Evidence map›Paper›PMID 39950462›Full record

ArticleCardiovascular & hematological agents in medicinal chemistry2025

Long-term Sustained Response to Lenalidomide after Clearance of Bone Marrow Blasts by Azacytidine in High-risk Myelodysplastic Syndromes with Del5q: A Case Report.

Pasquale Niscola, Marco Giovannini, Valentina Gianfelici, Carla Mazzone, Paolo de Fabritiis, Esther Natalie Oliva

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Cardiovascular & hematological agents in medicinal chemistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Pasquale NiscolaHematology Unit, Sant'Eugenio Hospital (ASL Roma 2), Rome, Italy.ORCID 0000-0002-2226-6518
Marco GiovanniniHematology Unit, Sant'Eugenio Hospital (ASL Roma 2), Rome, Italy.
Valentina GianfeliciHematology Unit, Sant'Eugenio Hospital (ASL Roma 2), Rome, Italy.
Carla MazzoneHematology Unit, Sant'Eugenio Hospital (ASL Roma 2), Rome, Italy.
Paolo de FabritiisHematology Unit, Sant'Eugenio Hospital (ASL Roma 2), Rome, Italy.
Esther Natalie OlivaHematology Division, Great Metropolitan Hospital Bianchi Melacrino Morelli, Reggio, Calabria, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis report discusses a rare case involving a patient with high-risk (HR) Del(5q) myelodysplastic syndrome (MDS) who achieved a long-term response to lenalidomide after having received six cycles of azacytidine. The latter treatment led to the clearance of blast cells from the bone marrow (BM). CASE REPRESENTATION: As per current clinical practice, patients with HR MDS receive azacytidine continuously until the disease progresses or the occurrence of unmanageable side effects. However, in this case, the patient decided to interrupt hypomethylation therapy. Due to the patient's preference for oral therapy at home, the absence of blast cells, the ongoing need for transfusions, and a cytogenetic abnormality-predictive response to lenalidomide, the choice of the latter agent allowed for a sustained response lasting up to 68 months.

conclusionOur observations suggest that further studies could explore the sequential use of azacytidine followed by lenalidomide after achieving BM blast clearance in patients with HR MDS with del(5q).

Indexed as

Antimetabolites, AntineoplasticAzacitidineBone MarrowMyelodysplastic SyndromesThalidomideAgedChromosome DeletionChromosomes, Human, Pair 5FemaleHumansLenalidomideMaleMiddle AgedAntimetabolites, AntineoplasticAzacitidineLenalidomideThalidomideacute myeloid leukemia.azacytidineDel5q alterationHigh-risk myelodysplastic syndromeslenalidomidequality of life

Identifiers

What OpenQuestion holds

Textmetadata
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.