acute myeloid leukemia (aml): the role of maintenance chemo¬therapy

نویسندگان

thomas büchner university hospital, dept. of medicine, hematology and oncology, albert- schweitzer-str. 33, d-48129 münster

wolfgang hiddemann university hospital, dept. of medicine, hematology and oncology, albert- schweitzer-str. 33, d-48129 münster

wolfgang e berdel university hospital, dept. of medicine, hematology and oncology, albert- schweitzer-str. 33, d-48129 münster

bernhard wörmann university hospital, dept. of medicine, hematology and oncology, albert- schweitzer-str. 33, d-48129 münster

چکیده

maintenance treatment for patients with acute myeloid leukemia (aml) in remission has recently been controversially discussed and even abandoned by several groups. an analysis of 16 published multicenter trials, however, revealed the highest probabilities of relapse free survival (rfs) in the range of 35-42 % at 4-5 years only in patients assigned to maintenance treatment when adult age and intent-to-treat conditions were considered. after having demonstrated a superior rfs from 3 year maintenance following standard dose consolidation over that from consolidation alone (p<0.0001), the german amlcg requestioned the effect of maintenance randomly compared with sequential high-dose arac and mitoxantrone (s-ham) in patients having received intensified induction treatment. the rfs shows an advantage for maintenance with 32 % versus 25 % (p= .021). we conclude that maintenance treatment continues to substantially contribute to the management of adult patients with aml, even as part of recent strategies using intensified induction treatment, and thus appears necessary in these settings.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

acute myeloid leukemia (aml): the role of intensive induction chemotherapy

intensive induction therapy-in acute myeloid leukemia (aml), as in some other systemic malignancies- is a strategy fundamentally different from post-remission strategies. approaches like consolidation treatment, prolonged mainte nance, and autologous or allogeneic transplantation in the first remission are directed against minimal residual disease with a malignant cell population having survive...

متن کامل

The role of microRNA in acute/chronic, myeloid/lymphocytic leukemia

MicroRNAs are small, non-coding sequences that regulate gene expression by inducing degradation or translational inhibition of target mRNAs. These molecules control many intracellular physiological and pathological processes.Abnormal expression of these moleculs has been described in different cancers including hematopoietic cancers. According to the type of cancer and the stage, miRNA’s expres...

متن کامل

Chromosomal rearrangements in acute myeloid leukemia (AML)

E Belloni, M Trubia, P Gasparini, C Micucci, C Tapinassi, S Confalonieri, P Nuciforo, B Martino, F Lo-Coco, PP Di Fiore and PG Pelicci Istituto Europeo di Oncologia, Milan, Italy Campus IFOM-IEO, Milan, Italy Divisione di Ematologia, Azienda Ospedaliera Bianchi-Malacrino-Morelli, Reggio Calabria, Italy Università di Roma Tor Vergata, Department of Biopatologia e Diagnostica per Immagini, Rome, ...

متن کامل

Effective Dendritic Cell-based Immunotherapeutic Vaccines for Acute Myeloid Leukemia (AML)

Acute myeloid leukemia (AML) is a type of poor prognosis hematological malignancies characterized by heterogeneous clonal expansion of myeloid progenitors. Leukemic stem cells are thought to form the majority of a cell population in minimal residual diseases (MRDs) which are resistant to current chemotherapeutic regimens and mediate disease relapse. Current therapeutic vaccine strategies have d...

متن کامل

Induction Chemotherapy for Acute Myeloid Leukemia – Experiences from the AML-CG Studies

O ver the last three decades the overall prognosis of patients suffering from AML has steadily improved. Nowadays, complete remissions are achieved in 60 – 70% of all patients with long-term disease free survival and potential cure in 25 – 40% of cases. A more detailed analysis indicates that this progress has mainly been achieved in patients <60 years of age while in older patients little impr...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
international journal of hematology-oncology and stem cell research

جلد ۱، شماره ۱، صفحات ۶-۱۱

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023