What is the standard regimen for patients with acute promyelocytic leukemia?

Francesco Lo-Coco, Laura Cicconi

Research output: Contribution to journalArticlepeer-review

Abstract

Modern guidelines based on a large international consensus indicate that treatment of newly diagnosed acute promyelocytic leukemia (APL) requires distinguishing at presentation low-intermediate (9/L WBC) from high-risk (>10×109/L WBC) disease. The concomitant use of all-trans retinoic acid (ATRA) and anthracycline based chemotherapy, with inclusion of AraC in consolidation for hyperleucocytic patients, has remained the standard of care for the past two decades. The advent of arsenic trioxide (ATO) and results from a large randomized trial, have recently challenged the standard ATRA-chemotherapy approach suggesting that at least patients in the low-intermediate category may be cured without chemotherapy using the ATRA-ATO combination.

Original languageEnglish
Pages (from-to)138-143
Number of pages6
JournalCurrent Hematologic Malignancy Reports
Volume9
Issue number2
DOIs
Publication statusPublished - 2014

Keywords

  • Acute Promyelocytic Leukemia
  • Anthracycline based chemotherapy
  • Arsenic trioxide (ATO)
  • ATRA-ATO combination

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research
  • Medicine(all)

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