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MDS Myelodysplastic syndromes

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  #1  
Old Thu Jan 22, 2015, 10:05 PM
steve_ky steve_ky is offline
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Dexamethasone & MDS

Hello,

My father was diagnosed with MDS in May 2014. He received Vidaza for 6-months as a response to dramatically low blood platelets and mildly low RBCs and WBCs. His platelets reached a low of 3,000.

By the second round of Vidaza, his platelets rose dramatically stair stepping their way to 335,000 during the 4th month of treatment. His platelets slowly declined in months 5-7. They are at 26,000 today in month #8.

In response, he has been prescribed a steroid called dexamethasone. Does anyone have any insight regarding how this drug is used used to treat MDS?

Thank you,
Steve
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  #2  
Old Fri Jan 23, 2015, 02:13 AM
Hopeful Hopeful is offline
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Hi Steve,

I am sorry to hear about your dad's decline in counts.

I just watched a presentation from the MDS Foundation about the latest clinical trials being done for MDS, some involving drugs and combination therapies that I had never heard of before. I *think* this was one of the combinations studied...

Here is a link to the video. The MDS presenter is about 38 minutes into the video:

http://psevents.net/002/00675/2014BC...2014BCBRIEF_EN
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58 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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  #3  
Old Fri Jan 23, 2015, 12:30 PM
bailie bailie is offline
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Steve, what is the status of a stem cell transplant for your father? If it is in the cards, going in at optimum health is very important.
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age 70, dx RAEB-2 on 11-26-2013 w/11% blasts. 8 cycles Vidaza 3w/Revlimid. SCT 8/15/2014, relapsed@Day+210 (AML). Now(SCT-Day+1005). Prepping w/ 10 days Dacogen for DLI on 6/9/2017.
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  #4  
Old Fri Jan 23, 2015, 08:25 PM
steve_ky steve_ky is offline
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SCT

Unfortunately, SCT isn't an option because he is 73 years old. His doctor is confused by the disease an is sending him to an MDS center.
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  #5  
Old Fri Jan 23, 2015, 08:36 PM
bailie bailie is offline
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Steve, if his health is otherwise good, they are doing SCT for 73 year-olds.
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age 70, dx RAEB-2 on 11-26-2013 w/11% blasts. 8 cycles Vidaza 3w/Revlimid. SCT 8/15/2014, relapsed@Day+210 (AML). Now(SCT-Day+1005). Prepping w/ 10 days Dacogen for DLI on 6/9/2017.
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  #6  
Old Mon Jan 26, 2015, 12:39 PM
rar rar is offline
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I was 73 when I had a SCT, 74 now. I don't feel old. The transplant doctor said they do SCT on 80 YOs. Some doctors use age as another way of saying you are in bad shape and might not make it.

Ray
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  #7  
Old Wed Feb 4, 2015, 09:59 PM
steve_ky steve_ky is offline
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Heading to MDS Center of Excellence

Finally, after 8 months of battling with this disease, I'm happy to report we are heading to an MDS center on Monday. Platelets are under 20k and he's feeling weak. We are going to Washington University Hospital in St. Louis. They are evaluating him and talking about a potential SCT.
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