Intensive Therapy before or during the Conditioning Regimen of Allogeneic Marrow Transplantation in Adult Acute Lymphoblastic Leukemia Patients: We Must.

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Presentation transcript:

Intensive Therapy before or during the Conditioning Regimen of Allogeneic Marrow Transplantation in Adult Acute Lymphoblastic Leukemia Patients: We Must Choose to Reduce Toxicity—A Groupe Ouest-Est d’Etude des Leucémies et Autres Maladies du Sang Study  Eric Deconinck, Mathilde Hunault, Noël Milpied, Marc Bernard, Marc Renaud, Bernard Desablens, Martine Delain, Francis Witz, Bruno Lioure, Bernard Pignon, Denis Guyotat, Christian Berthou, Jean-Pierre Jouet, Phillipe Casassus, Norbert Ifrah, Jean-Michel Boiron  Biology of Blood and Marrow Transplantation  Volume 11, Issue 6, Pages 448-454 (June 2005) DOI: 10.1016/j.bbmt.2005.03.007 Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 Protocol design of the LALPOF and GOELAL1 trials. CI indicates continuous infusion; CR, complete remission; DNR, daunorubicin; VCR, vincristine; ADA, daunorubicin + cytarabine + asparaginase; MAPO, methotrexate + cytarabine + prednisone + vincristine; BEAC, BCNU (carmustine) + etoposide + cytarabine + cyclophosphamide; ZAM, idarubicin + cytarabine + methylprednisolone; AZA, cytarabine + idarubicin + asparaginase; PAME, prednisolone + cytarabine + mitoxantrone + etoposide. Biology of Blood and Marrow Transplantation 2005 11, 448-454DOI: (10.1016/j.bbmt.2005.03.007) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Survival according to the protocol assignment. At 48 months (4 years): LALPOF, 71% ± 12% (continuous line); GOELAL, 36% ± 13% (dotted line) (P = .009). Biology of Blood and Marrow Transplantation 2005 11, 448-454DOI: (10.1016/j.bbmt.2005.03.007) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 Disease-free survival according to the protocol assignment. At 48 months (4 years): LALPOF, 75% ± 11% (continuous line); GOELAL, 69% ± 13% (dotted line) (P = .30). Biology of Blood and Marrow Transplantation 2005 11, 448-454DOI: (10.1016/j.bbmt.2005.03.007) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 4 Event-free survival according to the protocol assignment. At 48 months (4 years): LALPOF, 66% ± 11% (continuous line); GOELAL, 35% ± 11% (dotted line) (P = .02). Biology of Blood and Marrow Transplantation 2005 11, 448-454DOI: (10.1016/j.bbmt.2005.03.007) Copyright © 2005 American Society for Blood and Marrow Transplantation Terms and Conditions