Skip to main content

Consolidation Therapy with High-Dose Cytosine Arabinoside: Experiences of a Prospective Study in Acute Myeloid Leukemia

  • Conference paper
Acute Leukemias II

Abstract

At the present time 60%-80% of adult patients suffering from acute myelogenous leukemia (AML) will achieve complete remission with the available induction chemotherapy including anthracycline antibiotics and cytosine arabinoside [1–5]. With standard chemotherapy, however, the majority of the patients will suffer leukemia relapse within the first 2 years after complete remission and only about 20% of the complete responders will have long-term disease-free survival. Substantially better results can be achieved with allogeneic bone marrow transplantation, which provides long-term remission in 50% or more of the patients who are transplanted in first remission with bone marrow grafts from histocompatible siblings [6, 7].

A study of the Süddeutsche Hämoblastosegruppe. The study was supported by the Deutsche Krebshilfe (contract M37/85 He2).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Büchner T, Hiddemann W, Urbanitz D, Kreutzmann H, Maschmeyer G, Wendt F, Kuse R, Mohr A, Gassmann W, Löffler H, Straif K, Vaupel HA, König HJ, Rûhl H, Nowrousian MR, Fuhr HG, Zeile G, von Paleske A, Schwamborn J, Fülle HH, Bartels H, Emmerich B, Lengfelder E, Donhuijsen-Ant R, Ho A, Mainzer K, Köppler H, Thiel E, Middelhoff G, Nowicki L, Zurborn KH, Siegert W, Planker M, Augener W, Heinecke A (1987) Postinduction and preremission chemotherapy alternatives for adult AML: three multicenter studies of the AML Cooperative Group. Haematol Bluttransfus 30: 57–63

    Google Scholar 

  2. Gale RP, Foon KA, Cline MJ, Zighelboim J (1981) Intensive chemotherapy for acute myelogenous leukemia. Ann Intern Med 94: 753–757

    PubMed  CAS  Google Scholar 

  3. Rees JK, Gray RG, Swirsky D, Hayhoe FG (1986) Principal results of the Medical Research Council’s 8th acute myeloid leukaemia trial. Lancet 2: 1236–1241

    Article  PubMed  CAS  Google Scholar 

  4. Glucksberg H, Cheever MA, Farewell VT, Fefer A, Thomas ED (1983) Intensification therapy for acute nonlymphoblastic leukemia in adults. Cancer 52: 198–205

    Article  PubMed  CAS  Google Scholar 

  5. Yates J, Glidewell O, Wiernik P, Cooper MR, Steinberg D, Dosik H, Levy R, Hoagland C, Henry P, Gottlieb A, Cornell C, Berenberg J, Hutchinson JL, Raich P, Nissen N, Ellison RR, Frelick R, James GW, Falkson G, Silver RT, Haurani F, Green M, Henderson E, Leone L, Holland JF (1982) Cytosine arabinoside with daunorubicin or adriamycin for therapy of acute myelocytic leukemia: a CALGB study. Blood 60: 454–462

    PubMed  CAS  Google Scholar 

  6. Appelbaum FR, Dahlberg S, Thomas ED, Buckner CD, Cheever MA, Clift RA, Crowley J, Deeg HJ, Fefer A, Greenberg PD, Kadin M, Smith W, Stewart P, Sullivan K, Storb R, Weiden P (1984) Bone marrow transplantation or chemotherapy after remission induction for adults with acute nonlymphoblastic leukemia. Ann Intern Med 101: 581–588

    PubMed  CAS  Google Scholar 

  7. Champlin RE, Ho WG, Gale RP, Winston D, Selch M, Mitsuyasu R, Lenarsky C, Elashoff R, Zighelboim J, Feig SA (1985) Treatment of acute myelogenous leukemia. A prospective controlled trial of bone marrow transplantation versus consolidation chemotherapy. Ann Intern Med 102: 285–291

    Google Scholar 

  8. Willemze R, Zwaan FE, Colpin G, Keuning J J (1982) High dose cytosine arabinoside in the management of refractory acute leukaemia. Scand J Haematol 29: 141–146

    Article  PubMed  CAS  Google Scholar 

  9. Herzig RH, Lazarus HM, Wolff SN, Phillips GL, Herzig GP (1985) High-dose cytosine arabinoside therapy with and without anthracycline antibiotics for remission reinduction of acute nonlymphoblastic leukemia. J Clin Oncol 3: 992–997

    PubMed  CAS  Google Scholar 

  10. Hiddemann W, Kreutzmann H, Straif K, Ludwig WD, Mertelsmann R, Donhuijsen-Ant R, Lengfelder E, Arlin Z, Büchner T (1987) High-dose cytosine arabinoside and mitoxantrone: a highly effective regimen in refractory acute myeloid leukemia. Blood 69: 744–749

