Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-1-21
pubmed:abstractText
Treatment outcome of acute myeloid leukemia (AML) in elderly patients remains unsatisfactory. It has been shown that the infusion of granulocyte colony-stimulating factor-mobilized donor peripheral blood stem cells (G-PBSCs) can enhance graft-versus-leukemia effects and speed hematopoietic recovery. Fifty-eight AML patients aged 60-88 years were randomly assigned to receive induction chemotherapy with cytarabine and mitoxantrone (control group; n = 28) or it plus human leukocyte antigen-mismatched G-PBSCs (G-PBSC group; n = 30). Patients who achieved complete remission received another 2 cycles of postremission therapy with intermediate-dose cytarabine or it plus G-PBSCs. The complete remission rate was significantly higher in the G-PBSC group than in the control group (80.0% vs 42.8%; P = .006). The median recovery times of neutrophils and platelets were 11 days and 14.5 days, respectively, in the G-PBSC group and 16 days and 20 days, respectively, in the control group after chemotherapy. The 2-year probability of disease-free survival was significantly higher in the G-PBSC group than in the control group (38.9% vs 10.0%; P = .01). No graft-versus-host disease was observed in any patient. Persistent donor microchimerism was successfully detected in all of the 4 female patients. These results indicate that G-PBSCs in combination with conventional chemotherapy may provide a promising treatment method for AML in elderly patients.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1528-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:day
20
pubmed:volume
117
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
936-41
pubmed:meshHeading
pubmed-meshheading:20966170-Acute Disease, pubmed-meshheading:20966170-Adult, pubmed-meshheading:20966170-Aged, pubmed-meshheading:20966170-Aged, 80 and over, pubmed-meshheading:20966170-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:20966170-Cytarabine, pubmed-meshheading:20966170-Female, pubmed-meshheading:20966170-HLA Antigens, pubmed-meshheading:20966170-Histocompatibility, pubmed-meshheading:20966170-Histocompatibility Testing, pubmed-meshheading:20966170-Humans, pubmed-meshheading:20966170-Infection, pubmed-meshheading:20966170-Leukemia, Myeloid, pubmed-meshheading:20966170-Male, pubmed-meshheading:20966170-Middle Aged, pubmed-meshheading:20966170-Mitoxantrone, pubmed-meshheading:20966170-Peripheral Blood Stem Cell Transplantation, pubmed-meshheading:20966170-Transplantation Chimera, pubmed-meshheading:20966170-Treatment Outcome
pubmed:year
2011
pubmed:articleTitle
Infusion of HLA-mismatched peripheral blood stem cells improves the outcome of chemotherapy for acute myeloid leukemia in elderly patients.
pubmed:affiliation
Department of Hematology and Transplantation, Affiliated Hospital of Academy of Military Medical Sciences, Beijing, China.
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't