Hematopoietic growth factors in myelodysplastic syndromes.

Abstract:

:Hematopoietic growth factors (HGFs) continue to be the most widely prescribed class of medications for patients with myelodysplastic syndromes (MDS), despite the advent of disease-modifying therapies for MDS (eg, azacitidine, decitabine, and lenalidomide) and the current absence of an MDS-specific US Food and Drug Administration (FDA)-approved indication for any of the HGFs. Erythropoiesis-stimulating agents (ESAs: epoetin alfa, darbepoetin alfa), myeloid growth factors (MGFs: filgrastim, pegfilgrastim, sargramostim), and the newest group of HGFs, thrombopoiesis-stimulating agents (TSAs: romiplostim, eltrombopag), can increase peripheral blood counts in some patients, and may ameliorate some of the signs and symptoms of MDS-associated bone marrow failure. Although HGFs are generally considered "supportive care" measures, recent data suggest that HGFs may alter the natural history of disease in MDS, either for better or worse. This review examines data on the safety and effectiveness of HGFs for patients with MDS.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Steensma DP

doi

10.1053/j.seminoncol.2011.04.014

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

635-47

issue

5

eissn

0093-7754

issn

1532-8708

pii

S0093-7754(11)00129-1

journal_volume

38

pub_type

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