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Outcomes of high-risk acute promyelocytic leukemia patients treated with arsenic trioxide (ATO)/all trans retinoic acid (ATRA) based induction and consolidation without maintenance phase: A case Series
Author(s) -
Gaurav Shah,
Fady M. Mikhail,
Kimo Bachiasvili,
Pankit Vachhani,
Harry P. Erba,
Nikolaos Papadantonakis
Publication year - 2019
Publication title -
hematology/oncology and stem cell therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 22
eISSN - 1658-3876
pISSN - 2589-0646
DOI - 10.1016/j.hemonc.2019.08.006
Subject(s) - arsenic trioxide , acute promyelocytic leukemia , retinoic acid , medicine , maintenance therapy , tretinoin , leukemia , oncology , gastroenterology , arsenic , chemotherapy , chemistry , biochemistry , organic chemistry , gene
Patients with high-risk acute promyelocytic leukemia (APL) have inferior outcomes compared with patients with low-risk APL, predominantly due to higher risk of early mortality related to hemorrhage. The majority of regimens contain prolonged maintenance, but the impact of this phase is not clear in the era of all trans retinoic acid (ATRA) and arsenic trioxide (ATO). We present a retrospective analysis of 10 patients that were treated for high risk APL based on the consolidation treatment phase of APL 0406 study without subsequent maintenance. With a median follow up of 38 months, all patients remain in remission.

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