Addressing the incremental benefit of histamine dihydrochloride when added to interleukin-2 in treating acute myeloid leukemia: a Bayesian meta-analysis

Cancer Invest. 2011 May;29(4):293-9. doi: 10.3109/07357907.2011.568563.

Abstract

IL-2 has been investigated as maintenance therapy for patients with AML in five randomized trials. None has shown a statistically significant benefit. A randomized trial of HDC + IL-2 showed a statistically significant benefit for leukemia-free survival (LFS) in comparison with standard of care. Because HDC + IL-2 has not been randomized against IL-2 alone, the question remains as to whether and to what extent HDC + IL-2 is an improvement compared to IL-2 alone. This is a literature-based meta-analysis. We employ two versions of a Bayesian hierarchical model to compare HDC + IL-2 versus IL-2 alone on the basis of LFS in patients in remission from AML.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Bayes Theorem*
  • Disease-Free Survival
  • Evidence-Based Medicine
  • Histamine / administration & dosage
  • Humans
  • Interleukin-2 / administration & dosage
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / mortality
  • Markov Chains
  • Middle Aged
  • Monte Carlo Method
  • Proportional Hazards Models
  • Randomized Controlled Trials as Topic
  • Recurrence
  • Survival Analysis
  • Time Factors
  • Treatment Outcome
  • Young Adult

Substances

  • Interleukin-2
  • Histamine