[Short-term intensive treatment for acute myelogenous leukemia (excluding M3 subtype) in adults]

Rinsho Ketsueki. 1997 Mar;38(3):209-16.
[Article in Japanese]

Abstract

Thirty-two adults (median age 48 years) with acute myelogenous leukemia (excluding M3) have been treated with short-term intensive therapy (M90 therapy). After induction therapy with daunorubicin, cytosine arabinoside (araC), 6-mercaptopurine, prednisolone, mitoxantrone (MIT) and etoposide (VP16), three regimens of post-induction chemotherapy were conducted as short an intercycle time as possible. The first regimen was with MIT and VP16, the second with behenoyl-araC and aclarubicin and the third with VP16, araC, vincristine and vinblastine. No further therapy was given. Complete remission was achieved in 24 (75%) of 32 patients and 24% of all patients were projected to remain free of disease at 5 years. The median duration of the entire therapy was 120 days with a range of 95 to 157 days. Post-induction regimens resulted in severe myelosuppression and their toxicity included treatment-related death in one patient. The treatment results of this short-term therapy were comparable to a former treatment protocol, M84 therapy with a median duration of the entire treatment therapy of 515 days. To confirm the advantages of such short-term therapy, prospective randomized comparisons with conventional post-induction therapy may be required.

Publication types

  • Clinical Trial

MeSH terms

  • Aclarubicin / administration & dosage
  • Adolescent
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Cytarabine / administration & dosage
  • Daunorubicin / administration & dosage
  • Etoposide / administration & dosage
  • Humans
  • Leukemia, Myeloid, Acute / drug therapy*
  • Mercaptopurine / administration & dosage
  • Middle Aged
  • Mitoxantrone / administration & dosage
  • Time Factors
  • Vinblastine / administration & dosage
  • Vincristine / administration & dosage

Substances

  • Cytarabine
  • Vincristine
  • Vinblastine
  • Etoposide
  • Aclarubicin
  • Mitoxantrone
  • Mercaptopurine
  • Daunorubicin