Journal article

Azacitidine improves clinical outcomes in older patients with acute myeloid leukaemia with myelodysplasia-related changes compared with conventional care regimens

JF Seymour, H Döhner, A Butrym, A Wierzbowska, D Selleslag, JH Jang, R Kumar, J Cavenagh, AC Schuh, A Candoni, C Récher, I Sandhu, TB del Castillo, HK Al-Ali, J Falantes, RM Stone, MD Minden, J Weaver, S Songer, CL Beach Show all

BMC Cancer | BIOMED CENTRAL LTD | Published : 2017

Abstract

Background: Compared with World Health Organization-defined acute myeloid leukaemia (AML) not otherwise specified, patients with AML with myelodysplasia-related changes (AML-MRC) are generally older and more likely to have poor-risk cytogenetics, leading to poor response and prognosis. More than one-half of all older (≥65 years) patients in the phase 3 AZA-AML-001 trial had newly diagnosed AML-MRC. Methods: We compared clinical outcomes for patients with AML-MRC treated with azacitidine or conventional care regimens (CCR; induction chemotherapy, low-dose cytarabine, or supportive care only) overall and within patient subgroups defined by cytogenetic risk (intermediate or poor) and age (65-74..

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University of Melbourne Researchers