Table 1.
Outcome | MDS-003 study [17] | MDS-004 study [18] |
||
---|---|---|---|---|
10 mga (N = 148) | LEN 10 mgb (N = 41) | LEN 5 mgc (N = 47) | Placeboc (N = 51) | |
RBC-TI ≥8 weeks (IWG 2000 [23]), n (%) | 99 (67) | 25 (61)d | 24 (51)d | 4 (8) |
Median peak Hb increase, g/dl (range) | 5.4 (1.1–11.4) | 6.3 (1.8–10.0) | 5.2 (1.5–8.5) | NA |
RBC-TI ≥26 weeks, n (%) | NA | 23 (56)d | 20 (43)d | 3 (6) |
Cytogenetic response, % | 73e | 50d | 25d | 0 |
Complete cytogenetic response | 45e | 29d | 16d | 0 |
aThe first 46 patients were treated on days 1–21 of 28-day cycles, and following a protocol amendment, 102 patients received continuous daily dosing.
bDays 1–21 of 28-day cycles.
cContinuous daily dosing.
dP < 0.001 versus placebo.
eOf 85 patients evaluable.
Hb, hemoglobin; IWG, International Working Group; LEN, lenalidomide; NA, not available; RBC-TI, red blood cell transfusion independence.