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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

Safety and efficacy of arsenic trioxide in intensification therapy for newly diagnosed childhood acute promyelocytic leukemia: results from the JPLSG AML-P13 study

http://hdl.handle.net/10458/0002001980
http://hdl.handle.net/10458/0002001980
ea2a5d13-98c1-41a6-8fa3-26bfc2974398
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-12-08
タイトル
タイトル Safety and efficacy of arsenic trioxide in intensification therapy for newly diagnosed childhood acute promyelocytic leukemia: results from the JPLSG AML-P13 study
言語 en
言語
言語 eng
キーワード
言語 en
キーワード Acute promyelocytic leukemia
キーワード
言語 en
キーワード Arsenic trioxide
キーワード
言語 en
キーワード Childhood leukemia
キーワード
言語 en
キーワード Clinical trial
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 metadata only access
著者 Takahashi, Hiroyuki

× Takahashi, Hiroyuki

en Takahashi, Hiroyuki(Personal)
Toho University

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Tanaka, Shiro

× Tanaka, Shiro

en Tanaka, Shiro(Personal)
Kyoto University

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Yuza, Yuki

× Yuza, Yuki

en Yuza, Yuki(Personal)
Tokyo Metropolitan Children's Medical Center

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Iijima-Yamashita, Yuka

× Iijima-Yamashita, Yuka

en Iijima-Yamashita, Yuka(Personal)
NHO Nagoya Medical Center

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Hasegawa, Daisuke

× Hasegawa, Daisuke

en Hasegawa, Daisuke(Personal)
St. Luke's International Hospital

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盛武, 浩

× 盛武, 浩

WEKO 28692
e-Rad_Researcher 40336300

ja 盛武, 浩
宮崎大学

ja-Kana モリタケ, ヒロシ

en Moritake, Hiroshi
University of Miyazaki

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Terui, Kiminori

× Terui, Kiminori

en Terui, Kiminori(Personal)
Hirosaki University

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Iwamoto, Shotaro

× Iwamoto, Shotaro

en Iwamoto, Shotaro(Personal)
Mie University

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Shimada, Akira

× Shimada, Akira

en Shimada, Akira(Personal)
Jichi Medical University

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Matsubayashi, Jun

× Matsubayashi, Jun

en Matsubayashi, Jun(Personal)
Shiga University of Medical Science

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Deguchi, Takao

× Deguchi, Takao

en Deguchi, Takao(Personal)
National Center for Child Health and Development

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Hashii, Yoshiko

× Hashii, Yoshiko

en Hashii, Yoshiko(Personal)
Osaka International Cancer Institute

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Kiyokawa, Nobutaka

× Kiyokawa, Nobutaka

en Kiyokawa, Nobutaka(Personal)
National Center for Child Health and Development

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Miyachi, Hayato

× Miyachi, Hayato

en Miyachi, Hayato(Personal)
Nitobe Bunka College

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Saito, Akiko M

× Saito, Akiko M

en Saito, Akiko M(Personal)
NHO Nagoya Medical Center

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Taga, Takashi

× Taga, Takashi

en Taga, Takashi(Personal)
Shiga University of Medical Science

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Adachi, Souichi

× Adachi, Souichi

en Adachi, Souichi(Personal)
Kyoto University

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Tomizawa, Daisuke

× Tomizawa, Daisuke

en Tomizawa, Daisuke(Personal)
National Center for Child Health and Development

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抄録
内容記述タイプ Abstract
内容記述 Arsenic trioxide (ATO) in combination with all-trans retinoic acid (ATRA) has been shown to be effective in both adult and pediatric patients with acute promyelocytic leukemia (APL). Addition of ATO to conventional chemotherapy could lead to a reduction in the doses of cytotoxic agents, but the long-term safety of ATO is not fully understood, especially in children. The Japan Children's Cancer Group conducted a risk-stratified prospective study to investigate safety and efficacy of ATO in children with newly diagnosed APL by replacing all three intensification phases with ATO. The 3-year event-free survival and overall survival rates in 27 children were 96.3% (95% CI 76.5%-99.5%) and 100% (95% CI 87.2%-100%), respectively. Prolonged QTc interval or other cardiac conduction disorders of any grade were observed in 20 out of the 63 intensification cycles. The durations of leukocytopenia, neutropenia, and G-CSF treatment were significantly shorter in this study than in a previous Japanese study that used conventional cytotoxic chemotherapy. Furthermore, no cardiac, metabolic, renal, cutaneous, or neurological symptoms were reported for up to 5 years after completion of the protocol therapy. The JPLSG AML-P13 study demonstrated excellent outcomes and safety of ATO in children with APL.
言語 en
書誌情報 en : International journal of hematology

発行日 2025-09-04
出版者
出版者 Springer Nature
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 18653774
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s12185-025-04060-7
著者版フラグ
出版タイプ NA
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