Table 3

Randomized trials of gemtuzumab ozogamicin (GO) associated with intensive chemotherapy

StudyTreatment phase (age range [y])Patients (N)GO dose and scheduleConclusions
SWOG S010619  Induction (18-60) 637 GO, 6 mg/m2 Similar response rate 
d4 cycle 1* Higher early death rate 
 Similar RFS 
 Similar OS 
NCRI AML1520  Induction (18-60) 1113 GO, 3 mg/m2 Similar response rate 
d1 cycle 1 Similar RFS and OS 
d1 cycle 3 Longer OS in favorable AML 
NCRI AML1621  Induction (>60) 1115 GO, 3 mg/m2 Similar response rate 
d1 cycle 1 Longer RFS, OS from CR, and OS 
ALFA-070122  Induction 278 GO, 3 mg/m2 Similar response rate 
Consolidation d1/4/7 cycle 1 Longer EFS, RFS, and OS 
(50-70) d1 conso 1  
 d1 conso 2  
GOELAMS 200623  Induction (18-60) 254 GO, 6 mg/m2 Similar response rate 
d4 cycle 1 Similar EFS and OS 
d4 conso 1 Longer EFS in non–allo-HSCT patients 
NCRI AML1724  Induction (0-81) 788 GO, 3 vs 6 mg/m2 Similar responses rate 
d1 cycle 1 Lower early death rate with 3 mg/m2 
 Similar RFS and OS 
EORTC-GIMEMA Prior to induction (61-75) 472 GO, 6 mg/m2 Similar response rate 
AML-1725  d1/15 before cycle 1 Higher early death rate 
  Similar RFS 
  Similar EFS and OS 
HOVON-SAKK-AMLSG26  Maintenance (>60) 232 GO, 6 mg/m2 Similar relapse incidence 
3 monthly cycles Similar RFS and OS 
SWOG S010619  Maintenance (18-60) 174 GO, 5 mg/m2 Similar RFS 
3 monthly cycles 
StudyTreatment phase (age range [y])Patients (N)GO dose and scheduleConclusions
SWOG S010619  Induction (18-60) 637 GO, 6 mg/m2 Similar response rate 
d4 cycle 1* Higher early death rate 
 Similar RFS 
 Similar OS 
NCRI AML1520  Induction (18-60) 1113 GO, 3 mg/m2 Similar response rate 
d1 cycle 1 Similar RFS and OS 
d1 cycle 3 Longer OS in favorable AML 
NCRI AML1621  Induction (>60) 1115 GO, 3 mg/m2 Similar response rate 
d1 cycle 1 Longer RFS, OS from CR, and OS 
ALFA-070122  Induction 278 GO, 3 mg/m2 Similar response rate 
Consolidation d1/4/7 cycle 1 Longer EFS, RFS, and OS 
(50-70) d1 conso 1  
 d1 conso 2  
GOELAMS 200623  Induction (18-60) 254 GO, 6 mg/m2 Similar response rate 
d4 cycle 1 Similar EFS and OS 
d4 conso 1 Longer EFS in non–allo-HSCT patients 
NCRI AML1724  Induction (0-81) 788 GO, 3 vs 6 mg/m2 Similar responses rate 
d1 cycle 1 Lower early death rate with 3 mg/m2 
 Similar RFS and OS 
EORTC-GIMEMA Prior to induction (61-75) 472 GO, 6 mg/m2 Similar response rate 
AML-1725  d1/15 before cycle 1 Higher early death rate 
  Similar RFS 
  Similar EFS and OS 
HOVON-SAKK-AMLSG26  Maintenance (>60) 232 GO, 6 mg/m2 Similar relapse incidence 
3 monthly cycles Similar RFS and OS 
SWOG S010619  Maintenance (18-60) 174 GO, 5 mg/m2 Similar RFS 
3 monthly cycles 

EFS, event-free survival; OS, overall survival; RFS, relapse-free survival.

*

Daunorubicin dose was reduced from 60 mg/m2 per day in the control arm to 45 mg/m2 per day in the GO arm.

Additional randomization for GO during cycle 3, irrespective of cycle 1 GO treatment.

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