Table 3.

Treatment (other than with lenalidomide) of anemia in myelodysplastic syndrome (MDS) with del 5q (no. responders/no. treated patients).

Type of MDS with del 5qPublished SeriesGFM Experience
Abbreviations: GFM, Groupe Francophone des Myélodysplasies; Epo, erythropoietin; G-CSF, granulocyte colony-stimulating factor; ATRA, all trans-retinoic acid 
Epo or darbepoetin 5q– syndrome 4/8 (2 major, 2 minor) 9/17 (9 major) 
    +/− G-CSF20 22  Other MDS with del 5q 7/37 13/31 (6 major, 7 minor) 
Thalidomide24  Low-risk MDS with del 5q Not determined 6/20 (3 major, 3 minor) 
ATRA25,26  Low-risk MDS with del 5q 12/60 (mainly minor responses)  
Low-dose cytarabine27  Low-risk MDS with del 5q 4/9 (3 major, 1 minor)  
Decitabine 
    Lubbert et al29  Isolated del 5q and > 5% blasts 1/1 (1 complete hematological and major cytogenetic response)  
 Del 5q and other cytogenetic abnormalities, and > 5% blasts 3/4 (3 complete hematological and major cytogenetic responses)  
    Kantarjian et al30  High-risk MDS with del 5q 2/16  
Allogeneic bone marrow transplantation31  Isolated del 5q
 Del 5q and others 13/20 relapse-free at 1 year
 8/37 relapse-free at 1 year  
Type of MDS with del 5qPublished SeriesGFM Experience
Abbreviations: GFM, Groupe Francophone des Myélodysplasies; Epo, erythropoietin; G-CSF, granulocyte colony-stimulating factor; ATRA, all trans-retinoic acid 
Epo or darbepoetin 5q– syndrome 4/8 (2 major, 2 minor) 9/17 (9 major) 
    +/− G-CSF20 22  Other MDS with del 5q 7/37 13/31 (6 major, 7 minor) 
Thalidomide24  Low-risk MDS with del 5q Not determined 6/20 (3 major, 3 minor) 
ATRA25,26  Low-risk MDS with del 5q 12/60 (mainly minor responses)  
Low-dose cytarabine27  Low-risk MDS with del 5q 4/9 (3 major, 1 minor)  
Decitabine 
    Lubbert et al29  Isolated del 5q and > 5% blasts 1/1 (1 complete hematological and major cytogenetic response)  
 Del 5q and other cytogenetic abnormalities, and > 5% blasts 3/4 (3 complete hematological and major cytogenetic responses)  
    Kantarjian et al30  High-risk MDS with del 5q 2/16  
Allogeneic bone marrow transplantation31  Isolated del 5q
 Del 5q and others 13/20 relapse-free at 1 year
 8/37 relapse-free at 1 year