大剂量阿拉伯糖胞嘧啶(Ara-C)联合rHUGM-CSF治疗预后不良的新诊断急性髓性白血病

E H Estey, H M Kantarjian, M Beran, K B McCredie, M J Keating, A Deisseroth, J U Gutterman
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引用次数: 2

摘要

我们对12例预后较差的新诊断AML患者给予4天高剂量Ara-C, 2天后给予rHUGM-CSF(持续到中性粒细胞计数大于1000/微升)。6例cr发生,4例在诱导过程中死亡,只有1例出现rhugm - csf相关的白血病生长。血液学恢复的模式是可变的,但在一些患者中,rHUGM-CSF似乎加速了化疗后的正常骨髓生成。继续研究rHUGM-CSF和化疗在AML中的作用是必要的。
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Treatment of poor-prognosis, newly diagnosed acute myelogenous leukemia with high-dose cytosine arabinoside (Ara-C) and rHUGM-CSF.

We gave 4 days of high-dose Ara-C followed 2 days later by rHUGM-CSF (which continued until the neutrophil count was greater than 1000/microliters) to 12 patients with newly diagnosed AML and a relatively poor prognosis. Six CRs occurred, there were four deaths during induction, and in only one case was there an rHUGM-CSF-associated growth of leukemia. The pattern of hematologic recovery was variable but in some patients rHUGM-CSF seemed to accelerate normal myelopoiesis following chemotherapy. Continued investigation of rHUGM-CSF and chemotherapy in AML is warranted.

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