Compared to single-agent therapy with hydroxyurea or myleran (155 patients), intensive chemotherapy with vincristine, cytosine arabinoside, prednisone and cyclophosphamide (60 patients) or anthracyc-lines (37 patients) showed significant survival improvement overall (p < 0.01) and among intermediate- and high-risk patients. Of 51 patients treated with human leukocyte alpha interferon (IFN-α), 36(71 %) had complete hematologic remission (CHR); 20 patients (39%) showed Ph suppression which was persistent in 13 for > 21 months. Survival was better in patients obtaining remission with IFN-α. Recombinant gamma interferon (IFN-γ) was also active in chronic myelogenous leukemia. Therapy with combined IFN-α + IFN-γ has been initiated. Compared to the expected survival, the observed survival is favorable for IFN-α and the combined chemotherapy and IFN-α programs. Future therapeutic trials will incorporate initial IFN therapy followed by cyclic intensive chemotherapy at 6-month intervals and IFN maintenance between chemotherapy cycles

Keywords:
Chronic myelogenous leukemia, Interferons, Ph-chromosome
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© 1987 S. Karger AG, Basel
1987
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