Iron Reduction Device for Myelodysplastic Syndrome
Feasibility Trial of Extracorporeal Iron Purification in Patients With Myelodysplastic Syndrome or Myelofibrosis
Recruiting
N/AInterventional Study
Myelodysplastic SyndromeMyelofibrosis
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
13 (estimated)
Sponsor
Hospices Civils de Lyon · Other
Who this trial is looking for
This trial is looking for patients with myelodysplastic syndrome or myelofibrosis who need regular blood transfusions. Participants will use a special device to help reduce excess iron in their bodies and will have follow-up visits to monitor their health.
Are You a Good Fit for This Trial?
You may be able to join if
I have been diagnosed with myelodysplastic syndrome or myelofibrosis.
I have a platelet count of 50 or more.
I have severe anemia with hemoglobin less than 70 g/L.
I cannot tolerate oral or subcutaneous iron treatments.
My ferritin level is above 1000 µg/L or I have a specific iron measurement problem.
I can understand French and follow study rules.
I agree to sign a consent form.
You may not be able to join if
I have primary hemochromatosis.
I weigh less than 30 kg.
I have an allergy to heparin or citrate.
I am receiving chemotherapy for my blood condition.
I have received treatment with luspatercept or EPO in the last month.
I need a bone marrow transplant.
I am allergic to shellfish.
I am pregnant or breastfeeding.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
In transfusion-dependent myelodysplastic syndromes patients, regular blood transfusions lead to iron overload, which can cause organ damage, hormonal imbalances, and increased infection risk, ultimately impacting patient survival. Standard oral iron chelation therapies can be intolerable for some patients due to adverse effects. The MEX-CD1 device (class III) could potentially offer an alternative…
In transfusion-dependent myelodysplastic syndromes patients, regular blood transfusions lead to iron overload, which can cause organ damage, hormonal imbalances, and increased infection risk, ultimately impacting patient survival. Standard oral iron chelation therapies can be intolerable for some patients due to adverse effects. The MEX-CD1 device (class III) could potentially offer an alternative for these patients by reducing serum iron levels through a novel, extracorporeal approach.
MEXIRON clinical investigation focuses on the use of MEX-CD1, a medical device designed for extracorporeal chelation therapy to reduce iron overload in patients suffering from transfusion-dependent myelodysplastic syndromes (MDS) and myelofibrosis.
MEXIRON aims to evaluate the device's use feasibility, safety, and effectiveness in reducing iron levels. Transfusions needs, patient experience and quality of life are also assessed.
Each enrolled patients will undergo three low-volume continuous veno-venous haemodialysis cycles within one week.
Following the three- haemodialysis cycles, patients will be monitored through on-site follow-up visits at 7 days, 28 days, and 90 days post-treatment to assess long-term effects.
Trial Locations
Loading…
Loading trial locations…
Facility
City
State
Country
Status
Eligibility Criteria
Inclusion Criteria:
* Patient followed for myelodysplastic syndrome or myelofibrosis.
* Patient with platelet count ≥50 giga/L at inclusion.
* Patients with severe anemia and hemoglobin \<70 g/L at baseline.
* Patient with intolerance or contraindication to oral or subcutaneous chelation therapy.
*…
Inclusion Criteria:
* Patient followed for myelodysplastic syndrome or myelofibrosis.
* Patient with platelet count ≥50 giga/L at inclusion.
* Patients with severe anemia and hemoglobin \<70 g/L at baseline.
* Patient with intolerance or contraindication to oral or subcutaneous chelation therapy.
* Ferritinemia \>1000 µg/L or hepatic iron concentration ≥7 mg/g or cardiac T2\* \<20 ms at inclusion.
* Patient able to understand (French-speaking) and comply with protocol, having signed informed consent.
Exclusion Criteria:
* Patients with primary hemochromatosis (transferrin saturation coefficient CS-Tf \> 45%).
* Patients with a contraindication to the use of MEX-CD1: weight \< 30 kg, iron deficiency.
* Patients with a known allergy or contraindication to heparin or citrate.
* Patients undergoing azacitidine or other chemotherapy (or considered as such) for myelodysplastic syndrome or myelofibrosis.
* Patient who received treatment with luspatercept or erythropoietin (EPO) during the month prior to inclusion.
* Patients with indications for allogeneic bone marrow transplantation.
* Patients with a known allergy to shellfish (MEX-CD1 contains chitosan of animal origin) or to one of the other components of MEX-CD1.
* Patients with a peripheral vascular access that is difficult to access or that needs to be preserved.
* Patients participating in other interventional research that could interfere with the results of the study.
* Patients under legal protection or unable to express their consent.
* Patients under psychiatric care.
* Patient deprived of liberty by judicial or administrative decision.
* Pregnant or breast-feeding women.
Picking one helps us show the most relevant trials first.
Your results are loading in the background — you can
change this any time from the results page.
Set your location to continue
Find My Trials uses your location to surface clinical trials near you.
Add your city or zip code to your profile and try again.