The important role of intensive induction chemotherapy in the treatment of acute myeloid leukemia.

The important role of intensive induction chemotherapy in the treatment of acute myeloid leukemia. Expert Rev Hematol. 2021 Feb 16;: Authors: Lin TL, Pagano L Abstract INTRODUCTION: Intensive induction chemotherapy followed by post-remission consolidation and/or allogeneic hematopoietic transplantation has been standard-of-care therapy for acute myeloid leukemia (AML) for decades. In recent years, a plethora of new agents have been approved for AML treatment, dramatically changing the AML treatment landscape. AREAS COVERED: This review provides an overview of the current role of intensive chemotherapy in the changing AML treatment landscape. PubMed-indexed publications (through 2020) and abstracts presented at major national and international conferences were reviewed for inclusion. EXPERT OPINION: While intensive chemotherapy is standard-of-care therapy for younger patients with AML, older patients were historically viewed as universally ineligible for intensive chemotherapy; however, several studies suggest many older patients benefit from intensive chemotherapy with a curative intent, and a more holistic approach to determining eligibility for intensive treatment is recommended. Intensive strategies have also expanded to include novel chemotherapy designs and chemotherapy in combination with targeted agents for patients with certain disease characteristics, which may permit more personalized treatment decisions. In...
Source: Expert Review of Hematology - Category: Hematology Tags: Expert Rev Hematol Source Type: research