Single-agent lenalidomide induces complete remission of acute myeloid leukemia in patients with isolated trisomy 13

被引:53
作者
Fehniger, Todd A. [1 ]
Byrd, John C. [2 ,3 ]
Marcucci, Guido [2 ,4 ]
Abboud, Camille N. [1 ]
Kefauver, Cheryl [2 ]
Payton, Jacqueline E. [5 ]
Vij, Ravi [1 ]
Blum, William [2 ]
机构
[1] Washington Univ, Div Oncol, Dept Internal Med, Siteman Canc Ctr, St Louis, MO USA
[2] Ohio State Univ, Div Hematol & Oncol, Ctr Comprehens Canc, Dept Med, Columbus, OH 43210 USA
[3] Ohio State Univ, Coll Pharm, Div Med Chem, Columbus, OH 43210 USA
[4] Ohio State Univ, Coll Pharm, Div Pharmaceut, Columbus, OH 43210 USA
[5] Washington Univ, Dept Pathol & Immunol, Siteman Canc Ctr, St Louis, MO USA
基金
美国国家卫生研究院;
关键词
INCREASED FLT3 EXPRESSION; MYELODYSPLASTIC SYNDROMES; MULTIPLE-MYELOMA; OLDER PATIENTS; THERAPY; ADULT; CYTOGENETICS; DELETION; PHASE-2; CANCER;
D O I
10.1182/blood-2008-04-152678
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with acute myeloid leukemia (AML) frequently fail chemotherapy due to refractory disease, relapse, or toxicity. Among older AML patients (age > 60 years), there are few long-term survivors. Lenalidomide is a candidate for study in AML based on its clinical activity in a related disorder, myelodysplastic syndrome (MDS), with the 5q- chromosomal abnormality. We report induction of sustained morphologic and cytogenetic complete remission in 2 older AML patients treated with high-dose, single-agent lenalidomide; each patient had trisomy 13 as the sole cytogenetic abnormality. We show for the first time that lenalidomide has clinical activity in this poor-risk cytogenetic subset of AML. The clinical trials described in this paper have been registered with www.clinicaltrials.gov under identifiers NCT00466895 and NCT00546897. (Blood. 2009;113:1002-1005)
引用
收藏
页码:1002 / 1005
页数:4
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