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Table 7 Elderly AML front-line treatment options and median OS times

From: Azacitidine front-line in 339 patients with myelodysplastic syndromes and acute myeloid leukaemia: comparison of French-American-British and World Health Organization classifications

Treatment

N

Age, years

Median age, years

CR/CRi, %

OS, mo

Phase

Ref

Untreated

3367

≥65

77

n.g.

2

Retrosp.

[39]

HU+/-ATRA

99a

>60

74

1

~3

III

[43]

HD-LEN

33

>60

71

30

4

II

[45]

LD-AraC+/-ATRA

103a

>60

74

18

<5

III

[43]

CFA

112

>60

71

46

9.4

II

[40]

CFA + LD-AraC

54

>60

71

63

11.4

II

[42]

CFA + LD-AraC/DAC

60

>60

70

58

12.7

II

[44]

CFA + LD-AraC/DAC

118

>60

68

60

11.1

II

[44]

Allo-SCT

46

≥65

67

n.g.

22

Retrosp.

[39]

Intensive CTX

1856

≥65

74

n.g.

6

Retrosp.

[39]

Intensive CTX (3 + 7)

416

>65

67

57

12

III

[41]

BSC ↔ allo-SCT

352

≥60

n.g.

n.g.

9.0

Retrosp.

[47]

BSC ↔ allo-SCT

5480

≥65

78

n.g.

3.0

Retrosp.

[39]

DAC (DACO-16)

238

>65

74

18

7.7

III

[48]

AZA (AZA-AML-001)

241

>65

75

28

10.4

III

[24]

AZA-AAR

193

>17

77

18

12.6

Retrosp.

[46]

AZA + LEN

42

>60

74

28

15.9

I/II

[38]

  1. aIncluded 14 patients with high-risk MDS
  2. n.g. CR complete response, CRi CR with incomplete blood count recovery, OS overall survival, n.g. not given, HU hydroxyurea, ATRA all trans retinoic acid, HD high-dose, LEN lenalidomide, LD-AraC low-dose cytarabine, CFA clofarabine, DAC decitabine, allo-SCT allogeneic stem cell transplantation, CTX chemotherapy, BSC best supportive care, AZA azacitidine, AML acute myeloid leukaemia, AAR Austrian Azacitidine Registry, MDS myelodysplastic syndrome