INTENSIVE THERAPY FOR CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKAEMIA AND UNFAVOURABLE PRESENTING FEATURES Early Conclusions of Study CCG-106 by the Childrens Cancer Study Group

INTENSIVE THERAPY FOR CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKAEMIA AND UNFAVOURABLE PRESENTING FEATURES Early Conclusions of Study CCG-106 by the Childrens Cancer Study Group
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对患有急性淋巴细胞白血病和不良表现特征的儿童进行强化治疗 儿童癌症研究组的 CCG-106 研究的早期结论

DOI:
10.1016/s0140-6736(88)92596-2
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发表时间:
1988
期刊:
The Lancet
影响因子:
--
通讯作者:
G. Hammond
G. Hammond
中科院分区:
--
文献类型:
--
作者:
P. Gaynon;W. Bleyer;V. Albo;N. Grossman;L. Novak;G. Reaman;P. Steinherz;A. Ablin;J. Finklestein;P. Littman;A. Pyesmany;H. Sather;G. Hammond

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229例急性淋巴细胞白血病(ALL)儿童,临床和实验室特征与治疗失败的高风险相关,进入了一项三种治疗方案的随机研究。在1981年之前,这类患者的3年无事件生存率(EFS)为47%。两种强化治疗,柏林-法兰克福-明斯特(BFM)76/79方案和纽约(NY)方案与对照方案进行了比较,对照方案在以前的试验中取得了最佳结果。分析了214例(93.4%)病例的资料。BFM和NY方案的3年EFS为78%,对照方案为49%,有显著差异。在按发病时的年龄、性别、诊断时的白色血细胞计数和骨髓原始细胞形态分层后,差异仍然存在。对照组患者诱导失败、死亡或复发的可能性是强化治疗组患者的2.7倍。
229 children with acute lymphoblastic leukaemia (ALL) and with clinical and laboratory features associated with a high risk of treatment failure entered a randomised study of three treatment regimens. Before 1981, such patients had a 3-year event-free survival (EFS) of 47%. Two intensive therapies, the Berlin-Frankfurt-Munster (BFM) 76/79 regimen and the New York (NY) regimen were compared with a control regimen that had achieved the best outcome in previous trials. Data on 214 cases (93·4%) were analysed. The 3-year EFS was 78% for the BFM and NY regimens and 49% for the control regimen, a significant difference. The differences persisted after stratification by age at onset, sex, white blood cell count at diagnosis, and marrow blast morphology. Control patients were 2·7 times more likely to fail induction, to die, or to relapse than were patients on the intensive regimens.
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