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