Table 1.
Clinical reports of vitamin D in the treatment of patients with AML and MDS.
Vitamin D derivative | Dose schedule | Duration of therapy | Concurrent agents | Disorder treated | Number treated | Response | First author | Reference |
---|---|---|---|---|---|---|---|---|
1 alpha(OH) vitamin D3 | 4.5 to 15 microgram/day | 4 weeks | Single agent | AML | 2 | Transient decline in marrow blasts | Irino | [4] |
MDS | 1 | Transient decline in marrow blasts | ||||||
Alfacalcidol | 0.25 to 10 microgram/day | ≥4 weeks | Single agent | AML | 2 | 1 minor response | Takahashi | [5] |
MDS | 11 | 3 partial and 1 minor response | ||||||
1 alpha(OH) vitamin D3 | 1 microgram/day | >4 weeks | Single agent | AML | 1 | 1 major response | Nakayama | [7] |
1,25(OH)2 vitamin D3 | 2 microgram/day | 12 weeks | Single agent | MDS | 18 | 8 transient, partial responses | Koeffler | [6] |
1 hydroxy vitamin D3 | 4 to 6 microgram/day | 17 months | Single agent | MDS | 15 | Improved PFS compared to control | Motomura | [8] |
Calcifediol | 266 microgram 3 days/week | Up to 2 years | Single agent | MDS | 5 | 1 major response | Mellibovsky | [9] |
Calcitriol | 0.25 to 0.75 microgram/day | Up to 2 years | Single agent | MDS | 14 | 10 responders, 2 major | Mellibovsky | [9] |
Alfacalcidiol | 6 microgram/day | 6 months | Single agent | MDS | 13 | 1 transient response | Yoshida | [11] |
Doxercalciferol | 12.5 microgram/day | 12 weeks | Single agent | MDS | 15 | No formal response | Petrich | [12] |
1,25(OH)2 vitamin D3 | 0.75 microgram/day | 12 weeks | Prednisone + 13 cis-Retinoic Acid | MDS | 1 | 1 major response | Blazsek | [13] |
1,25(OH)2 vitamin D3 | 13 microgram/day | 16 weeks | Valproic acid | MDS | 19 | 3 major response | Siitonen | [14] |
1 alpha(OH) vitamin D3 | 1 microgram/day | Variable | Cytarabine ± IFN ± Retinoids | AML | 15 | 5 responses (including stable disease) | Hellström | [15] |
1 alpha(OH) vitamin D3 | 1 microgram/day | Variable | Cytarabine ± IFN ± Retinoids | MDS | 47 | 22 responses (including stable disease) | Hellström | [15] |
1 alpha(OH) vitamin D3 | 1 microgram/day | Variable | Cytarabine ± 13 cis-Retinoic Acid | MDS | 69 | 13 responses | Hellström | [16] |
1 alpha(OH) vitamin D3 | 1 microgram/day | Variable | Cytarabine ± 13 cis-Retinoic Acid | AML | 15 | 5 responses | Hellström | [16] |
1,25(OH)2 vitamin D3 | 0.75 microgram/day | Variable | Cytarabine + 13 cis-Retinoic Acid | MDS | 44 | 22 responses | De Rosa | [17] |
1,25(OH)2 vitamin D3 | 1 to 1.5 microgram/day | Until progression | 13 cis-Retinoic Acid + 6TG | MDS | 31 | 19 responses (patients with >5% blasts) | Ferrero | [18] |
Dihydroxy-vitamin D3 | 1 microgram/day | Until progression | Cytarabine + 13 cis-Retinoic Acid | AML | 26 | 15 responses among all treated | Ferrero | [19] |
Dihydroxy-vitamin D3 | 1 microgram/day | Until progression | Cytarabine + 13 cis-Retinoic Acid | MDS | 4 | 15 responses among all treated | Ferrero | [19] |
1,25(OH)2 vitamin D3 | 0.5 microgram/day | Until progression | Cytarabine | AML | 29 | 23 | Slapak | [20] |
1,25 di(OH) vitamin D3 | 1 microgram/day | >6 months | 13-cis retinoic acid, 6TG, Epo | MDS | 63 | 38 | Ferrero | [21] |
1-alpha hydroxy-vitamin D3 |
0.75 microgram/day | 16 weeks | Vitamin K | MDS | 20 | 6 | Akiyama | [22] |