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Low-dose azacitidine maintenance therapy after allogeneic stem cell transplantation for high-risk pediatric acute myeloid leukemia
被引:21
|作者:
Tamura, Akihiro
[1
]
Ishida, Toshiaki
[1
]
Saito, Atsuro
[1
]
Yamamoto, Nobuyuki
[1
]
Yokoi, Takehito
[1
,2
]
Uemura, Suguru
[1
,3
]
Nino, Nanako
[1
,3
]
Fujiwara, Takahiro
[1
]
Tahara, Teppei
[1
]
Nakamura, Sayaka
[1
]
Kozaki, Aiko
[1
]
Kishimoto, Kenji
[1
]
Hasegawa, Daiichiro
[1
]
Kosaka, Yoshiyuki
[1
]
机构:
[1] Kobe Childrens Hosp, Childrens Canc Ctr, Dept Hematol & Oncol, Kobe, Hyogo, Japan
[2] Osaka Univ Hosp, Dept Pediat, Suita, Osaka, Japan
[3] Kobe Univ Hosp, Dept Pediat, Kobe, Hyogo, Japan
关键词:
acute myeloid leukemia;
azacitidine;
pediatric;
post hematopoietic stem cell transplantation;
CONVENTIONAL CARE REGIMENS;
REGULATORY T-CELLS;
MYELODYSPLASTIC SYNDROME;
HYPOMETHYLATING AGENT;
ELDERLY-PATIENTS;
SALVAGE THERAPY;
5-AZA-2'-DEOXYCYTIDINE;
MALIGNANCIES;
DECITABINE;
RELAPSE;
D O I:
10.1002/pbc.27284
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
The dismal prognosis of pediatric acute myeloid leukemia (AML) relapsing after hematopoietic stem cell transplantation (HSCT) requires exploration of novel strategies to prevent relapse. Azacitidine (AZA) maintenance therapy could potentially reduce the recurrence rate post HSCT. Here, we presents the cases of three children with high-risk AML post HSCT who were treated with low-dose AZA maintenance therapy, demonstrating the feasibility of this therapy. Currently, all three are in complete remission for 13-41 months despite their high-risk characteristics. Our encouraging data warrant larger prospective studies to assess the efficacy and safety of low-dose AZA maintenance therapy post HSCT for pediatric patients with high-risk AML.
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