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Drugs & Aging

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01.08.2015 | Review Article

Management of Relapsed/Refractory Acute Myeloid Leukemia in the Elderly: Current Strategies and Developments

verfasst von: Jeffrey C. Bryan, Elias J. Jabbour

Erschienen in: Drugs & Aging | Ausgabe 8/2015

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Abstract

Elderly patients with acute myeloid leukemia (AML) who are refractory to or relapse following frontline treatment constitute a poor-risk group with a poor long-term outcome. Host-related factors and unfavorable disease-related features contribute to early treatment failures following frontline therapy, thus making attainment of remission and long-term survival with salvage therapy particularly challenging for elderly patients. Currently, no optimal salvage strategy exists for responding patients, and allogeneic hematopoietic stem cell transplant is the only curative option in this setting; however, the vast majority of elderly patients are not candidates for this procedure due to poor functional status secondary to age and age-related comorbidities. Furthermore, the lack of effective salvage programs available for elderly patients with recurrent AML underscores the need for therapies that consistently yield durable remissions or durable control of their disease. The purpose of this review was to highlight the currently available strategies, as well as future strategies under development, for treating older patients with recurrent AML.

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Titel: Management of Relapsed/Refractory Acute Myeloid Leukemia in the Elderly: Current Strategies and Developments
verfasst von: Jeffrey C. Bryan
Elias J. Jabbour
Publikationsdatum: 01.08.2015
Verlag: Springer International Publishing
Erschienen in: Drugs & Aging / Ausgabe 8/2015
Print ISSN: 1170-229X
Elektronische ISSN: 1179-1969
DOI: https://doi.org/10.1007/s40266-015-0285-6

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Management of Relapsed/Refractory Acute Myeloid Leukemia in the Elderly: Current Strategies and Developments

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