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MDS Myelodysplastic syndromes

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  #1  
Old Fri May 2, 2014, 06:43 PM
Whizbang Whizbang is offline
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Azacitidine for treatment of imminent relapse in MDS or AML patients

Was researching this, and wondering if anyone had any thoughts...

I was offered this as a 'possible' protection against relapse, even though I am in the lowest risk band for relapse...

Has anyone done this post SCT/BMT for the purpose of minimizing relapse?

Background:
http://www.ncbi.nlm.nih.gov/pubmed/21886171

http://www.ebmt.org/Contents/Resourc...0de%20Lima.pdf
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Married, father of three daughters; now 46; diagnosed w/ Major form MDS 6/18/2013; had low counts across the board; Multiple chromosome abnormalities; Finished 2nd round Dacogen 9/13; SCT - Oct. 31, 2013; Sibling match 10/10 ; 5.5% blasts down to 3%, now 1% (post BMT)
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Old Sat May 3, 2014, 01:58 AM
DanL DanL is offline
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I believe that Karen (handle Mausmish) was on Vidaza after transplant for either 6 months or 1 year.
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MDS RCMD w/grade 2-3 fibrosis. Allo-MUD Feb 26, 2014. Relapsed August 2014. Free and clear of MDS since November 2014 after treatment with Vidaza and Rituxan. Experiencing autoimmune attack on CNS thought to be GVHD, some gut, skin and ocular cGVHD. Neuropathy over 80% of body.
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  #3  
Old Sat May 3, 2014, 07:53 AM
sstewart09 sstewart09 is offline
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Below is another trial going on at the hospital my husband had his transplant. We've met 2 patients, one in his late 30s and another in her late teens, that are doing really well 1 year post transplant, no relapse and have participated in this trial.
http://clinicaltrials.gov/show/NCT02124174
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Samantha, wife of Joe age 34; diagnosed vsaa 2012; MUD BMT February 2013
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Old Fri May 16, 2014, 09:29 PM
Whizbang Whizbang is offline
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So I saw my Dr. today, and we further discussed Azacitidine as maintenance against relapse...

My prelim BMB results came back from my 6 month BMB, and I was still 100% Donor, no chimerism, 1% blasts, and no CD34+ expression... This along with my Myleoblative SCT, and total body irradiation (pre-SCT), leaves me with little to benefit from the chemo...

We decided that since things are going so well, no maintenance treatment would be used, and unless things change, I shouldn't need it...

Thanks be to God!!!! Best to all & God Bless...
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Married, father of three daughters; now 46; diagnosed w/ Major form MDS 6/18/2013; had low counts across the board; Multiple chromosome abnormalities; Finished 2nd round Dacogen 9/13; SCT - Oct. 31, 2013; Sibling match 10/10 ; 5.5% blasts down to 3%, now 1% (post BMT)
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  #5  
Old Sat May 17, 2014, 01:08 AM
DanL DanL is offline
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Sounds like the right path. It is great to see you doing well!
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MDS RCMD w/grade 2-3 fibrosis. Allo-MUD Feb 26, 2014. Relapsed August 2014. Free and clear of MDS since November 2014 after treatment with Vidaza and Rituxan. Experiencing autoimmune attack on CNS thought to be GVHD, some gut, skin and ocular cGVHD. Neuropathy over 80% of body.
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  #6  
Old Sat May 17, 2014, 11:01 AM
sbk007 sbk007 is offline
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That's great news Dave. Like you said if it isn't broke don't mess with it.
Glad they see it your way and you continue to sail along smoothly.
Continued success on your stellar progress.
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