AMELIORATE: early intensification in


Journal

Future oncology (London, England)
ISSN: 1744-8301
Titre abrégé: Future Oncol
Pays: England
ID NLM: 101256629

Informations de publication

Date de publication:
Oct 2021
Historique:
pubmed: 14 7 2021
medline: 15 12 2021
entrez: 13 7 2021
Statut: ppublish

Résumé

AMELIORATE is a Phase III, randomized trial aiming to personalize treatment intensity in Lay abstract The initial treatment of acute myeloid leukemia is called induction and aims to reduce significantly the number of leukemic cells in the bone marrow. In young adults, this phase comprises several agents, including conventional chemotherapy, monoclonal antibodies, and targeted drugs. Conventionally, induction is delivered as a single block of therapy, the response to which can be appreciated 3–4 weeks after its completion. The authors previously showed that the response to induction can be anticipated by the speed of disappearance of leukemic cells from peripheral blood after four days of therapy. In the AMELIORATE study, the authors aim to personalize the intensity of treatment based on this biomarker, by early intensification of treatment in patients who are predicted to have a poor response.

Autres résumés

Type: plain-language-summary (eng)
Lay abstract The initial treatment of acute myeloid leukemia is called induction and aims to reduce significantly the number of leukemic cells in the bone marrow. In young adults, this phase comprises several agents, including conventional chemotherapy, monoclonal antibodies, and targeted drugs. Conventionally, induction is delivered as a single block of therapy, the response to which can be appreciated 3–4 weeks after its completion. The authors previously showed that the response to induction can be anticipated by the speed of disappearance of leukemic cells from peripheral blood after four days of therapy. In the AMELIORATE study, the authors aim to personalize the intensity of treatment based on this biomarker, by early intensification of treatment in patients who are predicted to have a poor response.

Identifiants

pubmed: 34254530
doi: 10.2217/fon-2021-0388
doi:

Substances chimiques

FLT3 protein, human EC 2.7.10.1
fms-Like Tyrosine Kinase 3 EC 2.7.10.1

Types de publication

Clinical Trial, Phase III Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

3787-3796

Subventions

Organisme : Associazione Italiana Contro le Leucemie - Linfomi e Mieloma
ID : 5 × 1000 MIUR Ricerca Scientifica
Organisme : Associazione Italiana per la Ricerca sul Cancro
ID : 5 × 1000 call project #21267

Auteurs

Francesco Mannelli (F)

SOD Ematologia, AOU Careggi, Firenze 50134, Italy.
Centro Ricerca e Innovazione Malattie Mieloproliferative (CRIMM), AOU Careggi, Firenze 50134, Italy.

Giacomo Gianfaldoni (G)

SOD Ematologia, AOU Careggi, Firenze 50134, Italy.

Paola Guglielmelli (P)

SOD Ematologia, AOU Careggi, Firenze 50134, Italy.
Centro Ricerca e Innovazione Malattie Mieloproliferative (CRIMM), AOU Careggi, Firenze 50134, Italy.

Francesco Buccisano (F)

Ematologia, Dipartimento di Biomedicina e Prevenzione, Università di Tor Vergata, Roma 00133, Italy.
Fondazione Policlinico Tor Vergata, Roma 00133, Italy.

Roberto Caporale (R)

Centro Diagnostico di Citofluorimetria e Immunoterapia, AOU Careggi, Firenze 50134, Italy.

Marco Chiarini (M)

Laboratorio di Citofluorimetria; Dipartimento di Diagnostica di Laboratorio, Spedali Civili, Brescia 25121, Italy.

Giuseppe Rossi (G)

Divisione di Ematologia, Spedali Civili, Brescia 25121, Italy.

Adriano Venditti (A)

Ematologia, Dipartimento di Biomedicina e Prevenzione, Università di Tor Vergata, Roma 00133, Italy.
Fondazione Policlinico Tor Vergata, Roma 00133, Italy.

Paola Fazi (P)

Fondazione GIMEMA, Roma 00182, Italy.

Enrico Crea (E)

Fondazione GIMEMA, Roma 00182, Italy.

Alfonso Piciocchi (A)

Fondazione GIMEMA, Roma 00182, Italy.

Maria Teresa Voso (MT)

Ematologia, Dipartimento di Biomedicina e Prevenzione, Università di Tor Vergata, Roma 00133, Italy.
Fondazione Policlinico Tor Vergata, Roma 00133, Italy.

Marco Vignetti (M)

Fondazione GIMEMA, Roma 00182, Italy.

Sergio Amadori (S)

Fondazione GIMEMA, Roma 00182, Italy.

Alessandro Maria Vannucchi (AM)

SOD Ematologia, AOU Careggi, Firenze 50134, Italy.
Centro Ricerca e Innovazione Malattie Mieloproliferative (CRIMM), AOU Careggi, Firenze 50134, Italy.

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Classifications MeSH