Efficacy of Azacitidine in autoimmune and inflammatory disorders associated with myelodysplastic syndromes and chronic myelomonocytic leukemia

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TitreEfficacy of Azacitidine in autoimmune and inflammatory disorders associated with myelodysplastic syndromes and chronic myelomonocytic leukemia
Type de publicationJournal Article
Year of Publication2016
AuteursFraison J-B, Mekinian A, Grignano E, Kahn J-E, Arlet J-B, Decaux O, Denis G, Buchdahl A-L, Omouri M, Maigne G, Aouba A, Leon N, Berthier S, Liozon E, Park S, Gardin C, Lortholary O, Rossignol J, Fenaux P, Fain O, Braun T
JournalLEUKEMIA RESEARCH
Volume43
Pagination13-17
Date PublishedAPR
Type of ArticleArticle
ISSN0145-2126
Mots-clésAuto immune disorders, Azacitidine, myelodysplastic syndromes
Résumé

This retrospective study describes efficacy of Azacitidine on autoimmune disorders (AID) associated with MDS/CMML in 22 patients. Response of AID to Azacitidine was observed in 19 patients (86%). Reduction or discontinuation of steroids and/or immunosuppressive therapy (IST) was possible in 16 cases (73%). Hematologic response was seen in 55% of the patients. MDS/CMML and AID evolution was concordant in 13 cases (59%): both favorable (n = 11), both unfavorable (n = 2), but AID improved while MDS/CMML worsened (n = 8) and vice versa (n = 1). Azacitidine frequently seems effective in controlling steroid-dependent AID associated with MDS/CMML, but prospective studies are necessary to confirm those findings. (C) 2016 Elsevier Ltd. All rights reserved.

DOI10.1016/j.leukres.2016.02.005