Azacitidine for the treatment of patients with acute myeloid leukemia with 20%-30% blasts and multilineage dysplasia.

Azacitidine is approved in the EU for the treatment of adult patients who are not candidates for allogeneic stem cell transplantation, and who have intermediate-2 risk or high-risk myelodysplastic syndromes, according to the International Prognostic Scoring System. The approval includes the treatment of patients with acute myeloid leukemia (AML) with 20%-30% blasts and multilineage dysplasia, according to the World Health Organization (WHO) classification. This review focuses on the outcomes with azacitidine in this latter group of patients, previously classified as refractory anemia with excess of blasts in transformation, as defined by the French-American-British classification criteria. The main clinical evidence is based on the results of two large phase III clinical trials (Cancer and Leukemia Group B 9221, and AZA-001). The AZA-001 trial shows azacitidine significantly prolongs median overall survival in older patients with low marrow blasts (20%-30%) according to WHO-defined AML, and significantly improved several patient morbidity measures, compared with conventional care regimens. In addition, the review examines the results of azacitidine in combination with other treatments currently used in AML.
AuthorsPatricia Font
JournalAdvances in therapy (Adv Ther) Vol. 28 Suppl 3 Pg. 1-9 (Mar 2011) ISSN: 1865-8652 [Electronic] United States
PMID21431628 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Antimetabolites, Antineoplastic
  • Azacitidine
  • Adult
  • Aged
  • Antimetabolites, Antineoplastic (administration & dosage, adverse effects)
  • Azacitidine (administration & dosage, adverse effects)
  • Bone Marrow (pathology)
  • Clinical Trials, Phase III as Topic
  • Drug Therapy, Combination
  • Humans
  • Leukemia, Myeloid, Acute (classification, drug therapy, etiology, pathology, physiopathology)
  • Lymphocyte Activation (drug effects)
  • Myelodysplastic Syndromes (classification, complications, pathology, physiopathology)
  • Neutropenia (chemically induced)
  • Practice Guidelines as Topic
  • Prognosis
  • Stem Cell Transplantation (contraindications)
  • Survival Analysis
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!

Choose Username:
Verify Password: