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Hematology

Azacitidine improves survival in myelodysplastic syndromes

In the past, myelodysplastic syndromes were managed primarily by supportive care measures, which had limited effects on symptomatic cytopenias or on the rate of leukemic transformation of these disorders. A new study reports that administration of the hypomethylation agent azacitidine significantly increases overall survival in patients with high-risk myelodysplastic syndromes compared with conventional care.

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References

  1. Fenaux, P. et al. Efficacy of azacitidine compared with that of conventional care regimens in the treatment of higher-risk myelodysplastic syndromes: a randomised, open-label, phase III study. Lancet Oncol. 10, 223–232 (2009).

    Article  CAS  Google Scholar 

  2. Silverman, L. R. et al. Randomized controlled trial of azacitidine in patients with the myelodysplastic syndrome: a study of the Cancer and Leukemia Group B. J. Clin. Oncol. 20, 2429–2440 (2002).

    Article  CAS  Google Scholar 

  3. Kornblith, A. B. et al. Impact of azacytidine on the quality of life of patients with myelodysplastic syndrome treated in a randomized phase III trial: a Cancer and Leukemia Group B study. J. Clin. Oncol. 20, 2441–2452 (2002).

    Article  CAS  Google Scholar 

  4. Lyons, R. M. et al. Hematologic response to three alternative dosing schedules of azacitidine in patients with myelodysplastic syndromes. J. Clin. Oncol. 27, 1850–1856 (2009).

    Article  CAS  Google Scholar 

  5. Wijermans, P. et al. Low-dose decitabine versus best supportive care in elderly patients with intermediate or high risk MDS not eligible for intensive chemotherapy: final results of the randomized phase III study (06011) of the EORTC Leukemia and German MDS study groups [abstract]. Blood 112, a226 (2008).

    Google Scholar 

  6. List, A. et al. Lenalidomide in the myelodysplastic syndrome with chromosome 5q deletion. N. Engl. J. Med. 355, 1456–1465 (2006).

    Article  CAS  Google Scholar 

  7. Raza, A. et al. Phase 2 study of lenalidomide in transfusion-dependent, low-risk, and intermediate-1 risk myelodysplastic syndromes with karyotypes other than deletion 5q. Blood 111, 86–93 (2008).

    Article  CAS  Google Scholar 

  8. Greenberg, P. et al. International scoring system for evaluating prognosis in myelodysplastic syndromes. Blood 89, 2079–2098 (1997).

    CAS  Google Scholar 

  9. Malcovati, L. et al. Time-dependent prognostic scoring system for predicting survival and leukemic evolution in myelodysplastic syndromes. J. Clin. Oncol. 25, 3503–3510 (2007).

    Article  Google Scholar 

  10. Borthakur, G. et al. Activity of decitabine in patients with myelodysplastic syndrome previously treated with azacitidine. Leuk. Lymphoma 49, 690–695 (2008).

    Article  CAS  Google Scholar 

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Correspondence to Michal G. Rose.

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The author declares no competing financial interests.

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Rose, M. Azacitidine improves survival in myelodysplastic syndromes. Nat Rev Clin Oncol 6, 502–503 (2009). https://doi.org/10.1038/nrclinonc.2009.125

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