Leukemias, lymphomas, and other hematologic cancers:
Indications for DACOGEN:
Myelodysplastic syndromes (MDS) including previously treated and untreated, de novo and secondary MDS of all French-American-British subtypes and Intermediate-1, Intermediate-2, and High-risk International Prognostic Scoring System groups.
May premedicate with antiemetics. 3-day regimen: give by continuous IV infusion over 3hrs. 15mg/m2 every 8hrs for 3 days, repeat every 6 weeks. 5-day regimen: give by continuous IV infusion over 1hr. 20mg/m2 once daily for 5 days, repeat every 4 weeks. Both regimens: give for a minimum of 4 cycles (based on hematologic recovery); may take longer for a complete or partial response. Dose modifications for toxicity: see full labeling.
Risk of serious and fatal myelosuppression. Obtain CBC with platelets at baseline, before each cycle, and as needed; manage appropriately if toxicity occurs. Monitor baseline hepatic function and serum creatinine. Renal or hepatic impairment. Embryo-fetal toxicity. Advise to use effective contraception during and for 6 months (females) or 3 months (males w. female partners) after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for ≥2 weeks after the last dose).
Neutropenia, thrombocytopenia, anemia, fatigue, pyrexia, nausea, cough, petechiae, constipation, diarrhea, hyperglycemia; non-hematologic toxicities (eg, serum creatinine ≥2mg/dL, SGPT or total bilirubin ≥2xULN, active or uncontrolled infection).