Volume 51, Number 1, 49-56, DOI: 10.1007/BF00320600

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Therapy for acute myeloid leukemia in 119 adults: A comparison of two treatment protocols

H. Link, H. M. Frauer, P. Ostendorf and H. D. Waller

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Abstract

Of 119 patients with acute myeloid leukemia, 69 were treated with Adriamycin, Vincristine and Cytosine Arabinoside (Therapy 1) and 50 with Daunorubicin, Cytosine Arabinoside and 6-Thioguanine (Therapy 2) as well as a consolidation therapy. The maintenance therapy with Cytosine Arabinoside and 6-Thioguanine was the same for both groups. The complete remission rate was 44% for Therapy 1 and 68% for Therapy 2 (p<0.05). —="" the="" median="" values="" for="" remission="" duration="" were="" 7="" and="" 13="" months="" respectively="">p=0.10); for survival time the median values were 18 and 19 months. These figures show in retrospect that high remission rates can be attained through intensive induction therapy and that longer remission duration is correlated with more aggressive induction therapy. A mild form of maintenance therapy seems to have little effect on the duration of complete remission.

Key words  Acute myeloid leukemia - induction therapy

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