A Phase II study of Bcl-2 antisense (oblimersen sodium) combined with gemtuzumab ozogamicin in older patients with acute myeloid leukemia in first relapse.

Published

Journal Article

Oblimersen selectively targets Bcl-2 mRNA and has been shown to enhance the apoptotic activity of various antileukemic agents, including gemtuzumab ozogamicin (GO), in preclinical studies. We evaluated the efficacy and safety of oblimersen combined with GO in patients > or =60 years of age in first relapse with CD33+ acute myeloid leukemia. Oblimersen 7 mg/kg/day was given as a continuous intravenous infusion on days 1-7 and 15-21. GO 9 mg/m2 was given intravenously on days 4 and 18. Twelve of 48 patients (25%) achieved a major response (five, complete response and seven, complete response without platelet recovery). Ten of the 12 patients who achieved a major response survived >6 months compared with six of 36 non-responders. Serious adverse events for the oblimersen/GO combination were qualitatively similar to those reported for GO alone. Oblimersen can be safely combined with GO. Assessment of incremental benefit will require a randomized trial.

Full Text

Duke Authors

Cited Authors

  • Moore, J; Seiter, K; Kolitz, J; Stock, W; Giles, F; Kalaycio, M; Zenk, D; Marcucci, G

Published Date

  • July 2006

Published In

Volume / Issue

  • 30 / 7

Start / End Page

  • 777 - 783

PubMed ID

  • 16730060

Pubmed Central ID

  • 16730060

Electronic International Standard Serial Number (EISSN)

  • 1873-5835

International Standard Serial Number (ISSN)

  • 0145-2126

Digital Object Identifier (DOI)

  • 10.1016/j.leukres.2005.10.025

Language

  • eng