• Drug Des Dev Ther · Sep 2010

    Review

    Safety and efficacy of azacitidine in myelodysplastic syndromes.

    • Carlos E Vigil, Taida Martin-Santos, and Guillermo Garcia-Manero.
    • Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. cvigilgonzales@gmail.com
    • Drug Des Dev Ther. 2010 Sep 24; 4: 221-9.

    PurposeThe clinical efficacy, different dosages, treatment schedules, and safety of azacitidine are reviewed.SummaryAzacitidine is the first drug FDA-approved for the treatment of myelodysplastic syndromes that has demonstrated improvements in overall survival and delaying time to progression to acute myelogenous leukemia. The recommended dosage of azacitidine is 75 mg/m(2) daily for 7 days, with different treatment schedules validated. It appears to be well tolerated, with the most common adverse effects being myelosuppression. Several other off-label recommendations were also analyzed.ConclusionAzacitidine is the first DNA hypomethylating agent approved by FDA for the treatment of myelodysplastic syndromes with demonstrated efficacy.

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