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Posts with tag induction

Elderly patients with AML who cannot tolerate chemotherapy

The drug Vidaza (azacitadine) can be an effective treatment for those elderly patients diagnosed with acute myeloid leukemia (AML) who cannot tolerate standard treatments, according to the journal Cancer. Treatment for AML patients often starts off with induction chemotherapy followed by consolidation therapy. The induction therapy usually consists of chemotherapy that will provide complete remission. The consolidation therapy is further treatment to help prevent recurrence.

There haven't been many strides in recent years for elderly patients diagnosed with AML. Some of these patients do not seem to be able to tolerate the same treatments given to younger patients diagnosed with the disease.

Vidaza has not been extensively studied with AML but is the first drug approved by the Food and Drug Administration for myelodysplastic syndromes. It does have promise to help those who cannot tolerate standard treatments for AML. Researchers at the Western Pennsylvania Cancer Institute developed a trial that included 20 patients older than 55. Sixty percent of the 20 patients had anticancer responses. The patients that did respond to Vidaza were still alive at 15 months, compared to only 2.5 months for those who did not respond to the drug.

Esophageal cancer and improved survival rates

The addition of further chemotherapy added to neoadjuvant chemotherapy in patients with esophageal cancer can improve survival. When diagnosed with esophageal cancer the patient is usually given chemotherapy to shrink the tumor before surgery, it also may be accompanied by radiation. This gives a better chance that the tumor will be smaller and can be fully removed. It also is treating the body immediately with systematic therapy in case any cancer cells are circulating in the body.

The journal Cancer has published an article from researchers at MD Anderson Cancer Center regarding additional chemotherapy added to the neoadjuvant chemotherapy already given to patients who have locally advanced esophageal cancer.

The study included 130 patients with esophageal cancer who received neoadjuvant chemotherapy plus radiation therapy and their outcomes were compared to 117 patients who received the same treatment plus and additional course of chemotherapy (induction chemotherapy) prior to surgery.

At five years overall survival was 43 percent for those treated with the additional induction chemotherapy before surgery, compared to 28 percent for those not treated with induction chemotherapy.

The researchers concluded that the induction chemotherapy added to the neoadjuvant chemotherapy improved survival.

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