Early intensification and short-term maintenance chemotherapy does not prolong survival in acute myelogenous leukemia.

Abstract:

:Forty-one previously untreated patients with a diagnosis of acute myelogenous leukemia (AML) were entered on a study using early intensification followed by a short-term maintenance chemotherapy. Induction and early intensification consisted of three to four cycles of doxorubicin, vincristine, cytosine arabinoside (Ara-C) and prednisone (ADOAP) in escalating dosages. Maintenance therapy used three cycles of Ara-C thioguanine (AT), followed by three cycles of cyclophosphamide and rubidazone with vincristine and prednisone (CROP). Median total duration of therapy was 9 months. The overall complete remission (CR) rate was 73%. Tolerance to chemotherapy and dose escalation were better for patients who received their induction and early intensification in the protected environment. The overall median survival was 75 weeks. Compared to a historical control group treated with long-term maintenance chemotherapy, patients achieving CR on the current study had similar median remission (52 versus 65 weeks; P = 0.3) and survival durations (94 versus 98 weeks). This regimen using early intensification and short-term maintenance chemotherapy did not improve the overall prognosis of this AML population.

journal_name

Cancer

journal_title

Cancer

authors

Kantarjian HM,Keating MJ,Walters RS,McCredie KB,Bodey GP,Freireich EJ

doi

10.1002/1097-0142(19861015)58:8<1603::aid-cncr2820

subject

Has Abstract

pub_date

1986-10-15 00:00:00

pages

1603-8

issue

8

eissn

0008-543X

issn

1097-0142

journal_volume

58

pub_type

杂志文章

相关文献

CANCER文献大全
  • Utilization of a human tumor cloning system to monitor for bone marrow involvement in children with non-hodgkin's lymphoma.

    abstract::The objective of this study was to evaluate the sensitivity of two methods for determining bone marrow involvement with non-Hodgkin's lymphoma. These methods were histologic review of bone marrow aspirates, and clot sections versus in vitro growth of lymphoma colonies on soft agar. Forty-two bone marrow aspirates were...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840415)53:8<1724::aid-cncr2820

    authors: Smith SD,Kisker S,Bush L,Trueworthy RC

    更新日期:1984-04-15 00:00:00

  • Prognostic value of CD44 isoform expression in thymic epithelial neoplasms.

    abstract:BACKGROUND:Many histologic classifications of thymic epithelial tumors have been reported to date, but to the authors' knowledge, none of them closely reflect the clinical behavior or prognosis of the tumor. Therefore, it is necessary to establish a biologic marker for thymic epithelial tumors. Variants of CD44 may be ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21046

    authors: Sonobe S,Miyamoto H,Nobukawa B,Izumi H,Futagawa T,Ishikawa N,Yamazaki A,Uekusa T,Abe H,Suda K

    更新日期:2005-05-15 00:00:00

  • A pathologic assessment of tumor residue and stromal changes after intraarterial chemotherapy for head and neck carcinomas. A study on serial sections of the whole surgical specimen.

    abstract::Thirty-one patients with advanced, biopsy-proven squamous cell carcinoma (SCC) of the head and neck were treated with intraarterial chemotherapy (IAC) and subsequent radical surgery. Cisplatin at 25 mg/d (4 hours of infusion) and bleomycin at 15 mg/d (20 hours of infusion) were administered for 10 consecutive days. Ra...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890901)64:5<994::aid-cncr28206

    authors: Sulfaro S,Frustaci S,Volpe R,Barzan L,Comoretto R,Monfardini S,Carbone A

    更新日期:1989-09-01 00:00:00

  • Induction of apoptosis and suppression of clonogenicity of ovarian carcinoma cells with estrogen mustard.

