Azacitidine maintenance after intensive chemotherapy improves DFS in older AML patients.


Journal

Blood
ISSN: 1528-0020
Titre abrégé: Blood
Pays: United States
ID NLM: 7603509

Informations de publication

Date de publication:
28 03 2019
Historique:
received: 11 10 2018
accepted: 21 12 2018
pubmed: 12 1 2019
medline: 4 12 2019
entrez: 12 1 2019
Statut: ppublish

Résumé

The prevention of relapse is the major therapeutic challenge in older patients with acute myeloid leukemia (AML) who have obtained a complete remission (CR) on intensive chemotherapy. In this randomized phase 3 study (HOVON97) in older patients (≥60 years) with AML or myelodysplastic syndrome with refractory anemia with excess of blasts, in CR/CR with incomplete hematologic recovery (CRi) after at least 2 cycles of intensive chemotherapy, we assessed the value of azacitidine as postremission therapy with respect to disease-free survival (DFS; primary end point) and overall survival (OS; secondary end point). In total, 116 eligible patients were randomly (1:1) assigned to either observation (N = 60) or azacitidine maintenance (N = 56; 50 mg/m

Identifiants

pubmed: 30630862
pii: S0006-4971(20)42668-0
doi: 10.1182/blood-2018-10-879866
doi:

Substances chimiques

Antimetabolites, Antineoplastic 0
Azacitidine M801H13NRU

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1457-1464

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2019 by The American Society of Hematology.

Auteurs

Gerwin Huls (G)

Department of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Dana A Chitu (DA)

Department of Hematology, HOVON Data Center, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.

Violaine Havelange (V)

Department of Hematology, Cliniques Universitaires St. Luc, Brussels, Belgium.

Mojca Jongen-Lavrencic (M)

Department of Hematology, Erasmus MC, Rotterdam, The Netherlands.

Arjan A van de Loosdrecht (AA)

Department of Hematology, Amsterdam University Medical Center, VU University Medical Center, Cancer Center Amsterdam, Amsterdam, The Netherlands.

Bart J Biemond (BJ)

Department of Hematology, Amsterdam University Medical Center, Academic Medical Center Amsterdam, Amsterdam, The Netherlands.

Harm Sinnige (H)

Department of Hematology, Jeroen Bosch Hospital, Den Bosch, The Netherlands.

Beata Hodossy (B)

Department of Hematology, Citadelle, Liege, Belgium.

Carlos Graux (C)

Department of Hematology, Université Catholique de Louvain, University Medical Center Catholic University of Leuven Namur, Yvoir, Belgium.

Rien van Marwijk Kooy (RVM)

Department of Hematology, Isala Hospital, Zwolle, The Netherlands.

Okke de Weerdt (O)

Department of Hematology, Antonius Hospital, Nieuwegein, The Netherlands.

Dimitri Breems (D)

Department of Hematology, Hospital Network Antwerp (ZNA) Stuivenberg/Middelheim, Antwerp, Belgium.

Saskia Klein (S)

Department of Hematology, Meander Hospital Amersfoort, Amersfoort, The Netherlands.

Jürgen Kuball (J)

Department of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.

Dries Deeren (D)

Department of Hematology, General Hospital Delta Roeselare, Roeselare, Belgium; and.

Wim Terpstra (W)

Department of Hematology, Our Dear Lady Hospital (OLVG), Amsterdam, The Netherlands.

Marie-Christiane Vekemans (MC)

Department of Hematology, Cliniques Universitaires St. Luc, Brussels, Belgium.

Gert J Ossenkoppele (GJ)

Department of Hematology, Amsterdam University Medical Center, VU University Medical Center, Cancer Center Amsterdam, Amsterdam, The Netherlands.

Edo Vellenga (E)

Department of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Bob Löwenberg (B)

Department of Hematology, Erasmus MC, Rotterdam, The Netherlands.

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Classifications MeSH