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Addition of cyclosporin A to the combination of mitoxantrone and etoposide to overcome resistance to chemotherapy in refractory or relapsing acute myeloid leukaemia: a randomised phase II trial from HOVON, the Dutch-Belgian Haemato-Oncology Working Group for adults.
- Source :
-
Leukemia research [Leuk Res] 2004 Oct; Vol. 28 (10), pp. 1057-67. - Publication Year :
- 2004
-
Abstract
- Cyclosporin A (CsA) inhibits the P-gp pump that can be responsible for failure of cytostatic treatment in acute myeloid leukaemia (AML). Eighty patients with relapsing/refractory AML were randomly assigned to mitoxantrone (M) and etoposide (VP) (MVP) in unmitigated antileukaemic doses with or without CsA, to investigate if toxicity was manageable and if antileukaemic therapy could be improved. CsA did not delay haematological recovery, but fewer CsA patients received post-induction therapy because of haematological and non-haematological toxicity. CR rate was 43% for MVP and 53% for CsA; DFS was 9 and 8 months, and OS 8 and 9 months, respectively. Seventeen of 38 CR patients proceeded to stem cell transplantation (SCT). After a median follow-up of 66 months, six patients were still alive. Addition of CsA did not improve treatment outcome, possibly due to inadequate post-induction therapy as a result of increased toxicity.
- Subjects :
- Acute Disease
Adult
Aged
Antineoplastic Combined Chemotherapy Protocols adverse effects
Cyclosporine adverse effects
Drug Resistance, Neoplasm drug effects
Etoposide adverse effects
Female
Humans
Leukemia, Myeloid diagnosis
Male
Middle Aged
Mitoxantrone adverse effects
Prognosis
Recurrence
Regression Analysis
Survival Analysis
Treatment Outcome
Antineoplastic Combined Chemotherapy Protocols therapeutic use
Cyclosporine administration & dosage
Etoposide administration & dosage
Leukemia, Myeloid drug therapy
Mitoxantrone administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 0145-2126
- Volume :
- 28
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Leukemia research
- Publication Type :
- Academic Journal
- Accession number :
- 15289018
- Full Text :
- https://doi.org/10.1016/j.leukres.2004.03.001