Difference between revisions of "Juvenile myelomonocytic leukemia"

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!style="width: 33%"|[[Levels_of_Evidence#Evidence|Evidence]]
 
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|[http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8341358/ Niemeyer et al. 2021 (AZA-JMML-001)]
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|[https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8341358/ Niemeyer et al. 2021 (AZA-JMML-001)]
 
|2015-2017
 
|2015-2017
| style="background-color:#ffffbe" |Phase 2, <20 pts (RT)
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====Chemotherapy====
 
====Chemotherapy====
*[[Azacitidine (Vidaza)]] 75 mg/m<sup>2</sup> IV once per day on days 1 to 7
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*[[Azacitidine (Vidaza)]] by the following age- and weight-based criteria:
 
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**Less than 10 kg or younger than 1 year old: 2.5 mg/kg IV over 10 to 40 minutes once per day on days 1 to 7
'''28-day cycles'''
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**10 kg or more and 1 year old or older: 75 mg/m<sup>2</sup> IV once per day on days 1 to 7
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'''28-day cycle for 3 to 6 cycles'''
 
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===References===
 
===References===
# '''AZA-JMML-001:''' Niemeyer CM, Flotho C, Lipka DB, Starý J, Rössig C, Baruchel A, Klingebiel T, Micalizzi C, Michel G, Nysom K, Rives S, Schmugge Liner M, Zecca M, Schönung M, Baumann I, Nöllke P, Benettaib B, Biserna N, Poon J, Simcock M, Patturajan M, Menezes D, Gaudy A, van den Heuvel-Eibrink MM, Locatelli F. Response to upfront azacitidine in juvenile myelomonocytic leukemia in the AZA-JMML-001 trial. Blood Adv. 2021 Jul 27;5(14):2901-2908. [https://doi.org/10.1182/bloodadvances.2020004144 link to original article] [http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8341358/ link to PMC article] [https://pubmed.ncbi.nlm.nih.gov/34297046/ PubMed] [https://clinicaltrials.gov/ct2/show/NCT02447666 Clinical Trial Registry]
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# '''AZA-JMML-001:''' Niemeyer CM, Flotho C, Lipka DB, Starý J, Rössig C, Baruchel A, Klingebiel T, Micalizzi C, Michel G, Nysom K, Rives S, Schmugge Liner M, Zecca M, Schönung M, Baumann I, Nöllke P, Benettaib B, Biserna N, Poon J, Simcock M, Patturajan M, Menezes D, Gaudy A, van den Heuvel-Eibrink MM, Locatelli F. Response to upfront azacitidine in juvenile myelomonocytic leukemia in the AZA-JMML-001 trial. Blood Adv. 2021 Jul 27;5(14):2901-2908. [https://doi.org/10.1182/bloodadvances.2020004144 link to original article] [https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8341358/ link to PMC article] '''contains dosing details in manuscript''' [https://pubmed.ncbi.nlm.nih.gov/34297046/ PubMed] [https://clinicaltrials.gov/study/NCT02447666 NCT02447666]
  
 
[[Category:Juvenile myelomonocytic leukemia regimens]]
 
[[Category:Juvenile myelomonocytic leukemia regimens]]

Latest revision as of 12:08, 23 June 2024

Section editor
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David Noyd, MD, MPH
University of Washington
Seattle, WA, USA

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First-line therapy

Azacitidine monotherapy

Regimen

Study Dates of enrollment Evidence
Niemeyer et al. 2021 (AZA-JMML-001) 2015-2017 Phase 2, fewer than 20 pts (RT)

Chemotherapy

  • Azacitidine (Vidaza) by the following age- and weight-based criteria:
    • Less than 10 kg or younger than 1 year old: 2.5 mg/kg IV over 10 to 40 minutes once per day on days 1 to 7
    • 10 kg or more and 1 year old or older: 75 mg/m2 IV once per day on days 1 to 7

28-day cycle for 3 to 6 cycles

References

  1. AZA-JMML-001: Niemeyer CM, Flotho C, Lipka DB, Starý J, Rössig C, Baruchel A, Klingebiel T, Micalizzi C, Michel G, Nysom K, Rives S, Schmugge Liner M, Zecca M, Schönung M, Baumann I, Nöllke P, Benettaib B, Biserna N, Poon J, Simcock M, Patturajan M, Menezes D, Gaudy A, van den Heuvel-Eibrink MM, Locatelli F. Response to upfront azacitidine in juvenile myelomonocytic leukemia in the AZA-JMML-001 trial. Blood Adv. 2021 Jul 27;5(14):2901-2908. link to original article link to PMC article contains dosing details in manuscript PubMed NCT02447666