Therapeutic Effect and Prognostic Analysis of Induction Chemotherapy with Idarubicin/BH-AC in Acute Myelogenous Leukemia / 대한혈액학회지
Korean Journal of Hematology
;
: 109-116, 2000.
Article
in Korean
| WPRIM
| ID: wpr-720968
ABSTRACT
BACKGROUND:
We have analyzed the outcome and prognostic factors for 61 patients with acute myelogenous leukemia (AML) who were treated with idarubicin(IDA)/N 4-behenoyl- 1-beta-D-arabinofuranosylcytosine(BH-AC) regimen at Chonnam National University Hospital between April 1994 and December 1998.METHODS:
Fifty-six patients with newly diagnosed AML and 5 patients failed by IDA/ara- C were eligible to analysis. Remission induction chemotherapy consisted of IDA (12 mg/m2/day IV over 30 minutes on days 1~3) and BH-AC (age 40 years 200 mg/m2/day). After achievement of a complete remission (CR), four polychemotherapy cycles, allogeneic BMT or autologous PBSCT were given as consolidation.RESULTS:
Median age was 38 years (range, 17 to 65). Of 61 patients, 43 (70.5%) achi-eved CR and 6 (9.8%) died of early complications. The Kaplan-Meier estimated overall survival rate was 51.8+/-7.7%, 43.1+/-8.5% and 29.6+/-8.8% at 1 year, 2 year and 3 year respectively, and the disease free survival rate was 58.4+/-9.7%, 43.3+/-10.4% and 24.0+/-12.2 % at 1 year, 2 year and 3 year, respectively. Unfavorable prognostic variables for achieving CR were age >55 years (P =0.006), FAB subtypes (P=0.005) and poor risk cytogenetic abnormalities (P=0.021), and FAB subtypes for overall survival (P=0.0064).CONCLUSION:
IDA/BH-AC combination chemotherapy is an effective and well-tolerated regimen for induction treatment of AML.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Remission Induction
/
Idarubicin
/
Leukemia, Myeloid, Acute
/
Survival Rate
/
Chromosome Aberrations
/
Disease-Free Survival
/
Drug Therapy
/
Drug Therapy, Combination
/
Induction Chemotherapy
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Hematology
Year:
2000
Type:
Article
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