Journal article

Cytogenetics and gene mutations influence survival in older patients with acute myeloid leukemia treated with azacitidine or conventional care

H Döhner, A Dolnik, L Tang, JF Seymour, MD Minden, RM Stone, TB del Castillo, HK Al-Ali, V Santini, P Vyas, CL Beach, KJ MacBeth, BS Skikne, S Songer, N Tu, L Bullinger, H Dombret

Leukemia | SPRINGERNATURE | Published : 2018

Abstract

Older patients with newly diagnosed acute myeloid leukemia (AML) in the phase 3 AZA-AML-001 study were evaluated at entry for cytogenetic abnormalities, and a subgroup of patients was assessed for gene mutations. Patients received azacitidine 75 mg/m2/day x7 days (n = 240) or conventional care regimens (CCR; n = 245): intensive chemotherapy, low-dose cytarabine, or best supportive care only. Overall survival (OS) was assessed for patients with common (occurring in ≥10% of patients) cytogenetic abnormalities and karyotypes, and for patients with recurring gene mutations. There was a significant OS improvement with azacitidine vs CCR for patients with European LeukemiaNet-defined Adverse karyo..

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University of Melbourne Researchers