title: All-trans retinoic acid plus low doses of cytarabine for the treatment of "poor-risk" acute myeloid leukemias.
abstract: Thirteen refractory/resistant AML patients no suitable for additional aggressive chemotherapy, were treated with a combination including all-trans retinoic acid (45 mg/m2 sine die) and low doses of Ara-C (20 mg/m2 subcutaneously, twice in a day, days 1-10, every 28 days). Ten patients were evaluable; 8 of them achieved a complete remission, two patients with an important tumor burden, failed to achieve a response. One complete remission patient relapsed after 7 months but is still receiving the same therapy and is now in partial remission. We believe this combination effective as inducer of complete remission in those AML patients which cannot tolerate additional heavy treatments. The role of tumor burden in affecting response to therapy remains to be still evaluated.
authors.affiliation: Cattedra di Ematologia Università di Roma Tor Vergata Ospedale S. Eugenio, Italia.
authors.forename: A
authors.initials: A
authors.lastname: Venditti
authors.forename: R
authors.initials: R
authors.lastname: Stasi
authors.forename: M
authors.initials: M
authors.lastname: Masi
authors.forename: G
authors.initials: G
authors.lastname: Del Poeta
authors.forename: C
authors.initials: C
authors.lastname: Cox
authors.forename: A
authors.initials: A
authors.lastname: Franchi
authors.forename: D
authors.initials: D
authors.lastname: Piccioni
authors.forename: A
authors.initials: A
authors.lastname: Bruno
authors.forename: U
authors.initials: U
authors.lastname: Coppetelli
authors.forename: M
authors.initials: M
authors.lastname: Tribalto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001853:Bone Marrow / Q000473:pathology; D003561:Cytarabine / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D014212:Tretinoin / Q000008:administration & dosage*
chemical_list: D003561:Cytarabine; D014212:Tretinoin