Literature DB >> 21109304

Salvage chemotherapy regimens for acute myeloid leukemia: Is one better? Efficacy comparison between CLAG and MEC regimens.

Samantha L Price1, Jeffrey E Lancet, Timothy J George, Gene A Wetzstein, Alan F List, Viet Q Ho, Hugo F Fernandez, Javier Pinilla-Ibarz, Mohamed A Kharfan-Dabaja, Rami S Komrokji.   

Abstract

There is no standard salvage regimen for AML. We retrospectively compared two commonly used regimens at our institution: CLAG and MEC. The complete response rate (CR) was 37.9% for CLAG (n=97) and 23.8% for MEC (n=65) (P=0.048), with median overall survival (OS) of 7.3 and 4.5 months, respectively (P=0.05). In primary refractory disease, CR was 45.5% for CLAG and 22.2% for MEC (P=0.09), with median OS of 11 and 4.5 months, respectively (P=0.07). In first relapse, CR was 36.8% and 25.9% (P=0.35) and median OS was 6.7 and 6.7 months, respectively (P=0.87). Our data support use of CLAG for RR-AML.
Copyright © 2010 Elsevier Ltd. All rights reserved.

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Year:  2010        PMID: 21109304     DOI: 10.1016/j.leukres.2010.09.002

Source DB:  PubMed          Journal:  Leuk Res        ISSN: 0145-2126            Impact factor:   3.156


  25 in total

1.  A phase I/II randomized trial of clofarabine or fludarabine added to idarubicin and cytarabine for adults with relapsed or refractory acute myeloid leukemia.

Authors:  Nicholas J Short; Hagop Kantarjian; Farhad Ravandi; Xuelin Huang; Lianchun Xiao; Guillermo Garcia-Manero; William Plunkett; Varsha Gandhi; Koji Sasaki; Naveen Pemmaraju; Naval G Daver; Gautam Borthakur; Nitin Jain; Marina Konopleva; Zeev Estrov; Tapan M Kadia; William G Wierda; Courtney D DiNardo; Mark Brandt; Susan M O'Brien; Jorge E Cortes; Elias Jabbour
Journal:  Leuk Lymphoma       Date:  2017-07-18

2.  Twice-daily fludarabine and cytarabine combination with or without gentuzumab ozogamicin is effective in patients with relapsed/refractory acute myeloid leukemia, high-risk myelodysplastic syndrome, and blast- phase chronic myeloid leukemia.

Authors:  Elias Jabbour; Guillermo Garcia-Manero; Jorge Cortes; Farhad Ravandi; William Plunkett; Varsha Gandhi; Stefan Faderl; Susan O'Brien; Gautam Borthakur; Tapan Kadia; Jan Burger; Marina Konopleva; Mark Brandt; Xuelin Huang; Hagop Kantarjian
Journal:  Clin Lymphoma Myeloma Leuk       Date:  2012-04-24

3.  A phase I study of fludarabine, cytarabine, and oxaliplatin therapy in patients with relapsed or refractory acute myeloid leukemia.

Authors:  Apostolia Maria Tsimberidou; Michael J Keating; Elias J Jabbour; Farhad Ravandi-Kashani; Susan O'Brien; Elihu Estey; Neby Bekele; William K Plunkett; Hagop Kantarjian; Gautam Borthakur
Journal:  Clin Lymphoma Myeloma Leuk       Date:  2014-02-03

Review 4.  Diagnosis and management of AML in adults: 2017 ELN recommendations from an international expert panel.

Authors:  Hartmut Döhner; Elihu Estey; David Grimwade; Sergio Amadori; Frederick R Appelbaum; Thomas Büchner; Hervé Dombret; Benjamin L Ebert; Pierre Fenaux; Richard A Larson; Ross L Levine; Francesco Lo-Coco; Tomoki Naoe; Dietger Niederwieser; Gert J Ossenkoppele; Miguel Sanz; Jorge Sierra; Martin S Tallman; Hwei-Fang Tien; Andrew H Wei; Bob Löwenberg; Clara D Bloomfield
Journal:  Blood       Date:  2016-11-28       Impact factor: 22.113

5.  A real-world study of clofarabine and cytarabine combination therapy for patients with acute myeloid leukemia.

Authors:  Fiona He; Smarika Sapkota; Sarah Parker; Todd Defor; Erica Warlick; Celalettin Ustun; Craig Eckfeldt; Armin Rashidi; Andy Kurtzweil; Daniel Weisdorf; Nelli Bejanyan
Journal:  Leuk Lymphoma       Date:  2018-02-07

6.  Clofarabine salvage therapy before allogeneic hematopoietic stem cell transplantation in patients with relapsed or refractory AML: results of the BRIDGE trial.

Authors:  J M Middeke; R Herbst; S Parmentier; G Bug; M Hänel; G Stuhler; K Schäfer-Eckart; W Rösler; S Klein; W Bethge; U Bitz; B Büttner; H Knoth; N Alakel; M Schaich; A Morgner; M Kramer; K Sockel; M von Bonin; F Stölzel; U Platzbecker; C Röllig; C Thiede; G Ehninger; M Bornhäuser; J Schetelig
Journal:  Leukemia       Date:  2015-08-18       Impact factor: 11.528

7.  High dose cytarabine, mitoxantrone and l-asparaginase (HAMA) salvage for relapsed or refractory acute myeloid leukemia (AML) in the elderly.

Authors:  Tamjeed Ahmed; Scott Holwerda; Heidi D Klepin; Scott Isom; Leslie R Ellis; Susan Lyerly; Megan Manuel; Sarah Dralle; Dmitriy Berenzon; Bayard L Powell; Timothy S Pardee
Journal:  Leuk Res       Date:  2015-06-01       Impact factor: 3.156

8.  A phase I study of lenalidomide plus chemotherapy with mitoxantrone, etoposide, and cytarabine for the reinduction of patients with acute myeloid leukemia.

Authors:  Daniel J DeAngelo; Andrew M Brunner; Lillian Werner; David Avigan; Amir T Fathi; Adam S Sperling; Abigail Washington; Dina Stroopinsky; Jacalyn Rosenblatt; Malgorzata McMasters; Katarina Luptakova; Martha Wadleigh; David P Steensma; Gabriela S Hobbs; Eyal C Attar; Philip C Amrein; Benjamin L Ebert; Richard M Stone; Karen K Ballen
Journal:  Am J Hematol       Date:  2017-11-21       Impact factor: 10.047

9.  A phase I study of hepatic arterial infusion of nab-paclitaxel in combination with intravenous gemcitabine and bevacizumab for patients with advanced cancers and predominant liver metastases.

Authors:  Apostolia M Tsimberidou; Yang Ye; Jennifer Wheler; Aung Naing; David Hong; Uchechi Nwosu; Kenneth R Hess; Robert A Wolff
Journal:  Cancer Chemother Pharmacol       Date:  2013-02-03       Impact factor: 3.333

10.  Re-induction with modified CLAG regimen in relapsed or refractory acute myeloid leukemia in children bridging to allogeneic hematopoietic stem cell transplantation.

Authors:  Na Zhang; Jing-Bo Shao; Hong Li; Jing-Wei Yang; Kai Chen; Jia-Shi Zhu; Hui Jiang
Journal:  World J Pediatr       Date:  2019-11-20       Impact factor: 2.764

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