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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1999-2-10
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pubmed:abstractText |
We studied the use of autologous bone marrow transplantation (ABMT) as treatment for acute myeloid leukemia (AML) in adults up to age 60. We used a preparative regimen of busulfan 16 mg/kg plus etoposide 60 mg/kg and bone marrow purged with 100 microg/ml of 4-hydroperoxycyclophosphamide (4HC). We treated 50 first remission patients; there were two treatment-related deaths and 13 relapses. With median follow-up of 6.8 years (minimum 4.5) disease-free survival (DFS) is 70%, relapse rate 27% and overall survival 72%. Patients with favorable cytogenetics had DFS 78% and relapse 18% whereas unfavorable patients had DFS 63% and relapse rate 35%. For 25 patients in second or third remission there were five treatment-related deaths and seven relapses. DFS is 52% and relapse rate 35%. None of six patients with primary refractory AML had long-term disease control. These data support the use of ABMT with an intensive preparative regimen and purged bone marrow as a highly effective treatment for adults with AML.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Busulfan,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Etoposide,
http://linkedlifedata.com/resource/pubmed/chemical/Immunosuppressive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/perfosfamide
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
865-72
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:9827814-Acute Disease,
pubmed-meshheading:9827814-Adolescent,
pubmed-meshheading:9827814-Adult,
pubmed-meshheading:9827814-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:9827814-Bone Marrow Purging,
pubmed-meshheading:9827814-Bone Marrow Transplantation,
pubmed-meshheading:9827814-Busulfan,
pubmed-meshheading:9827814-Cyclophosphamide,
pubmed-meshheading:9827814-Disease-Free Survival,
pubmed-meshheading:9827814-Etoposide,
pubmed-meshheading:9827814-Follow-Up Studies,
pubmed-meshheading:9827814-Humans,
pubmed-meshheading:9827814-Immunosuppressive Agents,
pubmed-meshheading:9827814-Leukemia, Myeloid,
pubmed-meshheading:9827814-Middle Aged,
pubmed-meshheading:9827814-Transplantation, Autologous
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pubmed:year |
1998
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pubmed:articleTitle |
Autologous bone marrow transplantation for acute myeloid leukemia using 4-hydroperoxycyclophosphamide-purged bone marrow and the busulfan/etoposide preparative regimen: a follow-up report.
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pubmed:affiliation |
University of California San Francisco, USA.
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pubmed:publicationType |
Journal Article
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