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EHA 2024 | Risk-adapted therapy: three-day versus five-day oral decitabine in patients with MDS

Yazan Madanat, MD, UT Southwestern Medical Center, Dallas, TX, discusses the findings of a real-world study comparing a three-day oral decitabine regimen to the FDA-approved five-day decitabine regimen in patients with myelodysplastic syndromes (MDS). The majority of patients treated with the three-day regimen were considered low-risk as per IPSS, while those treated with the five-day regimen had a higher blast count (greater than 5%) or higher-risk MDS (HR-MDS). However, when using the newer IPSS-M risk score, there was an equivalent number of patients with HR-MDS in both cohorts. Therefore, some HR-MDS patients could have been undertreated, possibly explaining the shorter survival duration observed with the three-day regimen. This interview took place at the 29th Congress of the European Hematology Association (EHA) in Madrid, Spain.

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Disclosures

Honoraria: Taiho oncology, Stemline therapeutics, Morphosys, Sierra Oncology, Novartis, OncLive, MD Education, Rigel Pharmaceuticals, Blueprint Medicines; Consultancy: GERON, Blueprint Medicines.