Table 12.
Study | AML population | Mean age, years | RR sample size | Data collection years | Patients achieving subsequent remission, % | Cohort survival from RR date | Survival by treatment from RR date |
---|---|---|---|---|---|---|---|
Bejanyan et al. 2015 [68] | Relapsed | 32 (median) | 1788 | 1990-2010 | 15 | NR | Survival >1 year post-relapse, % of those treated with following regimens: |
Chemotherapy alone, 21 | |||||||
Second HSCT ± chemotherapy and/or DLI, 44 | |||||||
DLI ± chemotherapy, 14 | |||||||
BSC only, 8 | |||||||
El-Ghammaz & El-Razzaz 2018 [59] | Relapsed | 42 | 43 | 2010-2017 | 25.6 | Mean, 5.14 months | NR |
Sauer et al. 2015 [74] | Relapsed | 52 (median) | 108 | 2000-2013 | NR | Median, 4.3 months | Survival >1 year post-relapse, % of those treated with following regimens: |
Intensive chemotherapy, 34.4 | |||||||
Intensive chemotherapy + stem cell boost, 29.0 | |||||||
Palliative chemotherapy, 3.6 | |||||||
HSCT, 26.3 | |||||||
Chemotherapy + DLI, 0 | |||||||
Immunosuppressive tapering + DLI, 100a | |||||||
Wattad et al. 2017 [114] | RR | 55 (median)b | 1025 | 1993-2009 | 36 | NR | 30-day: |
64 (median)c | HiDAC-based, 96.9 | ||||||
Standard 7+3, 100 | |||||||
Other intensive chemotherapy, 98.8 | |||||||
Experimental, 100 | |||||||
Primary allo-HSCT, 100 | |||||||
Zhang et al. 2017 [117] | Relapsed | NR | 1726 | 2010-2014 | NR | 30-day, 80.4% | NR |
60-day, 66.4% |
Abbreviations: allo-HSCT, allogeneic hematopoietic stem cell transplantation; AML, acute myeloid leukemia; BSC, best supportive care; DLI, donor lymphocyte infusion; HiDAC, high-dose cytarabine; HMA, hypomethylating agent; HSCT, hematopoietic stem cell transplantation; NR, not reported; RR, relapsed or refractory.
One patient received this treatment and survived at least 1 year after initial relapse.
Median age provided for the intensive treatment arm (n=875).
Median age provided for the non-intensive treatment arm (n=150).