Effects of azacitidine compared with conventional care regimens in elderly (>= 75 years) patients with higher-risk myelodysplastic syndromes

John F. Seymour, Pierre Fenaux, Lewis R. Silverman, Ghulam J. Mufti, Eva Hellstrom-Lindberg, Valeria Santini, Alan F. List, Steven D. Gore, Jay Backstrom, David McKenzie, C. L. Beach

    Research output: Contribution to journalLiterature reviewpeer-review

    111 Citations (Scopus)

    Abstract

    This analysis compared azacitidine (AZA) to conventional care regimens (CCR) and their associated overall survival (OS) and tolerability in the subset of 87 elderly (>= 75 years) patients with higher-risk MDS (FAB: RAEB, RAEB-t, CMML and IPSS: Int-2 or High) from the AZA-001 trial. Patients were randomized to AZA (75 mg/m(2)/day subcutaneously x 7 days every 28 days) (n = 38) or CCR (n = 49) and had median ages of 78 and 77 years, respectively. AZA significantly improved OS vs CCR (HR: 0.48 [95%CI: 0.26, 0.89]; p = 0.0193) and 2-year OS rates were 55% vs 15% (p= 75 years with good performance status and higher-risk MDS. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)218 - 227
    Number of pages10
    JournalCritical Reviews in Oncology/Hematology
    Volume76
    Issue number3
    DOIs
    Publication statusPublished - Dec 2010

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