Multicenter study evaluating the impact of hypomethylating agents as bridging therapy to hematopoietic stem cell transplantation in myelodysplastic syndromes View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05

AUTHORS

Yundeok Kim, In-Ho Kim, Hyeong Joon Kim, Silvia Park, Kyoo-Hyung Lee, Soo Jeong Kim, Jung-Hee Lee, Dae-Young Kim, Sung-Soo Yoon, Yeo-Keoung Kim, Jun Ho Jang, Seon Yang Park, Jae-Sook Ahn, Chul Won Cheong, Je-Hwan Lee, June-Won Cheong, Korean Society of Hematology Acute myeloid Leukemia/Myelodysplastic Syndrome Working Party

ABSTRACT

Allogeneic hematopoietic stem cell transplantation (alloSCT) is currently the only curative treatment modality for myelodysplastic syndromes (MDS). The treatment paradigm for MDS has changed in recent years with the introduction of hypomethylating agents (HMAs). The present retrospective multicenter study was designed to assess the effects of pre-transplant HMA on transplant outcome and determine which patients would benefit most from this therapy. A total of 109 patients who received alloSCT at one of five institutions between 2007 and 2010 were enrolled in this study regardless of pre-transplant HMA therapy. 81 of the 109 patients enrolled were treated with HMA prior to alloSCT. 28 patients received alloSCT without HMA bridging. The distributions of WHO classification groups and IPSS scores were similar between the two groups (P = 0.752 and P = 0.265, respectively). Pre-transplant HMA did not affect OS (P = 0.244), and there were no differences in response to HMA therapy within the HMA-treated group. The cumulative incidence of NRM was not significantly different between the two groups (P = 0.500). However, for patients with a high blast count (>5 % of bone marrow at the time of diagnosis), pre-transplant HMA therapy had a NRM benefit (83.3 vs. 48.6 %, P = 0.014). More... »

PAGES

635-643

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12185-014-1549-3

DOI

http://dx.doi.org/10.1007/s12185-014-1549-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037778842

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24648120


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Download the RDF metadata as:  json-ld nt turtle xml License info

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