TREATMENT OF RELAPSING AND REFRACTORY ADULT ACUTE MYELOID-LEUKEMIA ACCORDING TO IN-VITRO CLONOGENIC LEUKEMIC-CELL DRUG-SENSITIVITY

被引:7
作者
DELMER, A
MARIE, JP
THEVENIN, D
SUBERVILLE, AM
ZITTOUN, R
机构
[1] Service d'Hematologie et Laboratoire de Culture et de Cinetique Cellulaires, Paris, Hotel-Dieu
关键词
ACUTE MYELOID LEUKEMIA; CLONOGENIC ASSAY; DRUG SENSITIVITY; CHEMOTHERAPY;
D O I
10.3109/10428199309147358
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In an attempt to improve the results of treatment in patients with relapsing or refractory acute myeloid leukemia (AML), we conducted a pilot study using a two-drug salvage regimen according to the in vitro clonogenic leukemic cell (CFU-L) drug sensitivity. Fourteen patients were included in the study, 10 with relapsing and 4 with refractory AML. Drug exposure was assessed for daunorubicin, cytosine arabinoside, etoposide, mitoxantrone and amsacrine. The two drugs with the best inhibitory effect on CFU-L were selected for the treatment. A complete remission was achieved in only 4 patients and a partial remission in 3 patients. Although the number of patients is too small for appropriate statistical analysis and for a definite conclusion to be drawn, the observed response rate with directed therapy did not appear better than that expected from empiric salvage regimen.
引用
收藏
页码:67 / 71
页数:5
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