Oral decitabine-cedazuridine in acute myeloid leukaemia

Br J Haematol. 2024 Nov;205(5):1674-1676. doi: 10.1111/bjh.19769. Epub 2024 Sep 23.

Abstract

In a randomized crossover study involving 89 patients with acute myeloid leukaemia ineligible for intensive chemotherapy, Geissler et al. compared intravenous decitabine and oral decitabine-cedazuridine. The pharmacokinetics and pharmacodynamics of the two formulations were similar. The clinical efficacy of oral decitabine-cedazuridine was consistent with historical data of intravenous decitabine. Commentary on: Geissler et al. Oral decitabine/cedazuridine versus intravenous decitabine for acute myeloid leukaemia: A randomised, crossover, registration, pharmacokinetics study. Br J Haematol 2024; 205:1734-1745.

Keywords: acute myeloid leukemia; decitabine; decitabine‐cedazuridine; pharmacokinetics.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Oral
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Azacitidine / administration & dosage
  • Azacitidine / analogs & derivatives
  • Azacitidine / pharmacokinetics
  • Azacitidine / therapeutic use
  • Cross-Over Studies
  • Decitabine* / administration & dosage
  • Decitabine* / pharmacokinetics
  • Decitabine* / therapeutic use
  • Female
  • Humans
  • Leukemia, Myeloid, Acute* / drug therapy
  • Male
  • Uridine* / administration & dosage
  • Uridine* / analogs & derivatives
  • Uridine* / pharmacokinetics
  • Uridine* / therapeutic use

Substances

  • Decitabine
  • cedazuridine
  • Uridine
  • Azacitidine