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Escalation of daunorubicin and addition of etoposide in the ADE regimen in acute myeloid leukemia patients aged 60 years and older: Cancer and Leukemia Group B Study 9720
by
J O, Moore
, John, Lister
, R M, Stone
, K, Mrózek
, C D, Bloomfield
, B L, Powell
, S L, George
, M A, Caligiuri
, B L, Sanford
, J E, Kolitz
, R A, Larson
, M R, Baer
in
631/92/436/2388
/ 692/699/67/1990/283/1897
/ 692/700/1518
/ 692/700/565/1436/1437
/ Acute myeloid leukemia
/ Age
/ Aged
/ Aged, 80 and over
/ Antineoplastic Combined Chemotherapy Protocols
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Biological and medical sciences
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Critical Care Medicine
/ Cytarabine
/ Cytarabine - therapeutic use
/ Cytokines
/ Daunorubicin
/ Daunorubicin - therapeutic use
/ Dosage and administration
/ Drug dosages
/ Etoposide
/ Etoposide - therapeutic use
/ Female
/ Health aspects
/ Hematologic and hematopoietic diseases
/ Hematology
/ Humans
/ Intensive
/ Internal Medicine
/ Karyotypes
/ Karyotyping
/ Leukemia
/ Leukemia, Myeloid, Acute
/ Leukemia, Myeloid, Acute - drug therapy
/ Leukemia, Myeloid, Acute - genetics
/ Leukemia, Myeloid, Acute - mortality
/ Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
/ Male
/ Medical prognosis
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ original-article
/ Remission
/ Remission (Medicine)
/ Remission Induction
/ Survival Rate
/ Treatment Outcome
2011
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Escalation of daunorubicin and addition of etoposide in the ADE regimen in acute myeloid leukemia patients aged 60 years and older: Cancer and Leukemia Group B Study 9720
by
J O, Moore
, John, Lister
, R M, Stone
, K, Mrózek
, C D, Bloomfield
, B L, Powell
, S L, George
, M A, Caligiuri
, B L, Sanford
, J E, Kolitz
, R A, Larson
, M R, Baer
in
631/92/436/2388
/ 692/699/67/1990/283/1897
/ 692/700/1518
/ 692/700/565/1436/1437
/ Acute myeloid leukemia
/ Age
/ Aged
/ Aged, 80 and over
/ Antineoplastic Combined Chemotherapy Protocols
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Biological and medical sciences
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Critical Care Medicine
/ Cytarabine
/ Cytarabine - therapeutic use
/ Cytokines
/ Daunorubicin
/ Daunorubicin - therapeutic use
/ Dosage and administration
/ Drug dosages
/ Etoposide
/ Etoposide - therapeutic use
/ Female
/ Health aspects
/ Hematologic and hematopoietic diseases
/ Hematology
/ Humans
/ Intensive
/ Internal Medicine
/ Karyotypes
/ Karyotyping
/ Leukemia
/ Leukemia, Myeloid, Acute
/ Leukemia, Myeloid, Acute - drug therapy
/ Leukemia, Myeloid, Acute - genetics
/ Leukemia, Myeloid, Acute - mortality
/ Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
/ Male
/ Medical prognosis
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ original-article
/ Remission
/ Remission (Medicine)
/ Remission Induction
/ Survival Rate
/ Treatment Outcome
2011
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Escalation of daunorubicin and addition of etoposide in the ADE regimen in acute myeloid leukemia patients aged 60 years and older: Cancer and Leukemia Group B Study 9720
by
J O, Moore
, John, Lister
, R M, Stone
, K, Mrózek
, C D, Bloomfield
, B L, Powell
, S L, George
, M A, Caligiuri
, B L, Sanford
, J E, Kolitz
, R A, Larson
, M R, Baer
in
631/92/436/2388
/ 692/699/67/1990/283/1897
/ 692/700/1518
/ 692/700/565/1436/1437
/ Acute myeloid leukemia
/ Age
/ Aged
/ Aged, 80 and over
/ Antineoplastic Combined Chemotherapy Protocols
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Biological and medical sciences
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Critical Care Medicine
/ Cytarabine
/ Cytarabine - therapeutic use
/ Cytokines
/ Daunorubicin
/ Daunorubicin - therapeutic use
/ Dosage and administration
/ Drug dosages
/ Etoposide
/ Etoposide - therapeutic use
/ Female
/ Health aspects
/ Hematologic and hematopoietic diseases
/ Hematology
/ Humans
/ Intensive
/ Internal Medicine
/ Karyotypes
/ Karyotyping
/ Leukemia
/ Leukemia, Myeloid, Acute
/ Leukemia, Myeloid, Acute - drug therapy
/ Leukemia, Myeloid, Acute - genetics
/ Leukemia, Myeloid, Acute - mortality
/ Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
/ Male
/ Medical prognosis
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Oncology
/ original-article
/ Remission
/ Remission (Medicine)
/ Remission Induction
/ Survival Rate
/ Treatment Outcome
2011
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Escalation of daunorubicin and addition of etoposide in the ADE regimen in acute myeloid leukemia patients aged 60 years and older: Cancer and Leukemia Group B Study 9720
Journal Article
Escalation of daunorubicin and addition of etoposide in the ADE regimen in acute myeloid leukemia patients aged 60 years and older: Cancer and Leukemia Group B Study 9720
2011
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Overview
Untreated
de novo
(
n
=421) and secondary (
n
=189) acute myeloid leukemia (AML) patients ⩾60 years received intensified chemotherapy, including daunorubicin 60 mg/m
2
and etoposide 100 mg/m
2
during days 1, 2, 3 with cytarabine 100 mg/m
2
during days 1–7, with a second induction if needed and one consolidation course with these drugs and doses for 2, 2 and 5 days, respectively. In all, 287 (47%) achieved complete remission (CR), 136 (22%) died and 187 (31%) were non-responders. CR rates were 27, 44 and 52% for complex karyotypes, rare aberrations and neither (
P
<0.001), 52 and 37% for
de novo
and secondary AML (
P
=0.003), and 53 and 42% for age 60–69 and ⩾70 years (
P
=0.015). In multivariable analysis, CR predictors included non-complex/non-rare karyotypes (
P
<0.001),
de novo
AML (
P
<0.001), better performance status (PS) (
P
<0.001) and younger age (
P
=0.001). Disease-free (DFS) and overall (OS) survival medians were 6.8 (95% CI: 6.2, 7.8) and 7.2 (95% CI: 6.4, 8.6) months. In multivariable analysis, DFS was shorter for complex karyotypes (
P
<0.001) and increasing white blood count (WBC) (
P
<0.001) and age (
P
=0.038), and OS for complex karyotypes (
P
<0.001), increasing WBC (
P
=0.001) and age (
P
<0.001), poorer PS (
P
<0.001) and secondary AML (
P
=0.010). Outcomes and prognostic factors were similar to those in previous Cancer and Leukemia Group B studies.
Publisher
Springer Science and Business Media LLC,Nature Publishing Group UK,Nature Publishing Group
Subject
/ Age
/ Aged
/ Antineoplastic Combined Chemotherapy Protocols
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Biological and medical sciences
/ Cancer
/ Cytarabine - therapeutic use
/ Daunorubicin - therapeutic use
/ Female
/ Hematologic and hematopoietic diseases
/ Humans
/ Leukemia
/ Leukemia, Myeloid, Acute - drug therapy
/ Leukemia, Myeloid, Acute - genetics
/ Leukemia, Myeloid, Acute - mortality
/ Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
/ Male
/ Medicine
/ Oncology
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