Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1998-10-28
pubmed:abstractText
In order to develop new strategies for the treatment of relapsed or refractory acute myeloid leukemia, the German AML Cooperative Group performed a prospective multicenter phase II study to evaluate the antileukemic efficacy of aclarubicin 60 mg/m2/day and etoposide 100 mg/m2/day each given for 5 days. Of 37 heavily pretreated evaluable patients (median age 42 years, range 18-81) 15 (40%) achieved a remission after one or two courses of treatment consisting of nine complete (24%) and six partial remissions (16%). Fourteen (38%) cases were non-responders and eight (22%) patients suffered from early deaths. Disease-free survival for patients in remission and overall survival were 3.2 months each. The median duration of critical neutropenia <500/microl was 27 days. The most frequent non-hematologic side-effects were stomatitis (WHO III/IV, 48%), infections (40%), nausea/vomiting (26%) and diarrhea (24%). Cardiac toxicity was mild. This study suggests a substantial antileukemic efficacy and an acceptable toxicity of aclarubicin in combination with etoposide in heavily pretreated patients with advanced acute myeloid leukemia, and warrants further evaluations in a more favorable stage of the disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1522-6
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:9766494-Aclarubicin, pubmed-meshheading:9766494-Adolescent, pubmed-meshheading:9766494-Adult, pubmed-meshheading:9766494-Aged, pubmed-meshheading:9766494-Aged, 80 and over, pubmed-meshheading:9766494-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:9766494-Disease-Free Survival, pubmed-meshheading:9766494-Etoposide, pubmed-meshheading:9766494-Female, pubmed-meshheading:9766494-Humans, pubmed-meshheading:9766494-Leukemia, Myeloid, Acute, pubmed-meshheading:9766494-Leukocyte Count, pubmed-meshheading:9766494-Male, pubmed-meshheading:9766494-Middle Aged, pubmed-meshheading:9766494-Neutropenia, pubmed-meshheading:9766494-Prospective Studies, pubmed-meshheading:9766494-Recurrence, pubmed-meshheading:9766494-Stomatitis, pubmed-meshheading:9766494-Survival Rate
pubmed:year
1998
pubmed:articleTitle
Combination of aclarubicin and etoposide for the treatment of advanced acute myeloid leukemia: results of a prospective multicenter phase II trial. German AML Cooperative Group.
pubmed:affiliation
Department of Hematology and Oncology, Georg-August-University, Göttingen, Germany.
pubmed:publicationType
Journal Article, Clinical Trial, Multicenter Study, Clinical Trial, Phase II