Evaluation of Tranexamic Acid in Myelodysplastic Syndromes and Acute Myeloid Leukemia

What this study is about

Myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) are serious, life changing blood cancers. Patients with MDS and AML commonly experience complications related to bleeding, which affect patient quality-of-life and can sometimes lead to hospitalization or death. The investigators will conduct a randomized controlled trial to evaluate the effectiveness and safety of tranexamic acid (TXA; a medication that prevents clots from dissolving) to prevent bleeding. In this study, 50% of patients will be randomized (like the flip of a coin) to receive TXA; the other 50% of patients will receive placebo. The investigators will monitor both groups of patients to see if the medication improves the risk and/or severity of bleeding. If tranexamic acid were to safely reduced the frequency of bleeding, this would broadly influence how doctors provide care for patients with MDS and AML around the world.

Who can join (things the study team will check)

✅ You may be able to join if…

• Age ≥ 18 years
• Diagnosis of myelodysplastic syndromes, myelodysplastic/myeloproliferative neoplasm or acute myeloid leukemia MYELO-CAN TXA inclusion criteria:
• Receipt of less-intensive chemotherapy (includes both frontline and relapsed/refractory setting)
• Severe thrombocytopenia (platelets ≤ 30x10\^9/L or platelets ≤ 50x10\^9/L prior to chemotherapy initiation)

🚫 You may not be able to join if…

• Participant is deemed unlikely to survive >30 days (as determined by clinical team)
• Participant unable to provide informed consent MYELO-CAN TXA exclusion criteria:
• Known allergy to tranexamic acid
• Active thromboembolic disease
• Active ischemic heart disease
• Gross hematuria
• Stage V chronic kidney disease
• Clinically suspected disseminated intravascular coagulation (DIC)
• Pregnancy and/or breastfeeding

Where this trial is running

• CancerCare Manitoba, Winnipeg, Manitoba, Canada

Who to contact

Brett Houston, MD, PhD · 204-787-8552 · bhouston@cancercare.mb.ca

It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT06599762.