Hagop Kantarjian
Tanzania
Short Communication
Association between Treatment Response and Potential Indicators of Efficacy and Safety in a Phase III Trial of Decitabine in Older Patients with Acute Myeloid Leukemia
Author(s): Mark D. Minden, Christopher Arthur, JiÃ
Âí Mayer, Mark M. Jones, Erhan Berrak and Hagop KantarjianMark D. Minden, Christopher Arthur, JiÅí Mayer, Mark M. Jones, Erhan Berrak and Hagop Kantarjian
Objective: In a phase III trial, 485 patients aged 65 years or older with newly diagnosed acute myeloid leukemia received decitabine (20 mg/m2 intravenously for 5 days) or treatment of choice (supportive care or cytarabine 20 mg/m2 subcutaneously for 10 days) every 4 weeks. This post hoc analysis investigated potential efficacy and safety indicators and treatment response.
Methods: Transfusions, intravenous antibiotics, and dose modifications were tabulated for responders (morphologic complete remission, complete remission with incomplete blood count recovery, or partial response) and nonresponders.
Results: Median overall survival was significantly greater for treatment responders than for nonresponders (17.4 months vs 4.3 months; P<0.0001). Nonresponders had more intravenous antibiotic use (P=0.024), dose modifications per cycle (P=0.016), and platelet or red bloo.. View More»
DOI:
10.4172/2155-9864.1000251