignancies. This study aims to evaluate the effectiveness and safety of chidamide used alone in patients with intermediate-to-high-risk MDS. This is a prospective, single-arm, open-label phase II study conducted at a single center. Eligible participants will receive oral chidamide twice weekly and will be followed for treatment response and side effects. The results of this study may help determine whether chidamide could be a potential treatment option for patients with intermediate-to-high-risk MDS who have limited therapeutic choices.

Status (registry)
Not yet recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
15 (estimated)
First submitted
17 Jan 2026
Start date
1 Jul 2026
Primary completion date
31 Mar 2027
Lead sponsor
Zhongshan Hospital (Xiamen), Fudan University
NCT number
NCT07616336

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 15
  • From 1 Jul 2026 to the primary completion date, 31 Mar 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior treatment with chidamide.
  • Concurrent diagnosis of acute myeloid leukemia (AML) or other active hematologic malignancy.
  • Receipt of intensive chemotherapy, hypomethylating agents, or other investigational agents within 4 weeks before enrollment.
  • Uncontrolled active infection or severe concurrent medical condition that, in the investigator's judgment, would interfere with study participation.

Other illness

  • Known hypersensitivity to chidamide or any of its excipients.
  • Any condition that, in the investigator's judgment, would make the participant unsuitable for participation in this study.

Lab values

  • Clinically significant cardiac disease, including uncontrolled arrhythmia or clinically relevant QT interval prolongation.

Other

  • Bone marrow blasts \>=15% at screening.
  • Participation in another interventional clinical trial at the time of enrollment.

Who the study is looking for

  • Aged 60 years or older at the time of informed consent.
  • Diagnosis of myelodysplastic syndromes (MDS) according to the World Health Organization (WHO) classification.
  • Intermediate-to-high-risk MDS, defined as at least one of the following:
  • International Prognostic Scoring System (IPSS) risk category of Intermediate-2 or High, with bone marrow blasts \<15%.
  • Revised International Prognostic Scoring System (IPSS-R) risk category of Intermediate, High, or Very High, with bone marrow blasts \<15%.
  • Intermediate-1 risk MDS with grade 1 to 3 anemia and not suitable for hypomethylating agent therapy.
  • Evidence of persistent cytopenia affecting one or more hematopoietic lineages for at least 4 months, unless MDS-associated cytogenetic abnormalities or increased blasts are present.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • Adequate organ function as assessed by laboratory tests within 7 days before enrollment, including liver, renal, and cardiac function, in the opinion of the investigator.
  • Ability to understand and willingness to sign a written informed consent form.

Age in the registry: 60 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Zhongshan Hospital Xiamen, Fudan University
Coordinator of this site? Confirm its status
XiamenChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.