    abstract:BACKGROUND:This study was conducted to evaluate whether estramustine (estrogen mustard [EM]) is a promising alternative in the treatment of patients with epithelial ovarian carcinoma (OVCA). EM is a microtubule-associated protein (MAP) specific antimicrotubule agent with low toxicity. METHODS:The authors investigated ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19990615)85:12<2616::aid-c

    authors: Chen Z,Fadiel A,Jia JF,Sakamoto H,Carbone R,Naftolin F

    更新日期:1999-06-15 00:00:00

  • Tackling the cancer signal transduction “labyrinth”: a combinatorial use of biochemical tools with mathematical models will enhance the identification of optimal targets for each molecular defect.

    abstract::Unraveling cancer-associated molecular defects is crucial for further pharmacological targeting. Although novel techniques are being developed to elucidate genomic, proteomic, and transcriptomic alterations, the map of protein interactions and aberrations in normal but also in malignant cells is still obscure. It has ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28424

    authors: Karamouzis MV,Papavassiliou AG

    更新日期:2014-02-01 00:00:00

  • Special communication. The Cooperative Human Tissue Network.

    abstract::This report is to make the general scientific community aware of availability of human tissues through this network. During the short period of its existence, this network has developed useful procedures for distributing human tumor tissue in a rapid, scientifically useful, cost-effective manner to investigators to wh...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890401)63:7<1452::aid-cncr2820

    authors: Clausen KP,Grizzle WE,Livolsi V,Newton WA Jr,Aamodt R

    更新日期:1989-04-01 00:00:00

  • Combination chemotherapy and adriamycin in patients with advanced breast cancer. A Southwest Oncology Group study.

    abstract::In January, 1972, the Southwest Oncology Group initiated two randomized studies for patients with advanced breast cancer. The study for patients with prior chemotherapy showed a 33% response rate with adriamycin. The study for patients without previous chemotherapy consisted of three treatment regimens; a weekly repea...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(197607)38:1<13::aid-cncr28203801

    authors: Hoogstraten B,George SL,Samal B,Rivkin SE,Costanzi JJ,Bonnet JD,Thigpen T,Braine H

    更新日期:1976-07-01 00:00:00

  • Inverse relation between levels of p27(Kip1) and of its ubiquitin ligase subunit Skp2 in colorectal carcinomas.

    abstract:BACKGROUND:Previous studies have shown that low levels of p27(Kip1), an inhibitor of G1 cyclin-dependent kinases, are associated with high aggressiveness and poor prognosis in a variety of cancers. Decreased levels of p27 are caused, at least in part, by acceleration of the rate of its ubiquitin-mediated degradation. I...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20010501)91:9<1745::aid-cncr1193

    authors: Hershko D,Bornstein G,Ben-Izhak O,Carrano A,Pagano M,Krausz MM,Hershko A

    更新日期:2001-05-01 00:00:00

  • Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST).

    abstract:BACKGROUND:Cancer and its treatment lead to increased financial distress for patients. To the authors' knowledge, to date, no standardized patient-reported outcome measure has been validated to assess this distress. METHODS:Patients with AJCC Stage IV solid tumors receiving chemotherapy for at least 2 months were recr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30369

    authors: de Souza JA,Yap BJ,Wroblewski K,Blinder V,Araújo FS,Hlubocky FJ,Nicholas LH,O'Connor JM,Brockstein B,Ratain MJ,Daugherty CK,Cella D

    更新日期:2017-02-01 00:00:00

  • Adrenal adenomas and adrenal carcinomas in association with hereditary adenomatosis of the colon and rectum.

    abstract::Hereditary adenomatosis of the colon and rectum (HACR) is associated with a wide variety of extracolonic manifestations. Two cases of neoplasia involving the adrenal gland are reported, one adenoma and one carcinoma. The literature relating these lesions to HACR and other syndromes of malignant and nonmalignant growth...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850501)55:9<2001::aid-cncr2820

    authors: Painter TA,Jagelman DG

    更新日期:1985-05-01 00:00:00

  • Increasing incidence of rectal cancer in patients aged younger than 40 years: an analysis of the surveillance, epidemiology, and end results database.

