Evidence map›Paper›PMID 26517692›Full record

Observational studyOncotarget2015

A prospective, multicenter, observational study of long-term decitabine treatment in patients with myelodysplastic syndrome.

Seong Hyun Jeong, Yoo-Jin Kim, Je-Hwan Lee, Yeo-Kyeoung Kim, Soo Jeong Kim, Sung Kyu Park, Young Rok Do, Inho Kim, Yeung-Chul Mun, Hoon Gu Kim and 7 more

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Evaluation of Reduced-Dose Decitabine and Azacitidine for Treating Myelodysplastic Syndromes: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 15 institutions in 1 country.

Seong Hyun JeongDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, South Korea.
Yoo-Jin KimDepartment of Hematology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Je-Hwan LeeDepartment of Hematology, Asan Medical Center, Seoul, Korea.
Yeo-Kyeoung KimDepartment of Hematology, Chonnam National University Hwasun Hospital, Jeollanam-do, South Korea.
Soo Jeong KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Sung Kyu ParkDepartment of Internal Medicine, Soonchunhyang University Hospital, Bucheon, South Korea.
Young Rok DoDivision of Hematology-Oncology, School of Medicine, Keimyung University, Daegu, South Korea.
Inho KimDepartment of Internal Medicine, Seoul National University, Seoul, Korea.
Yeung-Chul MunDepartment of Hematology and Oncology, School of Medicine, Ewha Womans University, Seoul, Korea.
Hoon Gu KimDivision of Hematology-Oncology, Department of Internal Medicine, Gyeongnam Regional Cancer Center, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, South Korea.
Won Sik LeeDepartment of Internal Medicine, Inje University College of Medicine, Inje University Busan Paik Hospital, Busan, South Korea.
Hyeon Gyu YiDepartment of Internal Medicine, Inha University College of Medicine, Incheon, South Korea.
Young-Don JooHematology-Oncology, Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea.
Chul Won ChoiDivision of Oncology and Hematology, Department of Internal Medicine, Korea University Medical Center, Seoul, Korea.
Suk Ran KimJanssen Korea Medical Affairs, Seoul, Korea.
Sang Min NaJanssen Korea Medical Affairs, Seoul, Korea.
Jun Ho JangDivision of Hematology and Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Catholic University of Korea · KRAjou University · KRAsan Medical Center · KREwha Womans University · KRGyeongsang National University · KRInha University · KRInje University Busan Paik Hospital · KRInje University Haeundae Paik Hospital · KRKeimyung University · KRKorea University Medical Center · KRSeoul National University · KRSeverance Hospital · KRSoonchunhyang University Hospital Seoul · KRSungkyunkwan University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective observational study evaluated the efficacy and safety of long-term decitabine treatment in patients with myelodysplastic syndrome (MDS). Decitabine 20 mg/m(2)/day was administered intravenously for 5 consecutive days every 4 weeks to MDS patients in intermediate-1 or higher International Prognostic Scoring System (IPSS) risk categories. Active antimicrobial prophylaxis was given to prevent infectious complications. Overall response rate (ORR), overall survival (OS), progression-free survival (PFS), and time to response were evaluated, as were adverse events. The final analysis included 132 patients. IPSS risk was intermediate-2/high in 34.9% patients. The patients received a median of 5 cycles, with responders receiving a median of 8 cycles (range, 2-30). ORR was 62.9% (complete response [CR], 36; partial response [PR], 3; marrow complete response [mCR], 19; and hematologic improvement, 25). Among responders, 39% showed first response at cycle 3 or later. OS at 2 years was 60.9%, with 17% progressing to acute myeloid leukemia. PFS at 2 years was 51.0%. Patients achieving mCR showed comparable survival outcomes to those with CR/PR. With active antibiotic prophylaxis, febrile neutropenia events occurred in 61 of 1,033 (6%) cycles. Long-term decitabine treatment with antibiotic prophylaxis showed favorable outcomes in MDS patients, and mCR predicted favorable survival outcomes.

Indexed as

Administration, IntravenousAdultAgedAged, 80 and overAntibiotic ProphylaxisAntimetabolites, AntineoplasticAzacitidineDecitabineDisease-Free SurvivalDisease ProgressionDrug Administration ScheduleFebrile NeutropeniaFemaleHumansKaplan-Meier EstimateMaleAntimetabolites, AntineoplasticAzacitidineDecitabinedecitabinelong-term treatmentmyelodysplastic syndrome

Identifiers

PMID26517692
PMCPMC4792606
OpenAlexW2205494787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.