Publication

Addition of cyclosporin A to the combination of mitoxantrone and etoposide to overcome resistance to chemotherapy in refractory or relapsing acute myeloid leukaemia: A randomised phase II trial from HOVON, the Dutch–Belgian Haemato-Oncology Working Group for adults

Daenen, S. M. G. J., van der Holt, B., Verhoef, G. E. G., Lowenberg, B., Wijermans, P. W., Huijgens, P. C., Kooy, R. V. M., Schouten, H. C., Kramer, M. H. H., Ferrant, A., van den Berg, E., Steijaert, M. M. C., Verdonck, L. F. & Sonneveld, P., Oct-2004, In : Leukemia Research. 28, 10, p. 1057-1067 11 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • S.M.G.J. Daenen
  • B. van der Holt
  • G.E.G. Verhoef
  • B. Lowenberg
  • P.W. Wijermans
  • P.C. Huijgens
  • R.V.M. Kooy
  • H.C. Schouten
  • M.H.H. Kramer
  • A. Ferrant
  • E. van den Berg
  • M.M.C. Steijaert
  • L.F. Verdonck
  • P. Sonneveld
Cyclosporin A (CsA) inhibits the P-gp pump that can be responsible for failure of cytostatic treatment in acute myeloid leukaemia (AML). Eighty patients with relapsing/refractory AML were randomly assigned to mitoxantrone (M) and etoposide (VP) (MVP) in unmitigated antileukaemic doses with or without CsA, to investigate if toxicity was manageable and if antileukaemic therapy could be improved. CsA did not delay haematological recovery, but fewer CsA patients received post-induction therapy because of haematological and non-haematological toxicity. CR rate was 43% for MVP and 53% for CsA; DFS was 9 and 8 months, and OS 8 and 9 months, respectively. Seventeen of 38 CR patients proceeded to stem cell transplantation (SCT). After a median follow-up of 66 months, six patients were still alive. Addition of CsA did not improve treatment outcome, possibly due to inadequate post-induction therapy as a result of increased toxicity.
Original languageEnglish
Pages (from-to)1057-1067
Number of pages11
JournalLeukemia Research
Volume28
Issue number10
Publication statusPublished - Oct-2004

    Keywords

  • acute myeloid leukaemia, resistance, cyclosporin A, efflux pump, P-glycoprotein, MULTIDRUG-RESISTANCE, P-GLYCOPROTEIN, DRUG-RESISTANCE, HUMAN CANCER, BLAST CELLS, PERIPHERAL-BLOOD, ONCOLOGY-GROUP, MDR1 GENE, EXPRESSION, PROTEIN

ID: 1549912