    abstract:BACKGROUND:The incidence of rectal cancer in the United States in young patients is considered to be low. Underestimating this incidence may result in a failure to diagnose younger patients with rectal cancer in a timely manner. METHODS:The authors conducted a retrospective cohort study using Surveillance, Epidemiolog...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25432

    authors: Meyer JE,Narang T,Schnoll-Sussman FH,Pochapin MB,Christos PJ,Sherr DL

    更新日期:2010-09-15 00:00:00

  • Diagnosis and subclassification of follicle center and mantle cell lymphomas on fine-needle aspirates: A cytologic and immunocytochemical approach based on the Revised European-American Lymphoma (REAL) classification.

    abstract:BACKGROUND:Cytologic distinction between follicle center lymphoma (FCL) and mantle cell lymphoma (MCL) is difficult with cytomorphology alone and requires immunophenotyping. The current study describes the distinction between follicle center and mantle cell lymphoma made with fine-needle aspiration (FNA) material. MET...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Rassidakis GZ,Tani E,Svedmyr E,Porwit A,Skoog L

    更新日期:1999-08-25 00:00:00

  • High-voltage irradiation and combination chemotherapy for malignant pheochromocytoma.

    abstract::A 29-year-old man with metastatic extraadrenal pheochromocytoma developed paraplegia which reversed completely after megavoltage irradiation of the dorsolumbar spine. Later, treated with cyclophosphamide, vincristine, and dacarbazine, he had a temporary decrease in plasma norepinephrine concentration, a partial recalc...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880815)62:4<686::aid-cncr28206

    authors: Siddiqui MZ,Von Eyben FE,Spanos G

    更新日期:1988-08-15 00:00:00

  • Assessing the impact of patient navigation: prevention and early detection metrics.

    abstract:BACKGROUND:The lack of comparable metrics to evaluate prevention and early detection patient navigation programs impeded the ability to identify best practices. METHODS:The Prevention and Early Detection Workgroup of the Patient Navigation Leadership Summit was charged with making recommendations for common clinical m...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.26267

    authors: Battaglia TA,Burhansstipanov L,Murrell SS,Dwyer AJ,Caron SE,Prevention and Early Detection Workgroup, National Patient Navigation Leadership Summit.

    更新日期:2011-08-01 00:00:00

  • Recombinant interferon gamma1b immune enhancement in 20 patients with hematologic malignancies and systemic opportunistic infections treated with donor granulocyte transfusions.

    abstract:BACKGROUND:The response to antifungal therapy alone often is suboptimal in patients with cancer who have therapy-refractory neutropenia, and even donor-derived granulocyte transfusions (GTX) are not always successful. The authors evaluated the safety and efficacy of immune enhancement using recombinant interferon gamma...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21929

    authors: Safdar A,Rodriguez GH,Lichtiger B,Dickey BF,Kontoyiannis DP,Freireich EJ,Shpall EJ,Raad II,Kantarjian HM,Champlin RE

    更新日期:2006-06-15 00:00:00

  • Lung cancer mortality risk among breast cancer patients treated with anti-estrogens.

    abstract:BACKGROUND:The Women's Health Initiative randomized clinical trial reported that menopausal hormone therapy increases lung cancer mortality risk. If this is true, use of anti-estrogens should be associated with decreased lung cancer mortality risk. The authors compared lung cancer incidence and mortality among breast c...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25638

    authors: Bouchardy C,Benhamou S,Schaffar R,Verkooijen HM,Fioretta G,Schubert H,Vinh-Hung V,Soria JC,Vlastos G,Rapiti E

    更新日期:2011-03-15 00:00:00

  • Expression and prognostic role of tumor suppressor gene PTEN/MMAC1/TEP1 in hepatocellular carcinoma.

