Table 7.

Randomized studies of growth factors as priming therapy for acute myeloid leukemia








Growth factor vs control group
Reference
No. of patients
Median age, y
AML state
Growth factor/control
Day of first administration*
% CR
% overall survival
Ohno et al13   58   43-47   Relapsed/refractory   Filgrastim/placebo   -2   50/37   Same  
Estey et al14   197  58-61   De novo/secondary   Filgrastim/control   -1   63/54   Same  
Heil et al15   80   55   De novo   Molgrastim/placebo   -2   81/79   45/49 (at 43 mo)  
Zittoun et al16   51   54   Previously untreated   Molgrastim/control   -1   72/77   Same  
Löwenberg et al17   318   68   De novo/secondary   Molgrastim/control   -1   56/55   22/22 (at 24 mo)  
Witz et al18   240   66   De novo   Molgrastim/placebo   +1   62/61   44/19 (at 24 mo) 
Thomas et al19   192   46-47   Relapsed/refractory   Molgrastim/placebo   -2   65/59   Same  
Löwenberg et al20   640   44   De novo/secondary   Lenograstim/control   -1   79/83   40/35 (at 48 mo)§ 
Rowe et al21   245   67-69   Previously untreated   Sargramostim/placebo   -2   38/40   Same  
Löfgren et al22 
 
110
 
77
 
De novo
 
Sargramostim/control
 
-1
 
65/64
 
8/10 (at 72 mo)
 







Growth factor vs control group
Reference
No. of patients
Median age, y
AML state
Growth factor/control
Day of first administration*
% CR
% overall survival
Ohno et al13   58   43-47   Relapsed/refractory   Filgrastim/placebo   -2   50/37   Same  
Estey et al14   197  58-61   De novo/secondary   Filgrastim/control   -1   63/54   Same  
Heil et al15   80   55   De novo   Molgrastim/placebo   -2   81/79   45/49 (at 43 mo)  
Zittoun et al16   51   54   Previously untreated   Molgrastim/control   -1   72/77   Same  
Löwenberg et al17   318   68   De novo/secondary   Molgrastim/control   -1   56/55   22/22 (at 24 mo)  
Witz et al18   240   66   De novo   Molgrastim/placebo   +1   62/61   44/19 (at 24 mo) 
Thomas et al19   192   46-47   Relapsed/refractory   Molgrastim/placebo   -2   65/59   Same  
Löwenberg et al20   640   44   De novo/secondary   Lenograstim/control   -1   79/83   40/35 (at 48 mo)§ 
Rowe et al21   245   67-69   Previously untreated   Sargramostim/placebo   -2   38/40   Same  
Löfgren et al22 
 
110
 
77
 
De novo
 
Sargramostim/control
 
-1
 
65/64
 
8/10 (at 72 mo)
 

Filgrastim indicates Escherichia coli—derived recombinant human granulocyte colony-stimulating factor; Lenograstim, Chinese hamster ovary—derived recombinant human G-CSF; Molgrastim, Escherichia coli—derived recombinant human GM-CSF; and Sargramostim, yeast-derived recombinant human granulocyte-macrophage colony-stimulating factor.

*

Day of first administration of the growth factor in relation to the start of chemotherapy.

Including 74 patients with myelodysplastic syndrome.

P = .003.

§

P = .16; DFS 45/33, P = .02.

P = .07.

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