About this trial
The goal of this clinical trial is to learn about the safety and effectiveness of the combination drug Tetrahydrouridine (THU) and decitabine (DEC) to treat patients with relapsed or refractory myelodysplastic syndrome. The main questions it aims to answer are:
* Does the combination drug exhibit hematological and nonhematological toxicity? * Does the combination drug improve health status and reduce the number of days of hospitalization?
Participants will:
* Take tetrahydrouridine and decitabine once a week for 24 weeks * Visit the clinic once every 4 weeks for checkups and tests * Keep a diary of their symptoms
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients must have a diagnosis of MDS that has received one or more prior standard therapies and is relapsed or refractory
Patients must be 18 years of age or older
Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 3
Patients must have adequate end-organ function
Disqualifiers
Diagnosis of acute promyelocytic leukemia (APL)
Prior treatment with ≥4 28-day cycles of parenteral or oral decitabine
No other disease-directed therapy, save for hydroxyurea, including experimental or investigational drug therapy for 14 days prior to study entry (hydroxyurea should be discontinued ≥24 hours prior to initiation of study drug)
Requiring concomitant treatment with drugs that are cytidine deaminase (CDA) substrates and/or inhibitors, e.g., cytarabine, 5-azacytidine, gemcitabine
Trial design
Single group
Treatments tested in this trial
Decitabine
DrugOral tetrahydrouridine and oral decitabine capsule
Treatment groups
Trial outcomes
Primary outcomes
White blood cell measurement
Measure neutrophils count
Platelet count
Measure platelets in the blood
Secondary outcomes
Response for high-risk MDS
Measure using International Working Group (IWG) 2023 response criteria
Hospitalization
Record the number of days of hospitalization
Sponsors and contacts
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Treebough Therapies
Lead sponsor
EpiDestiny, Inc.
Collaborator