The use of immunosuppressive therapy in MDS: clinical outcomes and their predictors in a large international patient cohort

Author:

Stahl Maximilian1,DeVeaux Michelle2,de Witte Theo3,Neukirchen Judith4,Sekeres Mikkael A.5,Brunner Andrew M.6,Roboz Gail J.7,Steensma David P.8,Bhatt Vijaya R.9,Platzbecker Uwe1011,Cluzeau Thomas12,Prata Pedro H.13,Itzykson Raphaël13,Fenaux Pierre13,Fathi Amir T.6,Smith Alexandra14,Germing Ulrich4,Ritchie Ellen K.7,Verma Vivek9,Nazha Aziz5,Maciejewski Jaroslaw P.5,Podoltsev Nikolai A.1,Prebet Thomas1,Santini Valeria15,Gore Steven D.1,Komrokji Rami S.16,Zeidan Amer M.1

Affiliation:

1. Section of Hematology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT;

2. Department of Biostatistics, Yale School of Public Health, New Haven, CT;

3. Department of Tumorimmunology, Radboudumc, Nijmegen, The Netherlands;

4. Department of Hematology, Oncology and Clinical Immunology, Heinrich Heine University Duesseldorf, Duesseldorf, Germany;

5. Leukemia Program, Cleveland Clinic, Cleveland, OH;

6. Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA;

7. Weill Cornell Medicine and The New York Presbyterian Hospital, New York, NY;

8. Dana-Farber Cancer Institute, Boston, MA;

9. University of Nebraska Medical Center, Omaha, NE;

10. Universitätsklinikum “Carl Gustav Carus” der Technischen Universität Dresden, Dresden, Germany;

11. German Cancer Consortium and National Center for Tumor Diseases Dresden, Dresden, Germany;

12. Centre Hospitalier Universitaire Nice, Nice, France;

13. Saint-Louis Hospital, University Paris 7, Paris, France;

14. Epidemiology & Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom;

15. Division of Hematology, University of Florence, Azienda Ospedaliero Universitaria Carreggi, Florence, Italy; and

16. Department of Malignant Hematology, Moffitt Cancer Center and Research Institute, Tampa, FL

Abstract

Key Points IST leads to a response in nearly half, and to RBC transfusion independence in about a third, of selected lower-risk MDS patients. Hypocellularity of bone marrow and the use of horse ATG plus cyclosporine are associated with increased rates of transfusion independence.

Publisher

American Society of Hematology

Subject

Hematology

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