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Myelodysplastic Syndromes

Low-dose topotecan in myelodysplastic syndromes has no effect

Published in Blood Weekly, March 11th, 2004

Researchers in Indiana have found that low-dose topotecan has no clinical significant effect in myelodysplastic syndromes.

According to their study, "Topotecan has demonstrable activity in high-risk MDS and CMMoL. However, the significant toxicity of topotecan administered at a dose of 2 mg/m2 i.v. daily for 5 days as a continuous infusion limits its use in older patients."

"Therefore, we studied topotecan 1.5 mg/m2 per day i.v. over 2 h for 3 consecutive days in 20 patients with high-risk MDS (12 RAEB; 4 RAEB-T; 4 CMMoL)," wrote D.A. Vaena and colleagues, Indiana University, Division of Hematology & Oncology.

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