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. 2026 Sep 30;16(9):e115972. doi: 10.1136/bmjopen-2025-115972

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.