Recombinant human erythropoietin in patients with myelodysplastic syndrome and myelofibrosis.

Abstract:

:In a dose titration study we tested the efficacy and tolerance of recombinant human erythropoietin (rhEPO) in 10 patients with myelodysplasia (MDS) and 2 patients with idiopathic myelofibrosis. Patients with a haemoglobin level < 100 g/l were treated as out-patients for 12 weeks with daily doses ranging from 30 U/kg body weight (BW) up to 240 U/kg BW in non-responders. Of the 10 patients with MDS, 6 were suffering from refractory anaemia with sideroblasts (RAS) and 4 from refractory anaemia with an excess of blasts. The median age was 73 years (range 41-81). Two patients with RAS responded with a rise in haemoglobin concentration to > 130 g/l. They had not been transfusion-dependent prior to treatment. Both patients had relatively low serum concentrations of immunoreactive EPO. There was neither a rise in haemoglobin nor a reduction in transfusion dependence in any of the other patients. It may be concluded that rhEPO is possibly effective in a subgroup of MDS patients where the disease is less advanced. None of the transfusion-dependent patients benefited.

journal_name

Acta Haematol

journal_title

Acta haematologica

authors

Mohr B,Herrmann R,Huhn D

doi

10.1159/000204378

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

65-70

issue

2

eissn

0001-5792

issn

1421-9662

journal_volume

90

pub_type

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