Clinical Edge Journal Scan

Revised scoring system enhances prognostic value for MDS patients treated with 5-AZA


 

Key clinical point: Use of the Eastern Cooperative Oncology Group Performance Status (ECOG PS) added to the International Prognostic Scoring System, revised (IPSS-R) could identify low, intermediate, and high-risk groups of patients with patients with higher-risk myelodysplastic syndromes and oligoblastic acute myeloid leukemia.

Major finding : Serum ferritin levels < 520 ng/mL, ECOG PS scores of 0 or 1, and IPSS-R independently predicted stronger response to 5-AZA in patients with myelodysplastic syndromes and oligoblastic acute myeloid leukemia.

Study details : The data come from a retrospective study of 687 consecutive patients with myelodysplastic syndrome and oligoblastic acute myeloid leukemia who were treated with 5-azacytidine (5-AZA).

Disclosures: The study received no outside funding. The researchers had no financial conflicts to disclose.

Source: Papageorgiou SG et al. Ther Adv Hematol. 2020 Dec 8. doi: 10.1177/2040620720966121.

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