Decitabine treatment of patients with higher-risk myelodysplastic syndromes

被引:15
作者
Steensma, David P. [1 ]
机构
[1] Dana Farber Canc Inst, Dept Hematol Malignancies, Boston, MA 02115 USA
关键词
Myelodysplastic syndromes; Clinical trials; DNA methylation; Decitabine; 5-Aza-2 '-deoxycytidine; Azacitidine; CHRONIC-MYELOMONOCYTIC-LEUKEMIA; INTERNATIONAL WORKING GROUP; RESPONSE CRITERIA; CLINICAL-RESPONSE; PHASE-III; AZACITIDINE; MONOSOMY-7; EFFICACY; CANCER; TRIAL;
D O I
10.1016/S0145-2126(09)70228-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Since receiving US regulatory approval in 2006 for the treatment of patients with myelodysplastic syndromes, decitabine has also gained marketing approval in several other countries. Rates of complete remission (CR) reported for decitabine range from 9% in the US registration trial to 34% in a study of novel treatment schedules, while reported overall improvement rates range from 30% to 73%. Further studies are needed to determine the relative merits of decitabine compared with azacitidine, the optimal decitabine dose and schedule, how best to proceed following CR, molecular predictors of treatment response, and the possible role of this agent in combination regimens. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:S12 / S17
页数:6
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