A real-world study of clofarabine and cytarabine combination therapy for patients with acute myeloid leukemia. Issue 10 (3rd October 2018)

• Record Type: Journal Article
• Authors: He, Fiona; Sapkota, Smarika; Parker, Sarah; Defor, Todd; Warlick, Erica; Ustun, Celalettin; Eckfeldt, Craig; Rashidi, Armin; Kurtzweil, Andy; Weisdorf, Daniel; Bejanyan, Nelli
• Is Part Of: Leukemia & lymphoma. Volume 59:Issue 10(2018)
• Page Start: 2352
• Page End: 2359
• Publication Date: 2018-10-03
• Subjects: Clofarabine -- cytarabine -- acute myeloid leukemia -- myeloid leukemias and dysplasias -- chemotherapeutic approaches -- Ara-c; Leukemia -- Periodicals; Lymphomas -- Periodicals; 616.99419
• DOI: 10.1080/10428194.2018.1433297
• Languages: English
• ISSNs: 1042-8194

Abstract

Abstract: Clofarabine and cytarabine (Clo + Ara-C) combinations have efficacy in treatment of acute myeloid leukemia (AML). We retrospectively analyzed clinical outcomes of 71 AML patients receiving Clo + Ara-C regimens at the University of Minnesota from 2011 to 2016: 44 patients (62%) had newly diagnosed AML and 27 patients (38%) had relapsed/refractory AML. The median age of patients was 69 years (interquartile range [IQR], 63–75 years). Nearly 60% of the patients had secondary AML, and about half of patients had adverse risk cytogenetics. Objective response rate (ORR) was 42% in all patients with complete remission (CR) rate of 20%. Progression-free survival (PFS) at 2 years was 16% (95% CI 8–27%) and overall survival (OS) at 2 years was 21% (95% CI 11–33%) for all patients. The 30-day mortality rate was 18%. Clo + Ara-C- containing regimens are an acceptable upfront therapy option for patients who are not candidates for "7 + 3" induction, but do not induce durable remissions.