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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1993-10-25
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pubmed:abstractText |
Forty-seven patients with poor-prognosis myeloid leukemias received induction therapy with high-dose cytosine arabinoside (HDara-C), 1.5-3.0g/m2 for 8-10 doses, and mitoxantrone (DHAD), 12-15 mg/m2 for 3 doses. Complete remissions were achieved in 21 [45%, 95% confidence interval (CI) 30.2-59.9%] of the patients, including 11 of 14 with acute myelogenous leukemia (AML) in first relapse (79%, 95% CI 49.2-95.3%), 4 of 8 with refractory anemia with excess blasts in transformation (RAEBiT) (50%, 95% CI 15.4-84.6%), and 4 of 6 (67%, 95% CI 22.3-95.7%) previously untreated elderly AML patients. Patients with secondary AML and advanced chronic myelogenous leukemia had a very low response rate. The incidence of reversible toxicity was low and only 3 treatment-related deaths occurred. After reinduction, 8 of 9 AML patients < or = 60 years of age were ultimately able to undergo intensive therapy and either autologous 4-hydroperoxycyclophosphamide-purged bone marrow (7 patients) or peripheral blood stem cell (1 patient) transplantation with satisfactory hematological recovery. We conclude that HDara-C and DHAD is an effective antileukemic regimen in selected AML and RAEBiT patients, and that its use may allow subsequent successful autologous BMT in appropriate patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0735-7907
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
509-16
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8402219-Adult,
pubmed-meshheading:8402219-Aged,
pubmed-meshheading:8402219-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8402219-Cytarabine,
pubmed-meshheading:8402219-Drug Administration Schedule,
pubmed-meshheading:8402219-Female,
pubmed-meshheading:8402219-Humans,
pubmed-meshheading:8402219-Leukemia, Myeloid,
pubmed-meshheading:8402219-Leukemia, Myeloid, Acute,
pubmed-meshheading:8402219-Male,
pubmed-meshheading:8402219-Middle Aged,
pubmed-meshheading:8402219-Mitoxantrone,
pubmed-meshheading:8402219-Prognosis,
pubmed-meshheading:8402219-Prospective Studies,
pubmed-meshheading:8402219-Treatment Outcome
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pubmed:year |
1993
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pubmed:articleTitle |
Chemotherapy with high-dose cytosine arabinoside and mitoxantrone for poor-prognosis myeloid leukemias.
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pubmed:affiliation |
Leukemia/Bone Marrow Transplantation Program of British Columbia, Vancouver General Hospital, Canada.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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