Thalidomide acts on the microenvironment of myelodysplastic syndromes (MDS) by influencing cytokine networks, and growing evidence supports thalidomide´s usefulness in the management of haematological malignancies, such as MDS. The European Collaboration Group on Myelofibrosis with Myeloid Metaplasia reviewed patients who received at least four weeks´ thalidomide treatment, in doses ranging from 50 mg/day to 400 mg/day. The results showed that 30% of patients had increases in haemoglobin, and, of these, almost 40% became transfusion independent. Platelets were increased in a significant proportion of patients, and approximately 40% of patients had a reduction in their spleen size. Data on thalidomide and acute myeloblastic leukaemia (AML) are conflicting: a recently published study indicated that thalidomide does not have a role in the management of acute myeloblastic leukaemia (AML), while other studies suggest some patients may respond because of thalidomide´s ability to activate natural killer cells and cytotoxic T-lymphocytes. Partial responses to thalidomide treatment have been recorded in patients with lymphoma. In a phase II study to assess the activity of thalidomide in patients with Waldenstrom´s macroglobulinaemia, a partial response was seen in 25% of patients who received a starting dose of 200 mg, which was escalated in 200 mg increments every 14 days as tolerated to a maximum of 600 mg. Although further study is required, thalidomide shows promise in the treatment of a number of haematological malignancies, many of which currently have limited treatment options and poor prognosis. Copyright
Future directions in haematology: beyond multiple myeloma / Hg, Prentice; Sacchi, Stefano; N., Russell. - In: ACTA HAEMATOLOGICA. - ISSN 0001-5792. - STAMPA. - 114 suppl 1(2005), pp. 27-32.
|Data di pubblicazione:||2005|
|Titolo:||Future directions in haematology: beyond multiple myeloma.|
|Autore/i:||Hg, Prentice; Sacchi, Stefano; N., Russell|
|Volume:||114 suppl 1|
|Codice identificativo ISI:||WOS:000231975700007|
|Codice identificativo Scopus:||2-s2.0-24944487190|
|Codice identificativo Pubmed:||16166770|
|Citazione:||Future directions in haematology: beyond multiple myeloma / Hg, Prentice; Sacchi, Stefano; N., Russell. - In: ACTA HAEMATOLOGICA. - ISSN 0001-5792. - STAMPA. - 114 suppl 1(2005), pp. 27-32.|
|Tipologia||Articolo su rivista|
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