Lenalidomide in patients with red blood cell transfusion-dependent myelodysplastic syndrome and del(5q): A single-centre "real-world" experience

Elisa Cerqui, Annamaria Pelizzari, Francesca Schieppati, Erika Borlenghi, Chiara Pagani, Daniela Bellotti, Cinzia Lamorgese, Leonardo Boiocchi, Alessandra Sottini, Luisa Imberti, Giuseppe Rossi

Research output: Contribution to journalArticle

Abstract

"Real life" data are needed to complement published trials on the efficacy of lenalidomide in patients with myelodysplastic syndrome (MDS) and del(5q) and on the risk of inducing acute myeloid leukemia (AML) progression. Here, we present results of lenalidomide treatment in a consecutive, population-based series of 21 red blood cell (RBC) transfusion-dependent elderly patients with multiple comorbidities. Of 18 evaluable patients (median follow-up: 22 months), 17 achieved an erythroid hematologic response (HI-E) and 16 an RBC transfusion independence. Cytogenetic response (CyR) rate was 80%, median overall survival was 48 months (range 3-164), and 5-year leukemia-free survival was 84%. Three patients progressed to AML; one, with baseline TP53 mutation, achieved HI-E, partial CyR, and did not progress to AML. Eighteen patients experienced hematological adverse events. Overall, lenalidomide was very effective and well tolerated even in unselected elderly patients with multiple comorbidities and did not appear to increase the risk of AML.

Original languageEnglish
Pages (from-to)3129-3134
Number of pages6
JournalLeukemia and Lymphoma
Volume56
Issue number11
DOIs
Publication statusPublished - Nov 2 2015

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Keywords

  • Cytogenetic response
  • del(5q) MDS
  • elderly
  • erythroid response
  • lenalidomide
  • transfusion independence

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

Cite this

Cerqui, E., Pelizzari, A., Schieppati, F., Borlenghi, E., Pagani, C., Bellotti, D., Lamorgese, C., Boiocchi, L., Sottini, A., Imberti, L., & Rossi, G. (2015). Lenalidomide in patients with red blood cell transfusion-dependent myelodysplastic syndrome and del(5q): A single-centre "real-world" experience. Leukemia and Lymphoma, 56(11), 3129-3134. https://doi.org/10.3109/10428194.2015.1034703