Source:http://linkedlifedata.com/resource/pubmed/id/15953003
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2005-6-14
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pubmed:abstractText |
Androgens are considered the treatment of choice for the anaemia of myelofibrosis with myeloid metaplasia (MMM). Good results have been reported in a few patients treated with danazol, a synthetic attenuated androgen. The long-term efficacy and tolerability of danazol as treatment for the anaemia of MMM was evaluated in 30 patients, who received 600 mg/d, with progressive tapering to the minimum effective dose in the responders after 6 months. Complete response (CR) was defined as transfusion cessation with normal Hb and partial response (PR) as an Hb increase >/=1.5 g/dl with transfusion-independent Hb values >10 g/dl maintained for at least 8 weeks. Median follow-up was 20.5 months (range: 3.5-58 months). Response was achieved in 11 patients (37%), including eight CRs and three PRs. Median time to response was 5 months (range: 1-9 months). Four patients stopped responding at 6-24 months, two responders discontinued treatment because of toxicity, and five maintained response at 3.5-42 months. Pretreatment variables associated with response were lack of transfusion requirement (P= 0.001) and higher Hb at treatment start (P= 0.02). Toxicity was usually moderate, leading to treatment withdrawal in only two cases. Danazol is effective and well tolerated in a substantial proportion of MMM patients with anaemia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
129
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
771-5
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:15953003-Adult,
pubmed-meshheading:15953003-Aged,
pubmed-meshheading:15953003-Aged, 80 and over,
pubmed-meshheading:15953003-Anemia,
pubmed-meshheading:15953003-Danazol,
pubmed-meshheading:15953003-Female,
pubmed-meshheading:15953003-Follow-Up Studies,
pubmed-meshheading:15953003-Humans,
pubmed-meshheading:15953003-Male,
pubmed-meshheading:15953003-Middle Aged,
pubmed-meshheading:15953003-Primary Myelofibrosis,
pubmed-meshheading:15953003-Prognosis,
pubmed-meshheading:15953003-Retrospective Studies,
pubmed-meshheading:15953003-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
Efficacy and tolerability of danazol as a treatment for the anaemia of myelofibrosis with myeloid metaplasia: long-term results in 30 patients.
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pubmed:affiliation |
Haematology Department, Hospital Clínic, IDIBAPS, University of Barcelona, Spain. fcervan@clinic.ub.es
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pubmed:publicationType |
Journal Article,
Evaluation Studies
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