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ABSTRACT Decitabine is a hypomethylating agent with activity in myelodysplastic syndrome (MDS). It is largely unknown whether treatment with this drug before allo-SCT will increase the
toxicity of the preparative regimen or otherwise affect the results of the transplant. We report the outcome of 17 patients with MDS with a median age of 55.5 years (range, 36–66 years) who
underwent an allo-SCT (12 siblings, 5 unrelated) after prior therapy with decitabine. Preparative regimens consisted of fludarabine in combination with BU (_n_=8) or melphalan (_n_=9). The
source of stem cells was marrow in four patients and peripheral blood (PB) in 13 patients. Thirteen patients were in CR within 100 days of transplant. With a median follow-up of 12 months
(range, 3–35 months), 11 patients are alive; eight in CR and three with progressive disease. Prior therapy with hypomethylating agents did not increase toxicity and may improve the outcome
of allogeneic transplant in MDS and should be evaluated in a prospective trial. Access through your institution Buy or subscribe This is a preview of subscription content, access via your
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* Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS REDUCED INTENSITY VERSUS MYELOABLATIVE CONDITIONING FOR MDS:
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index: a new tool for risk assessment before allogeneic HCT. _Blood_ 2005; 106: 2912–2919. Article CAS Google Scholar Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS *
Department of Stem Cell Transplantation and Cell Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA L De Padua Silva, M de Lima, P Kebriaei, S Giralt & R
Champlin * Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA L De Padua Silva, H Kantarjian, S Faderl, J Davisson, G Garcia-Manero, J-P Issa & F
Ravandi Authors * L De Padua Silva View author publications You can also search for this author inPubMed Google Scholar * M de Lima View author publications You can also search for this
author inPubMed Google Scholar * H Kantarjian View author publications You can also search for this author inPubMed Google Scholar * S Faderl View author publications You can also search for
this author inPubMed Google Scholar * P Kebriaei View author publications You can also search for this author inPubMed Google Scholar * S Giralt View author publications You can also search
for this author inPubMed Google Scholar * J Davisson View author publications You can also search for this author inPubMed Google Scholar * G Garcia-Manero View author publications You can
also search for this author inPubMed Google Scholar * R Champlin View author publications You can also search for this author inPubMed Google Scholar * J-P Issa View author publications You
can also search for this author inPubMed Google Scholar * F Ravandi View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence
to M de Lima. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE De Padua Silva, L., de Lima, M., Kantarjian, H. _et al._ Feasibility of allo-SCT after
hypomethylating therapy with decitabine for myelodysplastic syndrome. _Bone Marrow Transplant_ 43, 839–843 (2009). https://doi.org/10.1038/bmt.2008.400 Download citation * Received: 08 July
2008 * Revised: 15 October 2008 * Accepted: 17 October 2008 * Published: 19 January 2009 * Issue Date: June 2009 * DOI: https://doi.org/10.1038/bmt.2008.400 SHARE THIS ARTICLE Anyone you
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Springer Nature SharedIt content-sharing initiative KEYWORDS * myelodysplastic syndrome * decitabine * allo-SCT