    abstract:BACKGROUND:Inactivation of the tumor suppressor gene PTEN/MMAC1/TEP1, located on chromosome 10q23, is a common event in advanced stages of diverse human malignancies. However, the prognostic role of PTEN expression in patients with hepatocellular carcinoma (HCC) has not been characterized. METHODS:One hundred five res...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11266

    authors: Hu TH,Huang CC,Lin PR,Chang HW,Ger LP,Lin YW,Changchien CS,Lee CM,Tai MH

    更新日期:2003-04-15 00:00:00

  • Relationship of radioactive radon daughters and cigarette smoking in the genesis of lung cancer in uranium miners.

    abstract::This article documents the study of 383 cases of lung cancer in uranium miners and presents for the first time the relationship of radioactive radon gas and cigarette smoking. There is evidence that alpha radiation from radon gas at exposure levels above 465 working level months (WLM) is a strong contributor to the de...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19881001)62:7<1402::aid-cncr2820

    authors: Saccomanno G,Huth GC,Auerbach O,Kuschner M

    更新日期:1988-10-01 00:00:00

  • Is thyroidectomy necessary in RET mutations carriers of the familial medullary thyroid carcinoma syndrome?

    abstract:BACKGROUND:The results and consequences of genetic testing in a family with familial medullary thyroid carcinoma (FMTC) are described. METHODS:In the screening of relatives, serum calcitonin is replaced by RET mutation analysis that was performed in families suspected of hereditary medullary thyroid carcinoma (MTC). I...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Hansen HS,Torring H,Godballe C,Jäger AC,Nielsen FC

    更新日期:2000-08-15 00:00:00

  • Efficacy of prolonged intermittent therapy with combined 5-FU and methyl-CCNU following resection for gastric carcinoma. A Veterans Administration Surgical Oncology, Group report.

    abstract::This prospective evaluation of 5-fluorouracil (5-FU) and methyl-CCNU administered in combination to patients with surgery for histologically proved gastric adenocarcinoma is based upon 312 patients randomized between August 1974 and May 1980. Patients were stratified into three categories of resectability, (1) complet...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(19830915)52:6<1105::aid-cncr2820

    authors: Higgins GA,Amadeo JH,Smith DE,Humphrey EW,Keehn RJ

    更新日期:1983-09-15 00:00:00

  • The effect of postoperative and primary radiation therapy on delivered dose of adjuvant cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) chemotherapy in breast cancer.

    abstract::The dose of adjuvant chemotherapy for breast cancer may be an important factor in the success of the treatment program. In a retrospective analysis, the authors determined whether patients who were irradiated either postoperatively (N = 29) or as part of primary treatment (N = 13) received a lower dose of adjuvant cyc...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840115)53:2<237::aid-cncr28205

    authors: Levine JF,Coleman CN,Cox RS,Ray GR,Rogoway WM,Martinez A,Stockdale FE

    更新日期:1984-01-15 00:00:00

  • Ocular toxicity and cancer chemotherapy. A review.

    abstract:BACKGROUND:Systemic anticancer therapies can produce acute and chronic organ damage, but the eye is usually considered a protected site. Nonetheless, the oculo-visual system has a potentially high degree of sensitivity to toxic substances. Ocular toxicity induced by cancer chemotherapy includes a broad spectrum of diso...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/(SICI)1097-0142(19961001)78:7<1359::AID-CN

    authors: al-Tweigeri T,Nabholtz JM,Mackey JR

    更新日期:1996-10-01 00:00:00

  • Loss of material from chromosome arm 1p during malignant progression of meningioma revealed by fluorescent in situ hybridization.

    abstract:BACKGROUND:Atypical and anaplastic meningiomas tend to recur and to invade adjacent brain, bone, and skin. They also can metastasize to extracranial organs such as the lung, liver, or bone, causing death. Recent reports have indicated that allelic deletion of chromosome 1p is associated with malignant progression of me...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Ishino S,Hashimoto N,Fushiki S,Date K,Mori T,Fujimoto M,Nakagawa Y,Ueda S,Abe T,Inazawa J

