Transfusion Effects of Myelodysplastic Patients: Limiting Exposure

ISRCTN ISRCTN43616311
DOI https://doi.org/10.1186/ISRCTN43616311
Secondary identifying numbers N/A
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
27/09/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Dick J. van Rhenen
Scientific

Sanquin Blood Bank South West Region
Wytemaweg 10
Rotterdam
3015 CN
Netherlands

Phone +31 (0)10 463 0630
Email dick.van.rhenen@bloodrtd.nl

Study information

Study designMulticentre, randomised, single blind, active controlled, parallel group trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleTransfusion Effects of Myelodysplastic Patients: Limiting Exposure
Study acronymTEMPLE study
Study objectives1. There is no difference in Health Related Quality of Life (HRQoL) using a Haemoglobin (Hb) transfusion trigger of 7.2 g/dl compared to Hb transfusion trigger of 9.6 g/dl
2. A Hb transfusion trigger of 7.2 g/dl leads to a diminished use of Red Blood Cell (RBC) transfused compared to a Hb transfusion trigger of 9.6 g/dl
3. A Hb transfusion trigger of 7.2 g/dl leads to a decrease in the development of RBC allo-antibodies
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedMyelodysplastic Syndrome (MDS)
InterventionRed blood cell transfusion.
Intervention typeOther
Primary outcome measureFatigue.
Secondary outcome measures1. Health Related Quality of Life (HRQoL)
2. Blood usage and the costs
3. Haemoglobin increase after transfusion
4. Heart beat, blood pressure, temperature, platelet count
5. Development of RBC alloantibodies
6. Mortality
Overall study start date10/02/2002
Completion date31/12/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants200
Key inclusion criteria1. Diagnosis myelodysplastic syndrome (primary or secondary) based on cytopenia in at least 1 cell line and dysplasia in 2 cell lines (and no other cause [especially deficiencies]) and a pathologic anatomic diagnosis after bone marrow punction
2. Refractory Anaemia (RA):
2.1. Blood: less than or equal to 1% blasts, less than or equal to 1 x 10^9 monocytes
2.2. Bone marrow: less than 5% blasts, ringed sideroblasts less than or equal to 15% of the erythroid cells
3. Refractory Anaemia with Ringed Sideroblasts (RARS):
3.1. Blood: less than or equal to 1% blasts, less than or equal to 1 x 10^9 monocytes
3.2. Bone marrow: less than 5% blasts, ringed sideroblasts greater than 15% of the erythroid cells
4. Refractory Anaemia with Excess Blasts (RAEB):
4.1. Blood: less than 5% blasts, less than or equal to 1 x 10^9 monocytes
4.2. Bone marrow: blasts greater than or equal to 5% to less than or equal to 20%
5. Chronic Myelomonocytic Leukaemia (CMML):
5.1. Blood: greater than 1 x 10^9/l monocytes, less than 5% blasts
5.2. Bone marrow: blasts less than 20%, increase of the monocytic component
6. Erythrocyte transfusion need
7. Working knowledge of the national language
8. Written consent for participating this study (informed consent)
Key exclusion criteria1. Candidate for bone marrow or organ transplantation
2. Medication: growth factors (Granulocyte Monocyte Colony Stimulating Factor [GM-CSF]), or Erythropoietin (EPO)
3. Patients who will receive an intensive chemotherapeutic treatment with a cytopenia, expected longer than 2 weeks
4. Refractory anaemia with excess blasts in transformation (RAEB-t):
4.1. Blood: 5% blasts or Auer rods
4.2. Bone marrow: or blasts greater than 20% to less than 30% or Auer rods
5. Pregnancy at the moment of inclusion
6. Patients with congenital severe haemolytic anaemia, like thalassemia or sickle cell anaemia
7. Patients with Acquired Immune Deficiency Syndrome (AIDS) or a severe congenital or acquired (e.g., iatrogenic) immunological disorder
8. Severe active infections at the moment of inclusion
9. Severe cardiac, pulmonal, neurological, metabolic or psychiatric disease at the moment of inclusion
Date of first enrolment10/02/2002
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Sanquin Blood Bank South West Region
Rotterdam
3015 CN
Netherlands

Sponsor information

Sanquin Blood Bank South West Region (The Netherlands)
Research organisation

Wytemaweg 10
Rotterdam
3015 CN
Netherlands

Website http://www.sanquin.nl/sanquin-nl/sqn_home_nl.nsf
ROR logo "ROR" https://ror.org/01fm2fv39

Funders

Funder type

Government

The Netherlands Ministry of Health, Welfare and Sport (The Netherlands)

No information available

National Institute of Public Health and Environmental Protection (RIVM) (The Netherlands)

No information available

Friends of the Blood Transfusion Foundation (Stichting Vrienden van de Bloedtransfusie) (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2003 Yes No

Editorial Notes

27/09/2017: internal review.