Retinoic acid in the treatment of acute promyelocytic leukemia: inefficacy of the 13-cis isomer and induction of complete remission by the all-trans isomer complicated by thromboembolic events.

Abstract:

:The clinical course of three patients with acute promyelocytic leukemia receiving all-trans retinoic acid (ATRA) as a single agent is reported. The first two patients were in first and second relapse of their leukemia that had occurred despite maintenance treatment with 13-cis retinoic acid after chemotherapy-induced complete remission (CR). A switch to ATRA was followed by achievement of a CR in two patients. The third patient received ATRA as first-line therapy. Two patients experienced thromboembolic complications during the phase of ATRA-induced leukocytosis. One of them died of pulmonary embolism on day 16 of treatment. The two responding patients who did not receive consolidation chemotherapy relapsed after 6 and 9 months, respectively. Increase of the ATRA dose failed to induce a new remission.

journal_name

Ann Hematol

journal_title

Annals of hematology

authors

Runde V,Aul C,Südhoff T,Heyll A,Schneider W

doi

10.1007/BF01695469

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

270-2

issue

6

eissn

0939-5555

issn

1432-0584

journal_volume

64

pub_type

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