Clinical Research Papers:
A multicenter, retrospective analysis of elderly patients with acute myeloid leukemia who were treated with decitabine
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Abstract
Jun Ho Yi1, Silvia Park2, Jung Han Kim3, Young-Woong Won4, Do Hyoung Lim5, Boram Han6, Jieun Uhm7, Hae Su Kim8, Chul Won Jung2 and Jun Ho Jang2
1Division of Hematology-Oncology, Department of Medicine, Chung-Ang University Hospital, Seoul, Korea
2Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
3Department of Internal Medicine, Kangnam Sacred-Heart Hospital, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Korea
4Division of Hematology and Oncology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
5Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea
6Department of Internal Medicine, Hallym University Medical Center, Hallym University, Hallym University College of Medicine, Anyang, Korea
7Division of Hematology and Oncology, Department of Internal Medicine, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea
8Division of Hematology-Oncology, Department of Internal Medicine, VHS Medical Center, Seoul, Korea
Correspondence to:
Jun Ho Jang, email: [email protected]
Keywords: acute myeloid leukemia; elderly patients; decitabine
Received: February 10, 2017 Accepted: December 26, 2017 Published: January 02, 2018
ABSTRACT
Decitabine is widely accepted as the treatment options for elderly acute myeloid leukemia (AML) patients. However, the efficacy has yet been assessed in Asian population. We retrospectively analyzed the outcomes of 80 Korean elderly AML patients who were treated with decitabine. The median age was 74 years (range, 64 to 86 years) and 6 (7.5%), 48 (60.0%), and 25 (31.3%) patients were categorized to favorable, intermediate, and poor risk group, respectively. The median OS was 10.2 months (95% CI 5.0–15.4). Given that decitabine treatment demonstrated improved clinical outcomes, it could be considered as one of the first-line treatment for Korean elderly AML patients.
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