ArticleInternational journal of hematology2026
Intermediate-dose cytarabine as a safer consolidation strategy for acute myeloid leukemia.
Article in International journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn Japan, multiagent chemotherapy comprising anthracycline and cytarabine is commonly used as post-remission consolidation therapy for acute myeloid leukemia. Meanwhile, intermediate-dose cytarabine (ID-AC) is typically utilized in Western countries. However, data comparing these two regimens are limited. The current study retrospectively analyzed the outcomes of multiagent chemotherapy and ID-AC as consolidation therapy in patients at our institution.
methodsSeventy-one patients were included in the multiagent chemotherapy group and 46 in the ID-AC group.
resultsTwo-year overall survival rates did not differ significantly between the multiagent chemotherapy and ID-AC groups (56.0% vs. 69.2%; P = 0.169). Similarly, 2-year disease-free survival with data censored at the time of allogeneic stem cell transplantation did not significantly differ between groups (14.1% vs. 33.5%; P = 0.268). The ID-AC group had a significantly lower incidence of febrile neutropenia than the multiagent chemotherapy group. Further, the ID-AC group had a significantly shorter duration of neutropenia and length of hospital stay than the multiagent chemotherapy group.
conclusionID-AC had comparable efficacy and a more favorable safety profile than multiagent chemotherapy as consolidation therapy for acute myeloid leukemia.
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