    PubMed  CAS  Google Scholar 

  11. Champlin R, Ho W, Winston D, Decker R, Greenberg P, Burnison M, Holly FE, Gale RP (1987) Treatment of adults with acute myelogenous leukemia: prospective evaluation of high-dose cytarabine in consolidation chemotherapy and with bone marrow transplantation. Semin Oncol 14 [Suppl 1]: 1–6

    PubMed  CAS  Google Scholar 

  12. Wolff SN, Herzig RH, Phillips GL, Lazarus HM, Greer JP, Stein RS, Ray WA, Herzig GP (1987) High-dose cytosine arabinoside and daunorubicin as consolidation therapy for acute nonlymphocytic leukemia in first remission: an update. Semin Oncol 14 [Suppl. 1]: 12–17

    PubMed  CAS  Google Scholar 

  13. Mayer RJ, Schiffer CA, Peterson BA, Budman DR, Silver RT, Rai KR, Cornwell GG, Ellison RR, Maguire M, Berg DT, Davis RB, Mclntyre OR, Frei E III (1987) intensive postremission therapy in adults with acute nonlymphocytic leukemia using various dose schedules of ara-c: a progress report from the CALGB. Semin Oncol 14 [Suppl 1]:25–31

    Google Scholar 

  14. Takaku F, Urabe A, Mizoguchi H, Hoshino S, Toyama K, Tanaka K, Nomura T, Dan K, Fujioka S, Saito T, Ogawa T, Mutoh Y, Yamaguchi H (1987) High-dose cytosine arabinoside in the consolidation therapy of acute nonlymphocytic leukemia in remission. Semin Oncol 14 [Suppl 1]: 55–57

    PubMed  CAS  Google Scholar 

  15. Cassileth PA, Begg CB, Silber R, Spiers A, Burkart PT, Scharfman W, Knospe WH, Bennett JM, Mazza JJ, Oken MM et al. (1987) Prolonged unmaintained remission after intensive consolidation therapy in adult acute nonlymphophocytic leukemia. Cancer Treat Rep 71: 137–140

    PubMed  CAS  Google Scholar 

  16. Preisler HD, Raza A, Early A, Kirshner J, Brecher M, Freeman A, Rustum Y, Azarnia N, Priore R, Sandberg A, Block AM, Browman G, Walker I, Benjer A, Miller K, Arrigo DP, Doeblin T, Stein A, Bloom M, Logue G, Rustagi P, Barcos M, Larson R, Joyce R (1987) Intensive remission consolidation therapy in the treatment of acute nonlymphocytic leukemia. J Clin Oncol 5: 722–730

    PubMed  CAS  Google Scholar 

  17. Tricot G, Boogaerts MA, Vlietinck R, Emonds MP, Verwilghen RL (1987) The role of intensive remission induction and consolidation therapy in patients with acute myeloid leukaemia. Br J Haematol 66: 37–44

    Article  PubMed  CAS  Google Scholar 

  18. Kurrle E, Ehninger G, Freund M, Heil G, Hoelzer D, Link H, Mitrou PS, Oehl S, Queisser W, Schlimok G, Wandt H (1988) A multicentre study on intensive induction and consolidation therapy in acute myelogenous leukaemia. Blut 56: 233–236

    Article  PubMed  CAS  Google Scholar 

  19. Herzig RH, Lazarus HM, Herzig PF, Coccia PF, Wolff SN (1985) Central nervous toxicity with high-dose cytosine arabinoside. Semin Oncol 12 (Suppl 3): 233–236

    PubMed  CAS  Google Scholar 

  20. Kurrle E, Dekker AW, Gaus W, Haralambie E, Krieger D, Rozenberg-Arska M, de Vries-Hospers G, van der Waaij D, Wendt F (1986) Prevention of infection in acute leukemia: a prospective randomized study on the efficacy of two different regimens for antimicrobial prophylaxis. Infection 14: 226–232

    CAS  Google Scholar 

  21. World Health Organization (1979) WHO Handbook for reporting results of cancer treatment. WHO, Geneva

    Google Scholar 

  22. Cavalli F, Rysell HJ, Betz K, Sonntag RW, Brunner KW (1975) Initial results in the treatment of acute leukemia with the epidophyllotoxin- derivate VP 16-213. Schweiz Med Wochenschr 105: 250–253

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Kurrle, E. et al. (1990). Consolidation Therapy with High-Dose Cytosine Arabinoside: Experiences of a Prospective Study in Acute Myeloid Leukemia. In: Büchner, T., Schellong, G., Hiddemann, W., Ritter, J. (eds) Acute Leukemias II. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 33. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74643-7_46

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74643-7_46

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50984-4

  • Online ISBN: 978-3-642-74643-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics