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pubmed-article:9587394pubmed:abstractTextInduction therapy of acute myeloid leukaemia (AML) with standard-dose chemotherapy will result in approximately 64% of patients achieving a complete remission (CR). New drugs which are active in induction therapy in randomised clinical trials are etoposide, idarubicin and high dose cytarabine. Intensification of induction treatment with etoposide or high-dose cytarabine does not appear to alter the CR rate but prolongs remission and has some impact on survival. High-dose cytarabine in induction combinations increase relapse-free survival compared to standard approaches. These induction results appear to parallel results obtained with post-remission therapies intensified with high-dose cytarabine. These studies provide clinical evidence that intensified induction with cytarabine in AML influences subsequent outcome but is more toxic, gives more profound myelosuppression post-remission and has benefit confined to younger patients.lld:pubmed
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pubmed-article:9587394pubmed:dateRevised2007-11-15lld:pubmed
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pubmed-article:9587394pubmed:articleTitleApproaches to induction therapy with adult acute myeloid leukaemia.lld:pubmed
pubmed-article:9587394pubmed:affiliationSydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, N.S.W., Australia. jbishop@canc.rpa.cs.nsw.gov.aulld:pubmed
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