Table 1

Randomized studies of GO in newly diagnosed patients with AML

StudynAge, yearsCharacteristicsDose of each administration of GOImproved CR with GOImproved RFS, EFS, DFS or OS with GOIncreased induction mortalityIncreased hepatic toxicity
SWOG 0106 637 18-60 DA+GO vs DA in induction and in maintenance 6 mg No No Yes No 
MRC AML15 1113 <60 Induction, consolidation, and maintenance, all with or without GO 3 mg No Yes: 1. Favorable cytogenetics 2. 70% of intermediate cytogenetics No No 
ALFA 07019,10  280 50-70 DA+GO vs DA in induction and in consolidation 3 mg No Yes: In favorable/intermediate group No No 
Groupe Ouest Est d'Etude des Leucémies Aiguës et Autres Maladies du Sang AML 2006 IR10  254 18-60 Induction with or without GO 6 mg No Yes: Improved EFS No Yes 
National Cancer Research Institute AML16 1115 51-84 Daunorubicin/clofarabine induction, with or without GO 3 mg No Yes: In favorable/intermediate group No No 
Leukemia Research Fund AML14 and National Cancer Research Institute AML 1611  495 Older adults, for conventional chemotherapy Low-dose cytarabine, with or without GO 3 mg Yes No No No 
StudynAge, yearsCharacteristicsDose of each administration of GOImproved CR with GOImproved RFS, EFS, DFS or OS with GOIncreased induction mortalityIncreased hepatic toxicity
SWOG 0106 637 18-60 DA+GO vs DA in induction and in maintenance 6 mg No No Yes No 
MRC AML15 1113 <60 Induction, consolidation, and maintenance, all with or without GO 3 mg No Yes: 1. Favorable cytogenetics 2. 70% of intermediate cytogenetics No No 
ALFA 07019,10  280 50-70 DA+GO vs DA in induction and in consolidation 3 mg No Yes: In favorable/intermediate group No No 
Groupe Ouest Est d'Etude des Leucémies Aiguës et Autres Maladies du Sang AML 2006 IR10  254 18-60 Induction with or without GO 6 mg No Yes: Improved EFS No Yes 
National Cancer Research Institute AML16 1115 51-84 Daunorubicin/clofarabine induction, with or without GO 3 mg No Yes: In favorable/intermediate group No No 
Leukemia Research Fund AML14 and National Cancer Research Institute AML 1611  495 Older adults, for conventional chemotherapy Low-dose cytarabine, with or without GO 3 mg Yes No No No 

CR, complete remission; DA, daunorubicin/cytarabine; DFS, disease-free survival; EFS, event-free survival; FS, relapse-free survival.

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