Abstract:
:Antithymocyte globulin (ATG) has recently been popularized as an effective treatment in myelodysplastic syndrome (MDS). We treated 8 anemic MDS patients (refractory anemia [RA] and refractory anemia with excess blasts [RAEB-1]) with ATG (40 mg/kg/d for 4 days) and prednisone in a phase 2 trial. The study was stopped early according to a preset termination rule because of lack of efficacy. There were no salutary responses. Toxicities included serum sickness (in all patients), transient neutropenia and thrombocytopenia, diarrhea, vomiting, and syncope with a generalized seizure. At least 3 patients had the HLA-DR15 (DR2) allele. We conclude that the risk-benefit ratio of ATG in an unselected population of MDS patients may be unfavorable, and more work is needed to define the subset of patients who will respond to ATG before its widespread use can be recommended.
journal_name
Bloodjournal_title
Bloodauthors
Steensma DP,Dispenzieri A,Moore SB,Schroeder G,Tefferi Adoi
10.1182/blood-2002-09-2867subject
Has Abstractpub_date
2003-03-15 00:00:00pages
2156-8issue
6eissn
0006-4971issn
1528-0020pii
2002-09-2867journal_volume
101pub_type
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