Azacitidine for Myeloid Malignancies After Stem Cell Transplant

This study is looking at whether the drug azacitidine can help patients with myeloid malignancies (cancers of the blood and bone marrow) like AML or MDS after they've had an allogeneic stem cell transplant (a transplant using donor cells). Sometimes after a transplant, the donor cells (chimerism) might decrease, which can increase the risk of the cancer coming back. Researchers want to see if azacitidine can help keep the donor cells stable and reduce the chance of relapse, without causing more graft-versus-host disease (when donor cells attack the patient's body). You might be able to join if you are between 18 and 75 years old and have experienced a drop in your donor cells after your transplant, or if your donor cells are below 98% without the cancer returning. The study aims to enroll 43 participants.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 43 participants.
What's involved
You would receive azacitidine at 32mg/m2 for 5 days every 28 days, for at least 4 cycles if you tolerate it well.
Compensation
Not stated in the trial record.
Follow-up
The main goal is to measure the rate of increase or stable donor chimerism at one year.

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NCT03850418

Azacitidine and Chimerism in MDS or AML Patients After Allogeneic Stem Cell Transplant

Recruiting
PHASE2Ages 18–75InterventionalTreatment
Henry Ford Health System
~43 participants
Updated 2026-02-24 on ClinicalTrials.gov
What's tested:azacitidine

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
The rate of increase or stable donor chimerism
Measured over one year
Myeloid Malignancy
1 sites across 1 states
Michigan1

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  • The rate of increase or stable donor chimerismone year

    To determine the rate of increase or stable donor chimerism when using low dose azacitidine post allogenic stem cell transplant (SCT) in patients with acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), chronic myelomonocytic leukemia (CMML) and myeloproliferative neoplasms (MPN) with documented low or decreasing donor chimerism