PMID- 26031521 OWN - NLM STAT- MEDLINE DCOM- 20160112 LR - 20200717 IS - 0253-2727 (Print) IS - 2707-9740 (Electronic) IS - 0253-2727 (Linking) VI - 36 IP - 5 DP - 2015 May TI - [The clinical efficacy of all-trans retinoic acid plus arsenic trioxide in 177 newly diagnosed acute promyelocytic leukemia patients]. PG - 372-7 LID - 10.3760/cma.j.issn.0253-2727.2015.05.004 [doi] AB - OBJECTIVE: To investigate the clinical efficacy of all-trans retinoic acid (ATRA) plus arsenic trioxide (ATO) in induction and maintenance therapy in newly diagnosed acute promyelocytic leukemia (APL). METHODS: A retrospective analysis of 298 newly diagnosed APL patients from the department of hematology, First Affiliated Hospital of Zhejiang University since September 2004 to December 2013, including 177 cases with ATRA plus ATO and 116 ATRA plus chemotherapy (CT), was performed to investigate the clinical efficacy between the low-intermediate (WBC10x10(9)/L) risk APL patients, respectively. RESULTS: For the low-intermediate risk patients, the relapse rate in ATRA plus CT and ATRA plus ATO are 22.0% and 6.1% (P=0.004), respectively; the 3 years estimated relapse-free survival (RFS) are 78.0% and 92.9% (P=0.021), respectively. For the high risk patients, the relapse rate in ATRA plus CT and ATRA plus ATO are 25.0% and 5.2% (P=0.035), respectively; the 3 years estimated RFS rate were 80.8% and 93.0% (P=0.021), respectively. But the rate of early death (ED), complete remission (CR) and overall survival (OS) between the two therapy protocols had no statistical difference (P>0.05). CONCLUSION: ATRA plus ATO in induction and maintenance therapy might prolong the RFS time of the low-intermediate risk APL patients and decrease the relapse rate of the low, intermediate and high risk APL patients. FAU - Lu, Ying AU - Lu Y AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Li, Fenglin AU - Li F AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Mu, Qitian AU - Mu Q AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Meng, Haitao AU - Meng H AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Qian, Wenbin AU - Qian W AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Tong, Hongyan AU - Tong H AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Mai, Wenyuan AU - Mai W AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Pei, Renzhi AU - Pei R AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Yu, Mengxia AU - Yu M AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Zhao, Xiaoying AU - Zhao X AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. FAU - Jin, Jie AU - Jin J AD - Department & Institute of Hematology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China. LA - chi PT - Journal Article PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - 0 (Arsenicals) RN - 0 (Oxides) RN - 5688UTC01R (Tretinoin) RN - S7V92P67HO (Arsenic Trioxide) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols MH - Arsenic Trioxide MH - Arsenicals MH - Humans MH - *Leukemia, Promyelocytic, Acute MH - Oxides MH - Recurrence MH - Remission Induction MH - Retrospective Studies MH - Survival Rate MH - Tretinoin PMC - PMC7342586 EDAT- 2015/06/03 06:00 MHDA- 2016/01/13 06:00 PMCR- 2015/05/01 CRDT- 2015/06/03 06:00 PHST- 2015/06/03 06:00 [entrez] PHST- 2015/06/03 06:00 [pubmed] PHST- 2016/01/13 06:00 [medline] PHST- 2015/05/01 00:00 [pmc-release] AID - cjh-36-05-372 [pii] AID - 10.3760/cma.j.issn.0253-2727.2015.05.004 [doi] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2015 May;36(5):372-7. doi: 10.3760/cma.j.issn.0253-2727.2015.05.004.