    更新日期:1998-07-15 00:00:00

  • Comparative analysis of the sensitivity of endometrial cancer cells to epidermal growth factor and steroid hormones.

    abstract:BACKGROUND:Epidermal growth factor (EGF) and EGF-regulated processes play an important role in steroid signal transduction. Comparative analysis of EGF and steroid receptor expression and the sensitivity of early stages of proliferation induction, such as activation of phospholipid turnover to EGF and steroids, may pro...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19951215)76:12<2524::aid-cncr282

    authors: Gershtein ES,Shatskaya VA,Kostyleva OI,Ermilova VD,Kushlinsky NE,Krasil'nikov MA

    更新日期:1995-12-15 00:00:00

  • The radiographic diagnosis and treatment of paraneoplastic central nervous system disease.

    abstract::Paraneoplastic nervous system syndromes are being identified with increasing frequency because of greater physician awareness and the availability of serodiagnostic tests for some syndromes. Frequently, paraneoplastic syndromes develop in the setting of an indolent, limited stage, or otherwise occult malignancy. As a ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19940101)73:1<168::aid-cncr28207

    authors: Glantz MJ,Biran H,Myers ME,Gockerman JP,Friedberg MH

    更新日期:1994-01-01 00:00:00

  • Sunitinib-induced hyperparathyroidism: a possible mechanism to altered bone homeostasis.

    abstract:BACKGROUND:Sunitinib malate is an orally bioavailable tyrosine kinase inhibitor that is active against many tyrosine kinase receptors involving crucial pathways in both healthy tissues and malignant tissues. Because its use in clinical practice is quite recent, many of its possible side effects remain unknown. In this ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26435

    authors: Baldazzi V,Tassi R,Lapini A,Lunghi A,Garofoli E,Caruso S,Carini M,Mazzanti R

    更新日期:2012-06-15 00:00:00

  • Access, insurance, and personpower.

    abstract::This presentation will focus on the issues of access to care, insurance, and personpower in pediatric oncology. The invitation to participate in this workshop was addressed to me as former Chairman of the Section of Hematology/Oncology of the American Academy of Pediatrics and current Chairman of the sub-board of Pedi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930515)71:10+<3290::aid-cncr28

    authors: Gilchrist GS

    更新日期:1993-05-15 00:00:00

  • Flow cytometric analysis of nuclear DNA content in esophageal cancer. Aneuploidy as an index for highly malignant potential.

    abstract::Flow cytometric analysis of nuclear DNA content was performed on excised malignant tissue of the esophagus. The DNA ploidy pattern was compared with a variety of histologic parameters and the subsequent clinical course to determine whether or not this pattern is associated with the mode of malignant potentiality. Of t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890815)64:4<887::aid-cncr28206

    authors: Kaketani K,Saito T,Kobayashi M

    更新日期:1989-08-15 00:00:00

  • Ureteral obstruction in patients with breast cancer.

    abstract::Six breast cancer patients were treated recently for renal insufficiency secondary to neoplasic involvement of the ureters. This complication usually occurs in long standing hormonal-dependent breast cancer with bone metastases. Diagnosis was performed by abdominal echography. Ureteral catheterization or percutaneous ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880501)61:9<1904::aid-cncr2820

    authors: Recloux P,Weiser M,Piccart M,Sculier JP

    更新日期:1988-05-01 00:00:00

  • Results of a randomized controlled trial to increase colorectal cancer screening in a managed care health plan.

    abstract:BACKGROUND:Colorectal cancer (CRC) is the third most common cause of cancer deaths; however, rates of regular screening for this cancer are low. A quality improvement (QI) program to increase CRC screening was developed for use in a managed care health plan. METHODS:Thirty-six provider organizations (POs) contracting ...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/cncr.21434

    authors: Ganz PA,Farmer MM,Belman MJ,Garcia CA,Streja L,Dietrich AJ,Winchell C,Bastani R,Kahn KL

    更新日期:2005-11-15 00:00:00