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Ther Adv Hematol. 2017 Jun;8(6):185-195. doi: 10.1177/2040620717703012. Epub 2017 Apr 21.

Vosaroxin in relapsed/refractory acute myeloid leukemia: efficacy and safety in the context of the current treatment landscape.

Therapeutic advances in hematology

Valeriy Sedov, Robert K Stuart

Affiliations

  1. Medical University of South Carolina, 173 Ashley Avenue, Basic Science Building, Suite 102, Charleston, SC 29425-6350, USA.
  2. Medical University of South Carolina, Charleston, SC, USA.

PMID: 28567238 PMCID: PMC5424861 DOI: 10.1177/2040620717703012

Abstract

Treatment for acute myeloid leukemia (AML) generally consists of a combination of cytarabine and an anthracycline. Although induction therapy leads to complete remission (CR) for most patients, refractoriness to chemotherapy or relapse after initial response is associated with poor outcomes. The 1-year survival rates after first relapse have been reported at 29%, declining to 11% at 5 years. Prognosis is particularly poor among older patients whose higher prevalence of unfavorable cytogenetics and high frequency of comorbidities diminish their ability to tolerate intensive chemotherapy. There is no standard of care for relapsed/refractory (R/R) AML, and no new therapies have shown consistently superior outcomes in this setting in over two decades. Vosaroxin is an anticancer quinolone derivative (AQD) that was evaluated in combination with cytarabine for the treatment of R/R AML in the randomized, double-blind, placebo-controlled, phase III VALOR study (

Keywords: AML; acute myelogenous leukemia; acute myeloid leukemia; vosaroxin

Conflict of interest statement

Conflict of interest statement: Robert Stuart has received research funding from and has served as a consultant to Sunesis Pharmaceuticals. Valeriy Sedov has no relevant conflicts of interest to discl

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