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OncoMatch/Clinical Trials/NCT04245397

Study of SX-682 Alone and in Combination With Oral or Intravenous Decitabine in Subjects With Myelodysplastic Syndrome

Is NCT04245397 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including SX-682 and Decitabine for myelodysplastic syndromes.

Phase 1RecruitingSyntrix Biosystems, Inc.NCT04245397Data as of May 2026

Treatment: SX-682 · DecitabineThis study will determine the safety profile, maximum tolerated dose (MTD), dose-limiting toxicities (DLT), and recommended Phase 2 dose (RP2D) of SX-682 in the treatment of patients with Myelodysplastic Syndromes (MDS).

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Extracted eligibility criteria

Cancer type

Myelodysplastic Syndrome

Disease stage

Required: Stage IPSS LOW RISK, IPSS INTERMEDIATE-1 RISK, IPSS INTERMEDIATE-2 RISK, IPSS HIGH RISK

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: hypomethylating agent (azacitidine, decitabine) — at least 4 cycles started

failed prior treatment with at least 4 cycles started of a hypomethylating agent (HMA; azacitidine or decitabine) defined as no response to treatment, loss of response at any time point, or progressive disease/intolerance to therapy

Must have received: immunomodulatory agent (lenalidomide) — at least 4 cycles started

failed prior treatment with at least 4 cycles started of lenalidomide

Cannot have received: chemotherapeutic agents or experimental agents for MDS

Use of chemotherapeutic agents or experimental agents for MDS within 14 days of the first day of study drug treatment

Cannot have received: erythroid stimulating agents

Use of erythroid stimulating agents, Granulocyte-colony stimulating factor (G-CSF), or Granulocyte-macrophage colony-stimulating factor (GM-CSF) within 14 days of the first day of study drug treatment, or during the study

Cannot have received: other investigational drugs

Use of other investigational drugs within 30 days of study drug administration

Lab requirements

Kidney function

Renal glomerular filtration rate (GFR) ≥ 30 ml/min

Liver function

AST / ALT ≤ 3.0 times upper limit of normal; Bilirubin < 1.5 times upper limit of normal

Cardiac function

Mean triplicate heart rate-corrected QT interval (QTc) > 500 msec excluded; QT interval > 480 msec (Fridericia's formula) excluded; risk factors for Torsade de Pointes excluded; use of medication that prolongs QT interval excluded (except essential drugs); myocardial infarction ≤ 6 months prior excluded; unstable angina pectoris or serious uncontrolled cardiac arrhythmia excluded

Screening laboratory values: Renal glomerular filtration rate (GFR) ≥ 30 ml/min; AST / ALT ≤ 3.0 times upper limit of normal; Bilirubin < 1.5 times upper limit of normal. Mean triplicate heart rate-corrected QT interval (QTc) > 500 msec. Any of the following cardiac abnormalities: QT interval > 480 msec corrected using Fridericia's formula; Risk factors for Torsade de Pointes; Use of medication that prolongs the QT interval with the exception of drugs that are considered absolutely essential for the care of the subject; Myocardial infarction ≤ 6 months prior to first day of study drug treatment; Unstable angina pectoris or serious uncontrolled cardiac arrhythmia.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Mayo Clinic · Jacksonville, Florida
  • University of Miami · Miami, Florida
  • AdventHealth Medical Group & Bone Marrow Transplant at Orlando · Orlando, Florida
  • Moffitt Cancer Center · Tampa, Florida
  • Emory University · Atlanta, Georgia

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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