Improved outcome of children with relapsed/refractory acute myeloid leukemia by addition of cladribine to re‐induction chemotherapy

Autor: Min Ruan, Li‐Peng Liu, Ao‐Li Zhang, Ben Quan Qi, Fang Liu, Tian‐Feng Liu, Xiao‐Ming Liu, Xiao‐Juan Chen, Wen‐Yu Yang, Ye Guo, Li Zhang, Yao Zou, Yu‐Mei Chen, Xiao‐Fan Zhu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Cancer Medicine, Vol 10, Iss 3, Pp 956-964 (2021)
Druh dokumentu: article
ISSN: 2045-7634
DOI: 10.1002/cam4.3681
Popis: Abstract Background The preferred salvage treatment for children with relapsed/refractory acute myeloid leukemia (R/R‐AML) remains unclear. The combination of cladribine/Ara‐C/granulocyte‐colony stimulating factor and mitoxantrone (CLAG‐M) shown promising results in adult R/R‐AML. We aim to investigate the efficacy and safety of CLAG‐M versus mitoxantrone/etoposide/cytarabine (MEC) or idarubicin/etoposide/cytarabine (IEC) in R/R‐AML children. Methods Fifty‐five R/R‐AML children were analyzed. The overall response rate (ORR), overall survival (OS), and progression‐free survival (PFS) at 3‐year were documented. Karyotype or mutations status were summarized as different risk groups. Results The ORR was achieved in 80% (16/20) and 51% (18/35) of patients after one‐cycle of CLAG‐M and MEC/IEC treatment (p
Databáze: Directory of Open Access Journals
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