Larger studies on erythropoietin (Epo) alone or Epo in combination with G-CSF.
Author . | Year . | Treatment . | No. Pts. . | Inclusion Criteria . | Erythroid Response . | Favorable Variables/Comments . |
---|---|---|---|---|---|---|
Hellstrom-Lindberg40 meta-analysis | 1995 | Epo | 205 | Various, all studies since 1995 | 16%* (8% RARS) | S-Epo < 200 U/L RA/RAEB, no transfusions |
Rose41 phase II | 1995 | Epo | 116 | Hb < 80 g/L, S-Epo < 500 U/L | 28%** (18% red. transf) | S-Epo < 100 U/L, RA |
Italian Study Group42 phase III | 1998 | Epo / placebo | 87 | Hb < 90 g/L Blasts < 10% | 37% vs 11%** (p = 0.007) | Response significant in RA and in non-transfused pts |
Negrin44 phase II | 1996 | Epo + G-CSF | 55 | Hb < 100 g/L | 48%**, duration median 10 mo. | S-Epo |
Hellstrom-Lindberg45 phase II | 1998 | Epo + G-CSF | 71 | Hb < 100 g/L | 38%*, duration 24 months | S-Epo, transfusion need |
Remacha47 phase II | 1999 | Epo + G-CSF | 32 | Hb < 100 g/L S-Epo < 250 U/L | 50%** | Predictive model (Figure 5) |
Mantovani49 | 2000 | Epo + G-CSF | 33 | Blasts < 20% | 61%* (12 weeks) 80% (36 weeks) | 50% response after 2 years |
Abbreviations: S-Epo, serum Epo level; G-CSF, granulocyte colony-stimulating factor |
Author . | Year . | Treatment . | No. Pts. . | Inclusion Criteria . | Erythroid Response . | Favorable Variables/Comments . |
---|---|---|---|---|---|---|
Hellstrom-Lindberg40 meta-analysis | 1995 | Epo | 205 | Various, all studies since 1995 | 16%* (8% RARS) | S-Epo < 200 U/L RA/RAEB, no transfusions |
Rose41 phase II | 1995 | Epo | 116 | Hb < 80 g/L, S-Epo < 500 U/L | 28%** (18% red. transf) | S-Epo < 100 U/L, RA |
Italian Study Group42 phase III | 1998 | Epo / placebo | 87 | Hb < 90 g/L Blasts < 10% | 37% vs 11%** (p = 0.007) | Response significant in RA and in non-transfused pts |
Negrin44 phase II | 1996 | Epo + G-CSF | 55 | Hb < 100 g/L | 48%**, duration median 10 mo. | S-Epo |
Hellstrom-Lindberg45 phase II | 1998 | Epo + G-CSF | 71 | Hb < 100 g/L | 38%*, duration 24 months | S-Epo, transfusion need |
Remacha47 phase II | 1999 | Epo + G-CSF | 32 | Hb < 100 g/L S-Epo < 250 U/L | 50%** | Predictive model (Figure 5) |
Mantovani49 | 2000 | Epo + G-CSF | 33 | Blasts < 20% | 61%* (12 weeks) 80% (36 weeks) | 50% response after 2 years |
Abbreviations: S-Epo, serum Epo level; G-CSF, granulocyte colony-stimulating factor |