Table 5

Summary of idarubicin, ATRA, and ATO doses delivered according to protocol specifications and treatment cycle

No. of patients with data availableProtocol-specified maximum/minimum* total doseMedian total dose delivered (range)No. that received at least 80% of the maximum total dose (%)No. that received at least 100% of the minimum* total dose (%)
Induction (n = 121) 
    Idarubicin, mg/m2 121 24-48§/NA 47.5 (22.2-52.4) 118 (97) NA 
    ATRA, mg/m2 118 1620/850 1584.2 (136.1-1988.1) 106 (90) 112 (95) 
    ATO, mg/kg 117 4.2/2.08 4.03 (0-4.94) 84 (72) 109 (93) 
Consolidation cycle 1 (n = 112) 
    ATRA, mg/m2 110 1260/650 1269.8 (515.9-2655.0) 108 (98) 108 (98) 
    ATO, mg/kg 109 4.2/2.08 4.2 (1.97-4.72) 100 (92) 108 (99) 
Consolidation cycle 2 (n = 112) 
    ATRA, mg/m2 109 945/475 948.4 (522.6-1260.0) 106 (97) 109 (100) 
    ATO, mg/kg 111 3.75/1.84 3.75 (1.66-4.48) 100 (90) 110 (99) 
No. of patients with data availableProtocol-specified maximum/minimum* total doseMedian total dose delivered (range)No. that received at least 80% of the maximum total dose (%)No. that received at least 100% of the minimum* total dose (%)
Induction (n = 121) 
    Idarubicin, mg/m2 121 24-48§/NA 47.5 (22.2-52.4) 118 (97) NA 
    ATRA, mg/m2 118 1620/850 1584.2 (136.1-1988.1) 106 (90) 112 (95) 
    ATO, mg/kg 117 4.2/2.08 4.03 (0-4.94) 84 (72) 109 (93) 
Consolidation cycle 1 (n = 112) 
    ATRA, mg/m2 110 1260/650 1269.8 (515.9-2655.0) 108 (98) 108 (98) 
    ATO, mg/kg 109 4.2/2.08 4.2 (1.97-4.72) 100 (92) 108 (99) 
Consolidation cycle 2 (n = 112) 
    ATRA, mg/m2 109 945/475 948.4 (522.6-1260.0) 106 (97) 109 (100) 
    ATO, mg/kg 111 3.75/1.84 3.75 (1.66-4.48) 100 (90) 110 (99) 
*

Protocol-specified dose reductions for ATRA (25 mg/m2/d) and ATO (0.08 mg/kg/d), and omission of up to 2 days per cycle for both drugs were permitted according to clinical circumstances.

In each cycle, 1%-3% of patients received more than 110% of the maximum specified doses due to protocol deviations.

Induction dose delivery data excludes the 3 patients who died prior to commencement of ATO therapy (day 9).

§

Idarubicin dosing was age adjusted (Table 1).

Not applicable (NA) because there was no protocol-specified minimum idarubicin dose (apart from dose reduction for age > 60).

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