Combination of erythropoietin and thalidomide for the treatment of anemia in patients with myelodysplastic syndromes.

Abstract:

:We investigated the therapeutic activity of recombinant erythropoietin (r-EPO) in association with thalidomide in 30 patients with myelodysplastic syndromes (MDS), previously treated with r-EPO (n.15, group A) or thalidomide (n.15, group B) as single agents, respectively, without any significant benefit on their anemia. Four patients of group A and three of group B (23.3%) achieved an erythroid response, according to International Working Group (IWG) criteria. After 12 weeks, responders of group A continued with thalidomide alone, those of group B with r-EPO alone. All responses were maintained, thus suggesting they were likely due to the second drug adjuncted (thalidomide for group A and r-EPO for group B), rather than to a combined effect. Our results do not support the hypothesis of a synergistic activity for the association of r-EPO and thalidomide on anemia of MDS. It seems, instead, that two populations of patients can be identified, according to their sensitivity to r-EPO or, alternatively, to thalidomide.

journal_name

Leuk Res

journal_title

Leukemia research

authors

Musto P,Falcone A,Sanpaolo G,Bodenizza C

doi

10.1016/j.leukres.2005.08.020

keywords:

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

385-8

issue

4

eissn

0145-2126

issn

1873-5835

pii

S0145-2126(05)00330-9

journal_volume

30

pub_type

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