Authors: | Stein, E. M.; Tallman, M. S. |
Article Title: | Remission induction in acute myeloid leukemia |
Abstract: | Inducing a complete remission (CR) in patients with acute myeloid leukemia is a prerequisite to long-term disease control with subsequent post-remission consolidation chemotherapy or allogeneic hematopoietic stem cell transplantation. The use of 7 days of infusional cytarabine and 3 days of daunorubicin or idarubicin (7 ± 3) has become the standard of care to induce CR, based on clinical trials conducted in the 1980s. Efforts to improve on the CR rate seen with the 7 ± 3 regimen that translates into better overall patient survival have been disappointing. Here we review recent phase III studies of novel induction strategies that show promise in increasing the rate of CR and improving disease outcome. © 2012 The Japanese Society of Hematology. |
Keywords: | cancer chemotherapy; event free survival; treatment outcome; treatment response; acute granulocytic leukemia; gene mutation; overall survival; leukemia, myeloid, acute; fludarabine; neutropenia; erlotinib; drug dose comparison; monotherapy; side effect; unspecified side effect; cytarabine; drug megadose; clinical practice; low drug dose; liver toxicity; multiple cycle treatment; blood toxicity; thrombocytopenia; antineoplastic combined chemotherapy protocols; combination chemotherapy; cytogenetics; continuous infusion; drug fatality; cardiotoxicity; gefitinib; daunorubicin; remission; remission induction; sepsis; idarubicin; drug dose increase; heart left ventricle ejection fraction; gemtuzumab ozogamicin; cladribine; leukemia remission; acute myeloid leukemia; cancer prognosis |
Journal Title: | International Journal of Hematology |
Volume: | 96 |
Issue: | 2 |
ISSN: | 0925-5710 |
Publisher: | Springer Japan KK |
Date Published: | 2012-08-01 |
Start Page: | 164 |
End Page: | 170 |
Language: | English |
DOI: | 10.1007/s12185-012-1121-y |
PROVIDER: | scopus |
PUBMED: | 22791508 |
PMCID: | PMC4052975 |
DOI/URL: | |
Notes: | --- - "Export Date: 2 November 2012" - "CODEN: IJHEE" - "Source: Scopus" |