Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2008-11-6
pubmed:abstractText
Gemtuzumab ozogamicin (GO) monotherapy is reported to yield a 20-30% response rate in advanced acute myeloid leukaemia (AML). This study examined the efficacy and tolerability of GO combined with cytarabine (GOCYT) in children with refractory/relapsed CD33(+) AML. Seventeen children received GO 3 mg/m(2) on days 1, 4 and 7 plus cytarabine 100 mg/m(2)/d for 7 d on a compassionate-use basis. Seven patients then received GO-based consolidation. At the outset of GOCYT, two patients were refractory; eight patients were in refractory first relapse; six patients had relapsed after stem cell transplantation (SCT); and one patient [del(5q) therapy-related AML (t-AML)] had not yet been treated. Mean follow-up was 17 months (8-33 months). Ten responses were obtained after GOCYT induction, including complete remission (CR) or CR without complete recovery of platelets (CRp) in six patients (35%). The responses improved in three children who received GOCYT consolidation, increasing the CR + CRp rate to 53%. SCT was subsequently performed in eight responders. Grade 3-4 adverse events consisted of haematological disorders (n = 17, 100%) and documented infections (n = 5, 29%). No cases of sinusoidal obstructive syndrome occurred. Three patients were alive at the cut-off date for this analysis, all of whom had responded to GOCYT. GOCYT combination therapy yielded a high response rate (53%) and showed acceptable toxicity in heavily pretreated children with refractory/relapsed AML. These results warrant a larger prospective study.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1365-2141
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
143
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
541-7
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:18759760-Adolescent, pubmed-meshheading:18759760-Aminoglycosides, pubmed-meshheading:18759760-Antibodies, Monoclonal, pubmed-meshheading:18759760-Antibodies, Monoclonal, Humanized, pubmed-meshheading:18759760-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:18759760-Child, pubmed-meshheading:18759760-Child, Preschool, pubmed-meshheading:18759760-Cytarabine, pubmed-meshheading:18759760-Drug Administration Schedule, pubmed-meshheading:18759760-Drug Evaluation, pubmed-meshheading:18759760-Epidemiologic Methods, pubmed-meshheading:18759760-Female, pubmed-meshheading:18759760-Humans, pubmed-meshheading:18759760-Infant, pubmed-meshheading:18759760-Leukemia, Myeloid, Acute, pubmed-meshheading:18759760-Male, pubmed-meshheading:18759760-Recurrence, pubmed-meshheading:18759760-Treatment Outcome
pubmed:year
2008
pubmed:articleTitle
Efficacy of fractionated gemtuzumab ozogamicin combined with cytarabine in advanced childhood myeloid leukaemia.
pubmed:affiliation
Hématologie Pédiatrique, Hôpital Saint-Louis, APHP, Paris, France. benoit.brethon@sls.aphp.fr
pubmed:publicationType
Journal Article, Multicenter Study