A randomised evaluation of low-dose cytosine arabinoside plus lenalidomide versus single-agent low-dose cytosine arabinoside in older patients with acute myeloid leukaemia: Results from the LI-1 trial

Mhairi Copland*, Cono Ariti, Ian F Thomas, Laura Upton, Mia Sydenham, Priyanka Mehta, Shahid Islam, Lars Kjeldsen, Alan K Burnett, Robert K Hills, Nigel Russell, Mike Dennis, UK NCRI AML Study Group

*Corresponding author af dette arbejde

Abstract

Improving outcomes for older patients with acute myeloid leukaemia remains an unmet need. As part of the LI-1 trial, we evaluated lenalidomide (LEN) in combination with low-dose cytosine arabinoside (LDAC) in patients aged >60 years unfit for intensive therapy and compared this to LDAC alone. Two hundred and two patients, randomised 1:1, were evaluable. Overall response rate (CR + CRi) was higher for LDAC + LEN versus LDAC (26% and 13.7% respectively p = 0.031). However, there was no difference in overall survival between the arms (14% and 11.5% at 2 years for LDAC + LEN and LDAC respectively). The addition of LEN was associated with increased toxicity and supportive care requirements.

OriginalsprogEngelsk
TidsskriftBritish Journal of Haematology
Vol/bind204
Udgave nummer3
Sider (fra-til)871-876
Antal sider6
ISSN0007-1048
DOI
StatusUdgivet - mar. 2024

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