Efficacy and safety of azacitidine in pediatric patients with newly diagnosed advanced myelodysplastic syndromes before hematopoietic stem cell transplantation in the AZA‐JMML‐001 trial

Author:

Locatelli Franco1ORCID,Strålin Karin Belander2ORCID,Schmid Irene3,Sevilla Julián4ORCID,Smith Owen P.5,van den Heuvel‐Eibrink Marry M.67,Zecca Marco8ORCID,Zwaan Christian M.69,Gaudy Allison10,Patturajan Meera10,Poon Jennifer10,Simcock Mathew11,Niemeyer Charlotte M.12ORCID

Affiliation:

1. IRCCS Bambino Gesù Children's Hospital Catholic University of the Sacred Heart Rome Italy

2. Department of Pediatric Oncology Karolinska University Hospital Stockholm Sweden

3. Department of Pediatrics Dr. von Hauner Children's Hospital University Hospital LMU Munich Germany

4. Hospital Infantil Universitario Niño Jesús Madrid Spain

5. NCCS, Children's Health Ireland at Crumlin Dublin Ireland

6. Princess Máxima Center for Pediatric Oncology Utrecht The Netherlands

7. Department of Child Health University of Utrecht‐Wilhelmina Childrens Hospital Utrecht The Netherlands

8. Pediatric Hematology/Oncology Fondazione IRCCS Policlinico San Matteo Pavia Italy

9. Erasmus MC Sophia Children's Hospital Rotterdam The Netherlands

10. Bristol Myers Squibb Summit New Jersey USA

11. Bristol Myers Squibb Uxbridge UK

12. Division of Pediatric Hematology and Oncology Department of Pediatrics and Adolescent Medicine University Medical Center Freiburg University of Freiburg Freiburg Germany

Abstract

AbstractHere we report efficacy, pharmacokinetics, and safety data obtained in treatment‐naive, pediatric patients with newly diagnosed advanced MDS receiving azacitidine in the AZA‐JMML‐001 study. The primary endpoint was response rate (proportion of patients with complete response [CR], partial response [PR], or marrow CR, sustained for ≥4 weeks). Of the 10 patients enrolled, one had an unconfirmed marrow CR and none had confirmed responses after three cycles; the study was therefore closed after stage 1. Azacitidine was well tolerated. The lack of efficacy of azacitidine in pediatric patients with newly diagnosed advanced MDS highlights the need for effective new treatments in these patients.

Publisher

Wiley

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