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Gattermann, N; Finelli, C; Porta, MD; Fenaux, P; Ganser, A; Guerci-Bresler, A; Schmid, M; Taylor, K; Vassilieff, D; Habr, D; Domokos, G; Roubert, B; Rose, C; EPIC study investigators.
Deferasirox in iron-overloaded patients with transfusion-dependent myelodysplastic syndromes: Results from the large 1-year EPIC study.
Leuk Res. 2010; 34(9): 1143-1150.
Doi: 10.1016/j.leukres.2010.03.009
Web of Science
PubMed
FullText
FullText_MUG
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- Abstract:
- The prospective 1-year EPIC study enrolled 341 patients with myelodysplastic syndromes (MDS); although baseline iron burden was >2500ng/mL, approximately 50% were chelation-naïve. Overall median serum ferritin decreased significantly at 1 year (p=0.002). Decreases occurred irrespective of whether patients were chelation-naïve or previously chelated; changes were dependent on dose adjustments and ongoing iron intake. Sustained reductions in labile plasma iron were observed. Discontinuation rate (48.7%) and adverse event profile were consistent with previously reported deferasirox data in MDS. Alanine aminotransferase levels decreased significantly; change correlated significantly with reduction in serum ferritin (p<0.0001). This large dataset prospectively confirms the efficacy and well characterizes the safety profile of deferasirox in MDS.
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Adolescent -
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Adult -
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Aged -
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Alanine Transaminase - blood
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Benzoic Acids - adverse effects Benzoic Acids - therapeutic use
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Blood Transfusion -
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Child -
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Child, Preschool -
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Female -
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Ferritins - blood
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Humans -
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Iron Chelating Agents - adverse effects Iron Chelating Agents - therapeutic use
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Iron Overload - complications Iron Overload - drug therapy
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Male -
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Middle Aged -
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Myelodysplastic Syndromes - complications
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Triazoles - adverse effects Triazoles - therapeutic use
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Young Adult -
- Find related publications in this database (Keywords)
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Myelodysplastic syndromes
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Deferasirox
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Serum ferritin
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Labile plasma iron
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Iron chelation therapy