Azacitidine prolongs overall survival and reduces infections and hospitalizations in patients with WHO-defined acute myeloid leukaemia compared with conventional care regimens: an update

被引:11
作者
Fenaux, P. [1 ]
Mufti, G. J. [2 ]
Hellstrom-Lindberg, E. [3 ]
Santini, V. [4 ]
Gattermann, N. [5 ]
Sanz, G. [6 ]
List, A. F. [7 ]
Gore, S. D. [8 ]
Seymour, J. F. [9 ]
Backstrom, J. [10 ]
Zimmerman, L. [10 ]
McKenzie, D. [10 ]
Beach, C. L. [10 ]
Silverman, L. B. [11 ]
机构
[1] Univ Paris 13, Hop Avicenne, Bobigny, France
[2] Kings Coll London, Dept Haematol Med, London, England
[3] Karolinska Univ Hosp, Stockholm, Sweden
[4] Azienda Osped Careggi, Hematol, Florence, Italy
[5] Univ Dusseldorf, Dusseldorf, Germany
[6] Hosp Univ La Fe, Dept Hematol, Valencia, Spain
[7] H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
[8] Johns Hopkins, Sidney Kimmel Comprehens Canc Ctr, Baltimore, MD USA
[9] Peter MacCallum Canc Inst, Dept Haematol, Melbourne, Vic, Australia
[10] Celgene, Overland Pk, KS USA
[11] Dana Farber Canc Inst, Pediat Oncol, Boston, MA 02115 USA
关键词
D O I
10.3332/ecancer.2008.121
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Azacitidine (AZA), as demonstrated in the phase III trial (AZA-001), is the first MDS treatment to significantly prolong overall survival (OS) in higher risk MDS pts ((2007) Blood 110 817). Approximately, one-third of the patients (pts) enrolled in AZA-001 were FAB RAEB-T (>= 20-30% blasts) and now meet the WHO criteria for acute myeloid leukaemia (AML) ((1999) Blood 17 3835). Considering the poor prognosis (median survival < 1 year) and the poor response to chemotherapy in these pts, this sub-group analysis evaluated the effects of AZA versus conventional care regimens (CCR) on OS and on response rates in pts with WHO AML.
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