Hydroxyurea, a myelosuppressive agent, is the only effective drug proven to reduce the frequency of painful episodes. It raises the level of HbF and the haemoglobin level. It usually decreases the rate of painful episodes by 50 %. It was first tested in sickle cell disease in 1984. It also decreases the rate of ACS episodes and blood transfusions by similar to 50 % in adults. It was developed as an anticancer drug and has been used to treat myeloproliferative syndromes-leukemia, melanoma, and ovarian cancer. It was approved for use by FDA in adults. Side effects includes neutropenia, bone marrow suppression, elevation of hepatic enzymes, anorexia, nausea, vomiting and infertility.
机构:
Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
McCarthy, William F.
;
Guo, Nan
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Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Guo, Nan
;
DeCastro, Laura
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Duke Univ, Med Ctr, Durham, NC USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
DeCastro, Laura
;
Bellevue, Rita
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New York Methodist Hosp, Brooklyn, NY USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Bellevue, Rita
;
Barton, Bruce A.
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Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Barton, Bruce A.
;
Waclawiw, Myron A.
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NHLBI, Bethesda, MD 20892 USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
机构:
Childrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA
Harvard Univ, Sch Med, Boston, MA USAChildrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA
Heeney, Matthew M.
;
Ware, Russell E.
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机构:
St Jude Childrens Res Hosp, Dept Hematol, Memphis, TN 38105 USAChildrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA
机构:
Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
McCarthy, William F.
;
Guo, Nan
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机构:
Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Guo, Nan
;
DeCastro, Laura
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机构:
Duke Univ, Med Ctr, Durham, NC USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
DeCastro, Laura
;
Bellevue, Rita
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机构:
New York Methodist Hosp, Brooklyn, NY USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Bellevue, Rita
;
Barton, Bruce A.
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机构:
Maryland Med Res Inst, Baltimore, MD USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
Barton, Bruce A.
;
Waclawiw, Myron A.
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h-index: 0
机构:
NHLBI, Bethesda, MD 20892 USAThomas Jefferson Univ, Jefferson Med Coll, Cardeza Fdn Hematol Res, Sickle Cell Ctr,Dept Med, Philadelphia, PA 19107 USA
机构:
Childrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA
Harvard Univ, Sch Med, Boston, MA USAChildrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA
Heeney, Matthew M.
;
Ware, Russell E.
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h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Hematol, Memphis, TN 38105 USAChildrens Hosp, Div Hematol Oncol, Dept Med, Boston, MA 02115 USA