Table 2.

Definitions of endpoints for clinical trials in MDS

EndpointResponse categoryDefinitionPoint of measurement
 Overall survival All patients Death from any cause Entry into trial  
Event-free survival All patients* Failure or death from any cause Entry into trial  
Progression-free survival All patients Disease progression or death from MDS Entry into trial  
Disease-free survival CR Time to relapse First documentation  
Cause-specific death All patients Death related to MDS Death 
EndpointResponse categoryDefinitionPoint of measurement
 Overall survival All patients Death from any cause Entry into trial  
Event-free survival All patients* Failure or death from any cause Entry into trial  
Progression-free survival All patients Disease progression or death from MDS Entry into trial  
Disease-free survival CR Time to relapse First documentation  
Cause-specific death All patients Death related to MDS Death 

IPSS should be used as the primary stratification.

Complete blood counts should be evaluated at least monthly, or more often if clinically indicated, to establish the durability of responses.

*

Under circumstances in which presentation of event-free survival may be appropriate for responders only, this point should be clearly stated.

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