Table 3 Response assessment in ELN 2017.

From: Early replacement of re-induction therapy following failed intensive induction treatment enhances the therapeutic efficacy of newly diagnosed AML

 

Overall

(n = 175)

ELN2017

pval

Favourable risk(n = 82)

Intermediate risk(n = 65)

Adverse risk

(n = 28)

After 1 cycle of induction therapy

ORR

82.8% (145)

95.1% (78)

76.9% (50)

60.7% (17)

p = 0.024

CRc

81.1% (142)

93.9% (77)

74.8% (48)

60.7% (17)

 

CR

77.1%(135)

91.5% (75)

67.7% (44)

57.1% (16)

 

CRi

4.0% (7)

2.4% (2)

6.2% (4)

3.6% (1)

 

PR

1.7% (3)

1.2% (1)

3.1% (2)

0

 

NR

11.4% (20)

2.4% (2)

18.4% (12)

21.4% (6)

p < 0.001

After 2 cycle of induction therapy

ORR

90.2% (158)

96.3% (79)

89.2% (58)

75% (21)

p = 0.0046

CRc

89.1% (156)

96.3% (79)

87.7% (57)

71.4% (20)

 

CR

84.6% (148)

93.9% (77)

81.5% (53)

64.3% (18)

 

CRi

4.6% (8)

2.4% (2)

6.2% (4)

7.1% (2)

 

PR

1.1% (2)

0

1.5% (1)

3.6% (1)

 

NR

4% (7)

1.2% (1)

6.2% (4)

7.1% (2)

 

Early death rate

5.7% (10)

2.4% (2)

4.6% (3)

17.9% (5)

 

Re-induction therapy regimen of NR patients

Venetoclax + azacitidine

9

1

 

2

 

Venetoclax + azacitidine + homoharringtonine

3

0

 

2

 

FLAG/CLAG

4

1

 

2

 

CAG

2

0

 

0

 

HA

2

0

 

0

 

Allo-HSCT

20% (35)

14.6% (12)

21.5% (14)

32.1% (9)

p = 0.083

MRD- after induction in CR patients

65.5% (97)

70.0% (54)

62.3% (33)

56% (10)

p = 0.41

Median duration of MRD- status (IQR), days

244 (60–662)

288 (130–693)

205 (33–614)

291 (0–697)

 

Median OS (IQR), days

454 (220–871)

486 (195–863)

482 (231–964)

398 (146–627)