Acute nonlymphoblastic leukemia: prognostic factors in adults with long-term follow-up

Cancer. 1982 Oct 15;50(8):1462-71. doi: 10.1002/1097-0142(19821015)50:8<1462::aid-cncr2820500804>3.0.co;2-1.

Abstract

Seventy-nine adult patients with acute nonlymphoblastic leukemia (ANLL) were treated on the L-6 protocol at Memorial Sloan-Kettering Cancer Center between May 1970 and January 1974. Forty-two patients achieved a complete remission (CR) and nine of these are still disease free, with a minimum of seven years of follow-up. An extensive statistical analysis has been carried out on a large number of pretreatment and treatment characteristics to identify factors related to CR and remission duration. Multivariate regression techniques yielded as favorable characteristics associated with CR, in order of importance: young age at diagnosis, the presence of Auer rods at diagnosis, and treatment with Pseudomonas vaccine. A regression model for remission duration identified as favorable prognostic factors for long-term remission: at most two courses of induction therapy, an intermediate age range, and a low platelet count at diagnosis.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols*
  • Bacterial Vaccines / therapeutic use
  • Carmustine / administration & dosage
  • Cyclophosphamide / administration & dosage
  • Cytarabine / administration & dosage
  • Daunorubicin / administration & dosage
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Humans
  • Hydroxyurea / administration & dosage
  • Leukemia / drug therapy*
  • Leukemia / pathology
  • Male
  • Methotrexate / administration & dosage
  • Middle Aged
  • Platelet Count
  • Prognosis
  • Pseudomonas / immunology
  • Statistics as Topic
  • Thioguanine / administration & dosage
  • Vincristine / administration & dosage

Substances

  • Antineoplastic Agents
  • Bacterial Vaccines
  • Cytarabine
  • Vincristine
  • Cyclophosphamide
  • Thioguanine
  • Carmustine
  • Hydroxyurea
  • Methotrexate
  • Daunorubicin

Supplementary concepts

  • L-6 protocol