Dacogen

CLINICAL RESPONSES

A controlled phase III study with DACOGEN® (decitabine) for Injection included a total of 170 adult patients with myelodysplastic syndromes (MDS). The results showed DACOGEN plus supportive care was effective2,3 and response rates were superior to those of supportive care alone (Table 2).2,3 DACOGEN overall improvement rates (complete, partial, hematologic) were based on rigorous International Working Group MDS (2000) response criteria.2,3,15

Table 2. Overall Improvement Rates2,3

 p<0.001 for pairwise difference (from two-sided Fisher's exact test) between DACOGEN plus supportive vs supportive care alone. No complete or partial responses were achieved with supportive care.
A randomized, open-label, multicenter controlled trial. Patients in the DACOGEN plus supportive care arm received an intravenous infusion of 15 mg/m2 over 3 hours, every 8 hours, for 3 consecutive days. This cycle was repeated every 6 weeks, depending upon the patient’s clinical response and toxicity. Supportive care consisted of blood and blood product transfusions, prophylactic antibiotics, and hematopoietic growth factors.
Patients received a median of 3 cycles of treatment.
¥ Median time to acute myelogenous leukemia or death of 49 weeks vs 31 weeks with supportive care (p = 0.160 [NS]).2,3

References

DACOGEN is indicated for treatment of patients with myelodysplastic syndromes (MDS), including previously treated and untreated, de novo, and secondary MDS of all FAB subtypes (RA, RARS, RAEB, RAEB-t, CMML) and Intermediate-1, Intermediate-2, and High-Risk IPSS groups.

DACOGEN may cause fetal harm when administered to a pregnant woman. Women of childbearing potential should be advised to avoid becoming pregnant while using DACOGEN. Men should be advised not to father a child while receiving treatment with DACOGEN, and for 2 months afterwards. The most commonly occurring adverse reactions include neutropenia, thrombocytopenia, anemia, fatigue, pyrexia, nausea, cough, petechiae, constipation, diarrhea, and hyperglycemia.

DACOGEN is available by prescription only. Please see the important product information for DACOGEN for more information. This site does not contain everything that is known about DACOGEN. If you would like to know more, talk to your healthcare professional.