Summary
Seven patients with acute promyelocytic leukemia (APL) were treated with all-trans retinoic acid (ATRA). Five (71.4%) achieved complete remission (CR). Most side effects were transient and well tolerated. Hyperleukocytosis was the major adverse effect. These observations confirm the efficacy of ATRA for inducing CR in APL.
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Avvisati G, Petti MC, Spadea A, Leone G, Sica S, Liso V, Specchia G, Carotenuto M, Leoni P, Papa G, Resegotti L, Rotoli B, Mandelli F (1991) All-trans retinoic acid (RA) in poor-risk acute promyelocytic leukemia (APL): a pilot study of the Italian Cooperative Group GIMEMA. (Abstr) Haematologica (Pavia) 76 [Suppl 4]: 16
Bennett JM, Catovsky D, Daniel MT, Flandrin G, Galton DAG, Gralnick HR, Sultan C (1985) Proposed revised criteria for the classification of acute myeloid leukemia. A report of the French-American-British Cooperative Group. Ann Intern Med 103: 620–625
Castaigne S, Chomienne C, Daniel MT, Berger R, Fenaux P, Degos L (1990) All-trans retinoic acid as a differentiating therapy for acute promyelocytic leukemias. I. Clinical results. Blood 76: 1704–1709
Castaigne S, Chomienne C, Daniel MT, Berger R, Miclea JM, Ballerini P, Degos L (1990) Retinoic acid in the treatment of acute promyelocytic leukemia. Nouv Rev Fr Hematol 32: 36–38
Cheson BD, Cassileth PA, Head DR, Schiffer CA, Bennett JM, Bloomfield CD, Brunning R, Gale RP, Grever MR, Keating MJ, Sawitsky A, Stass S, Weinstein H, Woods WG (1990) Report of the National Cancer Institute sponsored workshop of definitions and response in acute myeloid leukemia. J Clin Oncol 8: 813–819
Fenaux P, Castaigne S, Dombret H, Chomienne C, Tilly H, Archimbaud E, Dufour P, Lamy T, Cransac M, Tiberghien P, Bauters F, Degos L (1991) All-trans retinoic acid (ATRA) as first-line therapy of acute promyelocytic leukemia (APL). A report of 44 cases. (Abstr) Haematologica (Pavia) 76 [Suppl 4]: 17
Frankel S, Weiss M, Warrel RP jr (1991) A “retinoic acid syndrome” in acute promyelocytic leukemia: reversal by corticosteroids. (Abstr) Blood 78 [Suppl 1]: 380a
Meng-er H, Yu-chen Y, Shu-rong C, Jin-ren C, Jia-Yiang L, Lin Z, Long-jun G, Zhen-yi Wang (1988) Use of all-trans retinoic acid in the treatment of acute promyelocytic leukemia. Blood 72: 567–572
Ohno R, Ohsima T, Dohi H, Shinoura T, Fujimoto T, Kobayashi T, Hiraoka A, Mizoguchi H, Murase T, Naoe T, and the Koseisho Leukemia Study Group (1991) ALL-trans retinoic acid as a differentiation therapy for refractory acute promyelocytic leukemia (APL). (Abstr) Haematologica (Pavia) 76 [Suppl 4]: 40
Peck R, Bollag W (1991) Potentiation of retinoid-induced differentiation of HL-60 and U 937 cell lines by cytokines. Eur J Cancer 27: 53–57
Schiff RD, Thomson KA, Stuart RD (1990) Low-dose cytarabine (LDC) and 13-cis-retinoic acid (RA) in the treatment of myelodysplastic syndromes (MDS) and poor-prognosis acute myeloid leukemia (PP-AML). Blood 76 [Suppl 1]: 317a
Warrell RP, Frankel SR, Miller WH, Scheinberg DA, Itri LM, Hittelman WN, Vyas R, Andreaf M, Tafuri A, Jakubowski A, Gabrilove J, Gordon MS, Dmitrovsky E (1991) Differentiation therapy of acute promyelocytic leukemia with tretinoin (all-trans-retinoic-acid). N Engl J Med 324: 1385–1393
Wiernik PH (1990) Acute promyelocytic leukemia: another pseudoleukemia? Blood 76: 1675–1677
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Hernández, P., Carnot, J., Dorticós, E. et al. All-trans retinoic acid in acute promyelocytic leukemia: Preliminary results in Cuba. Ann Hematol 65, 121–123 (1992). https://doi.org/10.1007/BF01695810
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DOI: https://doi.org/10.1007/BF01695810