Cladribine, cytarabine, filgrastim, and mitoxantrone (CLAG-M) compared to standard induction in acute myeloid leukemia from myelodysplastic syndrome after azanucleoside failure

被引:34
作者
Jaglal, Michael V. [1 ]
Duong, Vu H. [2 ]
Bello, Celeste M. [1 ]
Al Ali, Najla H. [1 ]
Padron, Eric [1 ]
Fernandez, Hugo F. [1 ]
List, Alan F. [1 ]
Lancet, Jeffrey E. [1 ]
Komrokji, Rami S. [1 ]
机构
[1] Univ S Florida, Coll Med, H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL 33612 USA
[2] Univ Maryland, Greenebaum Canc Ctr, Baltimore, MD 21201 USA
关键词
Azanucleoside treatment failure; Antecedent hematological disorders; Cladrabine; Secondary AML; ACUTE MYELOGENOUS LEUKEMIA; INTENSIVE CHEMOTHERAPY; RISK; OUTCOMES; THERAPY; MULTICENTER; ARABINOSIDE; EFFICACY; ANALOGS; AML;
D O I
10.1016/j.leukres.2013.12.010
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
For patients with acute myeloid leukemia from antecedent myelodysplastic syndrome particularly after azanucleoside treatment failure, outcome is poor. Here, we conducted a case-control study in these patients to compare the efficacy of CLAG-M induction (28 patients) versus standard 3 + 7 induction chemotherapy (24 patients). Response rates (p= 0.014) and median overall survival (p= 0.025) were 64% and 202 days (95% CI 37-367 days) versus 29% and 86 days (95% CI 36-136) in the CLAG-M and 3 + 7 cohorts, respectively. Median overall survival was 202 (95% CI 37-367 days) versus 86 days (95% CI 36-136) (p= 0.025), respectively. CLAG-M has encouraging activity in this patient group. (c) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:443 / 446
页数:4
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