title: Azacitidine in chronic myelomonocytic leukemia: an effective and manageable approach.
abstract: Chronic myelomonocytic leukemia (CMML) is an uncommon neoplastic hematological disorder, typically affecting the elderly, and characterized by a marked clinical heterogeneity and a remarkable propensity for transformation into acute myeloid leukemia. Hypomethylating agents represent the most innovative management approach in this difficult setting. At our institution, between 2010 and 2012, we have treated with azacitidine 10 CMML patients with a median age of 75 (62-86) years. The overall response rate of 70% was achieved without remarkable toxicities; in particular, most therapy-induced side effects were managed on outpatient basis. With a median follow-up of 12,5 (2-27) months, 6 patients are alive, and 4 of them continue to receive the treatment; the median survival from the start of therapy was not reached. In conclusion, also in the light of our encouraging experience, azacitidine can offer new chances of treatment also in the difficult setting of elderly CMML.
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Tendas
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Cupelli
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Agostina
authors.initials: A
authors.lastname: Siniscalchi
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Scaramucci
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Giovannini
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Teresa
authors.initials: T
authors.lastname: Dentamaro
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Perrotti
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Caravita
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: de Fabritiis
authors.affiliation: Hematology Division, Sant'Eugenio Hospital, Rome, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Niscola