title: [Clinical resarch of decitabine combined with modified CAG regimen for treatment of relapsed or refractory acute myeloid leukemia].
abstract: OBJECTIVE
  This study was to investigate the therapeutic effectiveness and side effect of decitabine combined with modified CAG regimen for relapse or refractory patients with acute myeloid leukemia.
  
  
  METHODS
  Ten patients suffered from relapsed or refractory acute myeloid leukemia from January 2013 to July 2013 were analyzed retrospectively, and the clinical characteristics, therapeutic effectiveness, side effect were observed. Among 10 patients 7 patients were males and 3 patients were females, the ratio of male to female was 7:3, median age was 45 (17-61) years.
  
  
  RESULTS
  After treatment by using decitabine combined with modified CAG regimen, 7 patients achived complete remission, 1 patient achived partial remission, 2 patient did not achieve remission, the overall remission rate was 80% (8/10), the median time of white blood cell count recovery was 18.5 (5-28) days, median time of platelet level recovery was 19 (12-29) days. The main side effects of treatment were myelosuppression. There was no new lung infection in all cases, one case died of exacerbation of primary lung infection after therapy.
  
  
  CONCLUSIONS
  The treatment of decitabine combined with modified CAG regimen for relapsed and refractory AML shows high response rate, low side effects, so it worthy to further clinical study.
authors: Department of Hematology, Chinese PLA General Hospital Beijing, 100853.
authors: Cheng-Ying
authors: CY
authors: Zhu
authors: Department of Oncology, Taian Mumicipal Traditional Chinese Medical Hospital, Taian 271000, Shandong Province, China.
authors: Shi-Yan
authors: SY
authors: Liu
authors: Department of Hematology, The Forth People's Hospital of Jinan, Jinan 250031, Shandong Province, China.
authors: Jian-Hua
authors: JH
authors: Niu
authors: Department of Hematology, Gaochun County People's Hospital, Nanjing 211300, Jiangsu Province, China.
authors: Qi
authors: Q
authors: Zhang
authors: Department of Hematology, Chinese PLA General Hospital Beijing, 100853.
authors: Hua
authors: H
authors: Yang
authors: Department of Hematology, Chinese PLA General Hospital Beijing, 100853.
authors: Hai-Yan
authors: HY
authors: Zhu
authors: Department of Hematology, Chinese PLA General Hospital Beijing, 100853.
authors: Li
authors: L
authors: Yu
authors: Department of Hematology, Chinese PLA General Hospital Beijing, 100853. E-mail: jingyu301@126.com.
authors: Yu
authors: Y
authors: Jing
mesh_terms: D015250:Aclarubicin; D000293:Adolescent; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D001374:Azacitidine / Q000031:analogs & derivatives; D003561:Cytarabine; D000077209:Decitabine; D005260:Female; D016179:Granulocyte Colony-Stimulating Factor; D006801:Humans; D015470:Leukemia, Myeloid, Acute; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012074:Remission Induction; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003561:Cytarabine; D016179:Granulocyte Colony-Stimulating Factor; D015250:Aclarubicin; D000077209:Decitabine; D001374:Azacitidine