Home > Publications database > Sequential high-dose cytarabine and mitoxantrone (S-HAM) versus standard double induction in acute myeloid leukemia-a phase 3 study. > print |
001 | 140855 | ||
005 | 20240229105118.0 | ||
024 | 7 | _ | |a 10.1038/s41375-018-0268-9 |2 doi |
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024 | 7 | _ | |a 0887-6924 |2 ISSN |
024 | 7 | _ | |a 1476-5551 |2 ISSN |
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037 | _ | _ | |a DKFZ-2018-01610 |
041 | _ | _ | |a eng |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Braess, Jan |b 0 |
245 | _ | _ | |a Sequential high-dose cytarabine and mitoxantrone (S-HAM) versus standard double induction in acute myeloid leukemia-a phase 3 study. |
260 | _ | _ | |a London |c 2018 |b Springer Nature |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1552642497_30639 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a Dose-dense induction with the S-HAM regimen was compared to standard double induction therapy in adult patients with newly diagnosed acute myeloid leukemia. Patients were centrally randomized (1:1) between S-HAM (2nd chemotherapy cycle starting on day 8 = 'dose-dense') and double induction with TAD-HAM or HAM(-HAM) (2nd cycle starting on day 21 = 'standard'). 387 evaluable patients were randomly assigned to S-HAM (N = 203) and to standard double induction (N = 184). The primary endpoint overall response rate (ORR) consisting of complete remission (CR) and incomplete remission (CRi) was not significantly different (P = 0.202) between S-HAM (77%) and double induction (72%). The median overall survival was 35 months after S-HAM and 25 months after double induction (P = 0.323). Duration of critical leukopenia was significantly reduced after S-HAM (median 29 days) versus double induction (median 44 days)-P < 0.001. This translated into a significantly shortened duration of hospitalization after S-HAM (median 37 days) as compared to standard induction (median 49 days)-P < 0.001. In conclusion, dose-dense induction therapy with the S-HAM regimen shows favorable trends but no significant differences in ORR and OS compared to standard double induction. S-HAM significantly shortens critical leukopenia and the duration of hospitalization by 2 weeks. |
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700 | 1 | _ | |a Amler, Susanne |b 1 |
700 | 1 | _ | |a Kreuzer, Karl-Anton |b 2 |
700 | 1 | _ | |a Spiekermann, Karsten |b 3 |
700 | 1 | _ | |a Lindemann, Hans Walter |b 4 |
700 | 1 | _ | |a Lengfelder, Eva |b 5 |
700 | 1 | _ | |a Graeven, Ullrich |b 6 |
700 | 1 | _ | |a Staib, Peter |b 7 |
700 | 1 | _ | |a Ludwig, Wolf-Dieter |b 8 |
700 | 1 | _ | |a Biersack, Harald |b 9 |
700 | 1 | _ | |a Ko, Yon-Dschun |b 10 |
700 | 1 | _ | |a Uppenkamp, Michael J |b 11 |
700 | 1 | _ | |a De Wit, Maike |b 12 |
700 | 1 | _ | |a Korsten, Stefan |b 13 |
700 | 1 | _ | |a Peceny, Rudolf |b 14 |
700 | 1 | _ | |a Gaska, Tobias |b 15 |
700 | 1 | _ | |a Schiel, Xaver |b 16 |
700 | 1 | _ | |a Behringer, Dirk M |b 17 |
700 | 1 | _ | |a Kiehl, Michael G |b 18 |
700 | 1 | _ | |a Zinngrebe, Bettina |b 19 |
700 | 1 | _ | |a Meckenstock, Gerald |b 20 |
700 | 1 | _ | |a Roemer, Eva |b 21 |
700 | 1 | _ | |a Medgenberg, Dirk |b 22 |
700 | 1 | _ | |a Spaeth-Schwalbe, Ernst |b 23 |
700 | 1 | _ | |a Massenkeil, Gero |b 24 |
700 | 1 | _ | |a Hindahl, Heidrun |b 25 |
700 | 1 | _ | |a Schwerdtfeger, Rainer |b 26 |
700 | 1 | _ | |a Trenn, Guido |b 27 |
700 | 1 | _ | |a Sauerland, Cristina |b 28 |
700 | 1 | _ | |a Koch, Raphael |b 29 |
700 | 1 | _ | |a Lablans, Martin |0 P:(DE-He78)e4ad7b4e684492de43cfcb12e5397439 |b 30 |u dkfz |
700 | 1 | _ | |a Faldum, Andreas |b 31 |
700 | 1 | _ | |a Görlich, Dennis |b 32 |
700 | 1 | _ | |a Bohlander, Stefan K |b 33 |
700 | 1 | _ | |a Schneider, Stephanie |b 34 |
700 | 1 | _ | |a Dufour, Annika |b 35 |
700 | 1 | _ | |a Buske, Christian |b 36 |
700 | 1 | _ | |a Fiegl, Michael |b 37 |
700 | 1 | _ | |a Subklewe, Marion |b 38 |
700 | 1 | _ | |a Braess, Birgit |b 39 |
700 | 1 | _ | |a Unterhalt, Michael |b 40 |
700 | 1 | _ | |a Baumgartner, Anja |b 41 |
700 | 1 | _ | |a Wörmann, Bernhard |b 42 |
700 | 1 | _ | |a Beelen, Dietrich |b 43 |
700 | 1 | _ | |a Hiddemann, Wolfgang |b 44 |
700 | 1 | _ | |a AML-CG |b 45 |e Collaboration Author |
773 | _ | _ | |a 10.1038/s41375-018-0268-9 |0 PERI:(DE-600)2008023-2 |n 12 |p 2558-2572 |t Leukemia |v 32 |y 2018 |x 1476-5551 |
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