Abstract
Clofarabine and cytarabine (Clo + Ara-C) combinations have efficacy in treatment of acute myeloid leukemia (AML). We retrospectively analyzed clinical outcomes of 71 AML patients receiving Clo + Ara-C regimens at the University of Minnesota from 2011 to 2016: 44 patients (62%) had newly diagnosed AML and 27 patients (38%) had relapsed/refractory AML. The median age of patients was 69 years (interquartile range [IQR], 63–75 years). Nearly 60% of the patients had secondary AML, and about half of patients had adverse risk cytogenetics. Objective response rate (ORR) was 42% in all patients with complete remission (CR) rate of 20%. Progression-free survival (PFS) at 2 years was 16% (95% CI 8–27%) and overall survival (OS) at 2 years was 21% (95% CI 11–33%) for all patients. The 30-day mortality rate was 18%. Clo + Ara-C- containing regimens are an acceptable upfront therapy option for patients who are not candidates for “7 + 3” induction, but do not induce durable remissions.
Original language | English (US) |
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Pages (from-to) | 2352-2359 |
Number of pages | 8 |
Journal | Leukemia and Lymphoma |
Volume | 59 |
Issue number | 10 |
DOIs | |
State | Published - Oct 3 2018 |
Bibliographical note
Publisher Copyright:© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
Keywords
- Ara-c
- Clofarabine
- acute myeloid leukemia
- chemotherapeutic approaches
- cytarabine
- myeloid leukemias and dysplasias