International phase 3 study of azacitidine vs conventional care regimens in older patients with newly diagnosed AML with >30% blasts
Open accessAbstract
Key Points: Azacitidine increased median overall survival by 3.8 months vs current commonly used AML treatments (10.4 vs 6.5 months; P = .1009). Azacitidine safety in patients age ≥65 years with AML (>30% blasts) was consistent with its known safety profile in other trials.
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The prolonged time to initial response, typically around 3 months from treatment onset, is consistent with the primary effects of low dose treatment being mediated via DNA demethylation and epigenetic reprogramming as opposed to direct cytotoxicity.
“The prolonged time to initial response, which typically occurs around 3 months from treatment onset 125 , is consistent with the primary effects of low dose treatment being mediated via DNA demethylation and epigenetic reprogramming as opposed to direct cytotoxicity 126-128 .”
From The roles of DNA, RNA and histone methylation in ageing and cancer (2019) · cites this paper as [127]
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“Moreover, research groups in Germany and the Netherlands have identified mutations in the granulocyte colony-stimulating factor receptor as the cause of severe congenital neutropenia, and have shown that treatment with granulocyte colonystimulating factor can improve survival but also lead to AML.21 Later, HAX1 and JA…”
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- Authors
- Dombret, H., Seymour, J. F., Butrym, A., Wierzbowska, A., Selleslag, D., Jang, J. H., Kumar, R., Cavenagh, J., Schuh, A. C., Candoni, A., Récher, C., Sandhu, I., Bernal del Castillo, T., Al-Ali, H. K., Martinelli, G., Falantes, J., Noppeney, R., Stone, R. M., Minden, M. D., McIntyre, H., Songer, S., Lucy, L. M., Beach, C. L., & Döhner, H.
- Affiliations
- Hôpital Saint-Louis (FR)
- The University of Melbourne (AU)
- Wroclaw Medical University (PL)
- Medical University of Lodz (PL)
- Algemeen Ziekenhuis Sint-Jan, Brugge, Belgium;
- Samsung Medical Center (KR)
- CancerCare Manitoba (CA)
- National Health Service (GB)
- Princess Margaret Cancer Centre (CA)
- Ospedale Santa Maria della Misericordia di Udine (IT)
- Centre Hospitalier Universitaire de Toulouse (FR)
- Alberta Hospital Edmonton (CA)
- Hospital Central de Asturias, Oviedo, Spain;
- Universitätsklinikum Leipzig, Leipzig, Germany;
- University of Bologna (IT)
- Instituto de Biomedicina de Sevilla (ES)
- Essen University Hospital (DE)
- Dana-Farber Cancer Institute (US)
- Celgene (United States) (US)
- University Hospital Ulm (DE)
- ORCID
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2015-07-16
- Volume
- 126
- Issue
- 3
- Pages
- 291-299
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- PMC
- PMC4504945
- OpenAlex
- W1600365609
- Cited by
- 1,165
- References
- 27
- Citations by year
- 2026: 45 · 2025: 59 · 2024: 80 · 2023: 131 · 2022: 137 · 2021: 153 · 2020: 134 · 2019: 112 · 2018: 99 · 2017: 104 · 2016: 81 · 2015: 29 · 2014: 1
- FWCI
- 81.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Blood (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
- Health Sciences › Medicine › Hematology › Chronic Myeloid Leukemia Treatments
- Keywords
- azacitidine, acute myeloid leukemia, elderly patients, newly diagnosed AML, overall survival, induction chemotherapy, supportive care, adverse events, subgroup analysis
- MeSH terms
- Aged, Aged, 80 and over, Antimetabolites, Antineoplastic, Antineoplastic Combined Chemotherapy Protocols, Azacitidine, Blast Crisis, Female, Follow-Up Studies, Humans, International Agencies, Male, Neoplasm Staging, Prognosis, Prospective Studies, Leukemia, Myeloid, Acute, Survival Rate
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