Table 2. Treatment protocol.
| Treatment element/drug | Single or daily dose | Days of application per element |
|---|---|---|
| CET | ||
| Cytarabine (1-hour IV) | 100 mg/m2 per day | 1–7 |
| Etoposide (2-hour IV) | 150 mg/m2 per day | 3–5 |
| Pirarubicin (1-hour IV) | 25 mg/m2 per day | 1, 2 |
| AZA-CET | ||
| Azacitidine (10-minute IV) | 75 mg/m2 per day* | 1–5 |
| Cytarabine (1-hour IV) | 100 mg/m2 per day | 6–12 |
| Etoposide (2-hour IV) | 150 mg/m2 per day | 8–10 |
| Pirarubicin (1-hour IV) | 25 mg/m2 per day | 6, 7 |
| CT | ||
| Cytarabine (1-hour IV) | 100 mg/m2 per day | 1–7 |
| Pirarubicin (1-hour IV) | 25 mg/m2 per day | 1, 2 |
| AZA-CT | ||
| Azacitidine (10-minute IV) | 75 mg/m2 per day* | 1–5 |
| Cytarabine (1-hour IV) | 100 mg/m2 per day | 6–12 |
| Pirarubicin (1-hour IV) | 25 mg/m2 per day | 6, 7 |
| AZA-cCVT | ||
| Azacitidine (10-minute IV) | 75 mg/m2 per day* | 1–5 |
| Cytarabine (24-hour continuous IV) | 100 mg/m2 per day | 6–12 |
| Vincristine (IV push) | 1 mg/m2 per day† | 7 |
| Pirarubicin (1-hour IV) | 40 mg/m2 per day | 6 |
| AZA-hCE | ||
| Azacitidine (10-minute IV) | 75 mg/m2 per day* | 1–5 |
| Cytarabine (2-hour IV) | 1 g/m2 per dose | 6–10 (every 12 hours) |
| Etoposide (2-hour IV) | 100 mg/m2 per day | 7–9 |
The dose of azacitidine is 2.5 mg/kg per day in patients weighing <10 kg or <1 year of age.
Max dose is 1 mg/body per day.
AZA, azacitidine; AZA-cCVT, azacitidine + continuous cytarabine + vincristine + pirarubicin; AZA-CT, azacitidine + cytarabine + pirarubicin; AZA-hCE, azacitidine + high-dose cytarabine + etoposide; CET, cytarabine + etoposide + pirarubicin; CT, cytarabine + pirarubicin; IV, intravenous.