Tags

Type your tag names separated by a space and hit enter

Fludarabine, ARA-C, idarubicin and G-CSF (FLAG-Ida), high dose ARA-C and early stem cell transplant. A feasable and effective therapeutic strategy for de novo AML patients.
J Exp Clin Cancer Res. 2002 Dec; 21(4):481-7.JE

Abstract

Forty-three consecutive patients with de novo and untreated non M3 AML aged 60 or less entered the study. The mean age of patients was 50 (range 15-60). The induction regimen (FLAG-Ida) included fludarabine (30 mg/sqm), Ara-C (2 g/sqm) on days 1-5, and idarubicin (10 mg/sqm) on days 1, 3, 5. G-CSF (300 mcg/day) was administered s.c. 12 hours before starting fludarabine and was continued for five days. HDT with stem cell rescue was planned for all patients in first CR after one course of high dose Ara-C (HDAC) consolidation and in good clinical conditions. Forty-two (98%) patients were evaluable for response. One patient died during induction (2%). CR was achieved in 35 patients (82%). Twenty-three patients, 66% of those achieving CR, underwent autologous (N = 17) or allogeneic (N = 6) transplantation. With a median follow up of 24 months, the average median duration of CR is 17 months (range 3-66) and the median survival is 20 months (range 1-83). Overall the 5 year projected disease free survival (DFS) and overall survival (OS) were 37% and 43%, respectively. Among patients who underwent stem cell transplantation DFS and OS were 53% and 69%, respectively. The median time to PMN recovery (> 0.5 x 10(9)/l) was 17 days (range 10-28) and 50 x 10(9)/l platelets were reached at a median of 17 days (12-38). In conclusion FLAG-Ida regimen is effective, low toxic and improves feasibility of stem cell transplant.

Authors+Show Affiliations

Dept. of Hematology and Oncology (DEMO), Azienda Ospedale San Martino e Cliniche Universitarie Convenzionate, Genova, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12636093

Citation

Clavio, M, et al. "Fludarabine, ARA-C, Idarubicin and G-CSF (FLAG-Ida), High Dose ARA-C and Early Stem Cell Transplant. a Feasable and Effective Therapeutic Strategy for De Novo AML Patients." Journal of Experimental & Clinical Cancer Research : CR, vol. 21, no. 4, 2002, pp. 481-7.
Clavio M, Gatto S, Beltrami G, et al. Fludarabine, ARA-C, idarubicin and G-CSF (FLAG-Ida), high dose ARA-C and early stem cell transplant. A feasable and effective therapeutic strategy for de novo AML patients. J Exp Clin Cancer Res. 2002;21(4):481-7.
Clavio, M., Gatto, S., Beltrami, G., Quintino, S., Canepa, L., Pierri, I., Galbusera, V., Carrara, P., Miglino, M., Varaldo, R., Ballerini, F., Venturino, C., Cerri, R., Risso, M., Balleari, E., Carella, A. M., Sessarego, M., Ghio, R., Bacigalupo, A., & Gobbi, M. (2002). Fludarabine, ARA-C, idarubicin and G-CSF (FLAG-Ida), high dose ARA-C and early stem cell transplant. A feasable and effective therapeutic strategy for de novo AML patients. Journal of Experimental & Clinical Cancer Research : CR, 21(4), 481-7.
Clavio M, et al. Fludarabine, ARA-C, Idarubicin and G-CSF (FLAG-Ida), High Dose ARA-C and Early Stem Cell Transplant. a Feasable and Effective Therapeutic Strategy for De Novo AML Patients. J Exp Clin Cancer Res. 2002;21(4):481-7. PubMed PMID: 12636093.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fludarabine, ARA-C, idarubicin and G-CSF (FLAG-Ida), high dose ARA-C and early stem cell transplant. A feasable and effective therapeutic strategy for de novo AML patients. AU - Clavio,M, AU - Gatto,S, AU - Beltrami,G, AU - Quintino,S, AU - Canepa,L, AU - Pierri,I, AU - Galbusera,V, AU - Carrara,P, AU - Miglino,M, AU - Varaldo,R, AU - Ballerini,F, AU - Venturino,C, AU - Cerri,R, AU - Risso,M, AU - Balleari,E, AU - Carella,A M, AU - Sessarego,M, AU - Ghio,R, AU - Bacigalupo,A, AU - Gobbi,M, PY - 2003/3/15/pubmed PY - 2003/10/8/medline PY - 2003/3/15/entrez SP - 481 EP - 7 JF - Journal of experimental & clinical cancer research : CR JO - J Exp Clin Cancer Res VL - 21 IS - 4 N2 - Forty-three consecutive patients with de novo and untreated non M3 AML aged 60 or less entered the study. The mean age of patients was 50 (range 15-60). The induction regimen (FLAG-Ida) included fludarabine (30 mg/sqm), Ara-C (2 g/sqm) on days 1-5, and idarubicin (10 mg/sqm) on days 1, 3, 5. G-CSF (300 mcg/day) was administered s.c. 12 hours before starting fludarabine and was continued for five days. HDT with stem cell rescue was planned for all patients in first CR after one course of high dose Ara-C (HDAC) consolidation and in good clinical conditions. Forty-two (98%) patients were evaluable for response. One patient died during induction (2%). CR was achieved in 35 patients (82%). Twenty-three patients, 66% of those achieving CR, underwent autologous (N = 17) or allogeneic (N = 6) transplantation. With a median follow up of 24 months, the average median duration of CR is 17 months (range 3-66) and the median survival is 20 months (range 1-83). Overall the 5 year projected disease free survival (DFS) and overall survival (OS) were 37% and 43%, respectively. Among patients who underwent stem cell transplantation DFS and OS were 53% and 69%, respectively. The median time to PMN recovery (> 0.5 x 10(9)/l) was 17 days (range 10-28) and 50 x 10(9)/l platelets were reached at a median of 17 days (12-38). In conclusion FLAG-Ida regimen is effective, low toxic and improves feasibility of stem cell transplant. SN - 0392-9078 UR - https://www.unboundmedicine.com/medline/citation/12636093/Fludarabine_ARA_C_idarubicin_and_G_CSF__FLAG_Ida__high_dose_ARA_C_and_early_stem_cell_transplant__A_feasable_and_effective_therapeutic_strategy_for_de_novo_AML_patients_ L2 - https://medlineplus.gov/myelodysplasticsyndromes.html DB - PRIME DP - Unbound Medicine ER -