Acute Myeloid Leukemia Clinical Trial
Official title:
Outcomes of Acute Myeloid Leukemia Patients in Assiut University Hospital
1. To assess overall survival of AML patient.
2. To measure rate of disease free survival.
3. rate of non relapse mortality.
4. rate of complete remission .
5. percentage of refractory disease.
6. percentage of relapsed disease.
Acute myeloid leukemia (AML) is a malignant disorder of the bone marrow which is
characterized by malignant clonal expansion and differentiation arrest of myeloid progenitor
cells.
The etiology of AML is heterogeneous. In some patients, prior exposure to therapeutic,
occupational or environmental DNA-damaging agents is implicated, but most cases of AML remain
without a clear etiology.
The incidence of AML had been higher than that of the other three subtypes of leukemia (
[ALL], [CML], and [CLL])& accounts for the highest percentage (62%) of leukemic deaths.
AML is primarily a disease of older adults. The age-adjusted incidence for those aged 65
years or older is 20.1 per 100,000 persones in comparison to 2.0 per 100,000 person-years for
those younger than 65 years old.
Males are 1.2-1.6 times more likely to develop AML during their lifetime as evidenced by
population-based studies in the US, UK, Canada, Denmark, Australia and Algeria. AML is one of
the most common form of Hematological Malignancy in adults and has the shortest survival
(5-year survival = 24%). Curative therapies, including intensive chemotherapy and allogeneic
stem cell transplantation, are generally applicable to a minority of patients who are younger
and fit, while most older individuals exhibit poor prognosis and survival. Differences in
patient outcomes are influenced by disease characteristics, access to care including active
therapies and supportive care, and other factors. After many years without therapeutic
advances, several new therapies have been approved and are expected to impact patient
outcomes, especially for older patients and those with refractory disease.
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