Table 2.

IWG-defined hematologic improvement by cell lineage in patients with MDS





% response,*major (minor)
Treatment
No. patients
% IPSS/FAB
HI-E
% HI-P
% HI-N
Lenalidomide21   43   Low, 51; Int1, 37; Int2, 9; High, 2   49 (7)   10   17  
Darbepoetin alfa24   40   Low, 38; Int1, 52; Int2, 10   47 (12)   0   0  
Antithymocyte immunoglobulin25   20   RA, 65; RARS, 15; RAEB, 20   45 (5)   35 (10)   10 (5)  
Antithymocyte immunoglobulin26   68   RA, 53; RARS, 4; RAEB, 11   67 (20)   40 (27)   27 (7)  
Cyclosporine A27   50   Low, 8; Int1, 82; Int2, 10   34 (16)   16 (12)   22 (4)  
Thalidomide28   83   Low/Int1, 70; High/Int2, 30   13 (5)   0 (1)   0  
Thalidomide29   29   RA, 14; RARS, 4; RAEB, 3; RAEB-t, 5; CMML, 3   10 (21)   14 (7)   3 (7)  
Arsenic trioxide20   101   Low/Int1, 39; High/Int2, 61   11 (0)   6 (0)   8 (0)  
Valproic acid30 
 
18
 
Low, 17; Int1, 55; Int2, 17; High, 11
 
11 (0)
 
11 (0)
 
6 (0)
 




% response,*major (minor)
Treatment
No. patients
% IPSS/FAB
HI-E
% HI-P
% HI-N
Lenalidomide21   43   Low, 51; Int1, 37; Int2, 9; High, 2   49 (7)   10   17  
Darbepoetin alfa24   40   Low, 38; Int1, 52; Int2, 10   47 (12)   0   0  
Antithymocyte immunoglobulin25   20   RA, 65; RARS, 15; RAEB, 20   45 (5)   35 (10)   10 (5)  
Antithymocyte immunoglobulin26   68   RA, 53; RARS, 4; RAEB, 11   67 (20)   40 (27)   27 (7)  
Cyclosporine A27   50   Low, 8; Int1, 82; Int2, 10   34 (16)   16 (12)   22 (4)  
Thalidomide28   83   Low/Int1, 70; High/Int2, 30   13 (5)   0 (1)   0  
Thalidomide29   29   RA, 14; RARS, 4; RAEB, 3; RAEB-t, 5; CMML, 3   10 (21)   14 (7)   3 (7)  
Arsenic trioxide20   101   Low/Int1, 39; High/Int2, 61   11 (0)   6 (0)   8 (0)  
Valproic acid30 
 
18
 
Low, 17; Int1, 55; Int2, 17; High, 11
 
11 (0)
 
11 (0)
 
6 (0)
 

IWG indicates International Working Group; MDS, myelodysplastic syndromes; IPSS, International Prognostic Scoring System; FAB, French-American-British; HI-E, hematologic improvement, erythroid response; HI-P, hematologic improvement, platelet response; HI-N, hematologic improvement, neutrophil response; Int1, IPSS intermediate-1; Int2, IPSS intermediate-2; RA, refractory anemia; RARS, refractory anemia with ringed sideroblasts-CB; RAEB, refractory anemia with excess blasts; CMML, chronic myelomonocytic leukemia.

*

Some patients achieved responses in more than 1 lineage.

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