TY - JOUR
T1 - The important role of intensive induction chemotherapy in the treatment of acute myeloid leukemia
AU - Lin, Tara L.
AU - Pagano, Livio
PY - 2021
Y1 - 2021
N2 - Introduction: Intensive induction chemotherapy followed by post-remission consolidation and/or allogeneic hematopoietic transplantation has been a 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 been 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. Intensive chemotherapy continues to play a pivotal role for the management of many AML patients and can offer the best chance of long-term remission, especially when followed by transplantation.
AB - Introduction: Intensive induction chemotherapy followed by post-remission consolidation and/or allogeneic hematopoietic transplantation has been a 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 been 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. Intensive chemotherapy continues to play a pivotal role for the management of many AML patients and can offer the best chance of long-term remission, especially when followed by transplantation.
KW - Acute myeloid leukemia
KW - Antineoplastic Combined Chemotherapy Protocols
KW - Hematopoietic Stem Cell Transplantation
KW - Humans
KW - Induction Chemotherapy
KW - Leukemia, Myeloid, Acute
KW - Remission Induction
KW - Transplantation, Homologous
KW - Treatment Outcome
KW - chemotherapy
KW - clinical
KW - elderly
KW - high-dose therapy
KW - Acute myeloid leukemia
KW - Antineoplastic Combined Chemotherapy Protocols
KW - Hematopoietic Stem Cell Transplantation
KW - Humans
KW - Induction Chemotherapy
KW - Leukemia, Myeloid, Acute
KW - Remission Induction
KW - Transplantation, Homologous
KW - Treatment Outcome
KW - chemotherapy
KW - clinical
KW - elderly
KW - high-dose therapy
UR - http://hdl.handle.net/10807/196960
U2 - 10.1080/17474086.2021.1886920
DO - 10.1080/17474086.2021.1886920
M3 - Article
SN - 1747-4086
VL - 14
SP - 303
EP - 314
JO - Expert Review of Hematology
JF - Expert Review of Hematology
ER -