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. Author manuscript; available in PMC: 2014 Jul 10.
Published in final edited form as: Br J Haematol. 2011 Sep 13;155(4):413–419. doi: 10.1111/j.1365-2141.2011.08869.x

Table I. Response criteria in acute myeloid leukaemia as reported by the International Working Group and the European LeukaemiaNet.

Category Definition
Complete remission (CR)* Bone marrow blasts < 5%; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count > 1.0 × 109/l; platelet count > 100 × 109/l; independence of red cell transfusions
CR with incomplete recovery (CRi) All CR criteria except for residual neutropenia (< 1.0 × 109/l) or thrombocytopenia (< 100 × 109/l)
Morphological leukaemia-free state Bone marrow blasts < 5%; absence of blasts with Auer rods; absence of extramedullary disease; no haematological recovery required
Partial remission (PR) Relevant in the setting of Phase 1 and 2 clinical trials only; all haematological criteria of CR; decrease of bone marrow blast percentage to 5% to 25%; and decrease of pretreatment bone marrow blast percentage by at least 50%
Cytogenetic CR (CRc) Reversion to a normal karyotype at the time of morphological CR (or CRi) in cases with an abnormal karyotype at the time of diagnosis; based on the evaluation of 20 metaphase cells from bone marrow
Resistant disease (RD) Failure to achieve CR or CRi (general practice; Phase 2/3 trials), or failure to achieve CR, CRi, or PR (Phase 1 trials); only includes patients surviving ≥ 7 days following completion of initial treatment, with evidence of persistent leukaemia by blood and/or bone marrow examination
Death in aplasia Death occurring ≥ 7 days following completion of initial treatment while cytopenic; with an aplastic or hypoplastic bone marrow obtained within 7 days of death, without evidence of persistent leukaemia
Death from indeterminate cause Death occurring before completion of therapy, or < 7 days following its completion; or deaths occurring ≥ 7 days following completion of initial therapy with no blasts in the blood, but no bone marrow examination available
Relapse Bone marrow blasts ≥ 5%; or reappearance of blasts in the blood; or development of extramedullary disease