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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Blood+Adv
2018 ; 2
(13
): 1645-1650
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Ten-year outcome of patients with acute myeloid leukemia not treated with
allogeneic transplantation in first complete remission
#MMPMID29991495
Vasu S
; Kohlschmidt J
; Mrózek K
; Eisfeld AK
; Nicolet D
; Sterling LJ
; Becker H
; Metzeler KH
; Papaioannou D
; Powell BL
; Kolitz JE
; Moore JO
; Baer MR
; Roboz GJ
; Stone RM
; Byrd JC
; Carroll AJ
; Bloomfield CD
Blood Adv
2018[Jul]; 2
(13
): 1645-1650
PMID29991495
show ga
The probability that adult patients with de novo acute myeloid leukemia (AML)
receiving intensive chemotherapy in the absence of allogeneic hematopoietic stem
cell transplantation (Allo-HCT) in first complete remission (CR1) will be
disease-free at 10 years after diagnosis, a long-term surrogate of cure, is
unknown. To address this question, we examined 2551 AML patients (1607 aged <60
years, and 944 aged ?60 years) enrolled in Cancer and Leukemia Group B treatment
protocols and the cytogenetics companion protocol 8461 between 1983 and 2004. At
10 years, 267 (16.6%) of patients aged <60 years and 23 (2.4%) of those aged ?60
years were alive and disease-free. This disease-free AML group consisted
predominantly of patients with core-binding factor AML with t(8;21)(q22;q22) or
inv(16)(p13q22)/t(16;16)(p13;q22) and those with a normal karyotype. Occurrences
of AML beyond 10 years were infrequent and associated with cytogenetic findings
different from those at diagnosis. These data provide evidence that the frequency
of long-term cure of AML is low among younger and especially older patients in
the absence of Allo-HCT in CR1. In older patients not appropriate for Allo-HCT,
these data provide further justification for early use of alternative treatments
outside of intensive chemotherapy.