Source:http://linkedlifedata.com/resource/pubmed/id/20451404
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2010-11-8
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pubmed:databankReference | |
pubmed:abstractText |
This analysis compared azacitidine (AZA) to conventional care regimens (CCR) and their associated overall survival (OS) and tolerability in the subset of 87 elderly (? 75 years) patients with higher-risk MDS (FAB: RAEB, RAEB-t, CMML and IPSS: Int-2 or High) from the AZA-001 trial. Patients were randomized to AZA (75 mg/m(2)/daysubcutaneously × 7 days every 28 days) (n=38) or CCR (n=49) and had median ages of 78 and 77 years, respectively. AZA significantly improved OS vs CCR (HR: 0.48 [95%CI: 0.26, 0.89]; p=0.0193) and 2-year OS rates were 55% vs 15% (p<0.001), respectively. AZA was generally well tolerated compared with CCR, which was primarily best supportive care (67%). Grade 3-4 anemia, neutropenia, and thrombocytopenia with AZA vs CCR were 13% vs 4%, 61% vs 17%, and 50% vs 30%, respectively. Given this efficacy and tolerability, AZA should be considered the treatment of choice in patients aged ? 75 years with good performance status and higher-risk MDS.
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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 |
Dec
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pubmed:issn |
1879-0461
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pubmed:author |
pubmed-author:BackstromJayJ,
pubmed-author:BeachC LCL,
pubmed-author:FenauxPierreP,
pubmed-author:GoreSteven DSD,
pubmed-author:Hellström-LindbergEvaE,
pubmed-author:ListAlan FAF,
pubmed-author:McKenzieDavidD,
pubmed-author:MuftiGhulam JGJ,
pubmed-author:SantiniValeriaV,
pubmed-author:SeymourJohn FJF,
pubmed-author:SilvermanLewis RLR
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pubmed:copyrightInfo |
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:volume |
76
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
218-27
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pubmed:meshHeading |
pubmed-meshheading:20451404-Aged,
pubmed-meshheading:20451404-Aged, 80 and over,
pubmed-meshheading:20451404-Antimetabolites, Antineoplastic,
pubmed-meshheading:20451404-Azacitidine,
pubmed-meshheading:20451404-Female,
pubmed-meshheading:20451404-Humans,
pubmed-meshheading:20451404-Male,
pubmed-meshheading:20451404-Myelodysplastic Syndromes
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pubmed:year |
2010
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pubmed:articleTitle |
Effects of azacitidine compared with conventional care regimens in elderly (? 75 years) patients with higher-risk myelodysplastic syndromes.
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pubmed:affiliation |
Peter MacCallum Cancer Centre and University of Melbourne, Victoria 3002, Australia. john.seymour@petermac.org
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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