Therapeutic strategies for postremission treatment in childhood acute myeloid leukemia (AML). The AIEOP experience 1987-1991.

Abstract:

:From 1987 to 1990, intensive postremission chemotherapy was compared to autologous bone marrow transplant in previously untreated children with AML who received identical induction therapy with two courses of Daunorubicin (DNR) and conventional dose ARA-C (protocol AIEOP LAM 87). Overall, 121 of the 155 eligible patients achieved complete remission (CR) (78%). Patients in CR who lacked HLA-MLC compatible donor were randomized to receive either autologous BMT (Auto-BMT) or further sequential postremission therapy. Patients with HLA-MLC compatible donor were assigned to allogeneic BMT (Allo-BMT). Projected 3-years disease free survival (DFS) are 58% for Allo-BMT group, 24% for Auto-BMT group, 26% for chemotherapy group and 30% for a group of not randomized patients (intention to treat analysis). On March 1990 a pilot study LAM 87M was initiated. Patients in CR after induction therapy (identical to the previous protocol) receive a single intensification course consisting of high dose ARA-C plus DNR. The study continues to accrue patients.

journal_name

Leukemia

journal_title

Leukemia

authors

Amadori S,Giona F,Giuliano M,Moleti ML,Pession A,Rolla M,Rondelli R,Testi AM,Mandelli F

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

44-7

eissn

0887-6924

issn

1476-5551

journal_volume

6 Suppl 2

pub_type

临床试验,杂志文章,多中心研究,随机对照试验

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