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EfficacyEfficacyEfficacyKey HighlightsSafetySafetySafetySelected Adverse EventsDosingDosingDosingAdditional Administration informationSupport & resourcesSupport & resourcesResource overviewPatient SupportGuidelinesELN 2022 GuidelinesKey topics in AML video seriesEfficacy and Safety videoPubExplainer videos

Patient Fitness in AML

The content of this website has been produced in line with the MYLOTARG® (gemtuzumab ozogamicin) Summary of Product Characteristics for Great Britain and is intended for Healthcare Professionals based in Great Britain. For  MYLOTARG® (gemtuzumab ozogamicin) and cytarabine Prescribing Information Click here. Adverse event reporting information can be found at the bottom of the page.

Key HighlightsReinforce your 7 + 3 AML treatment with NICE and SMC approved MYLOTARG dosing1,2Compared with intensive chemotherapy alone, fractionated dosing of MYLOTARG plus intensive chemotherapy in de novo AML offers:Addition of MYLOTARG significantly extended the median EFS* vs DA chemotherapy alone from 9.5 months to 17.3 months (HR: 0.56; (95% CI: 0.42-0.76 P=0.0002). 
At 3 years, MYLOTARG + chemotherapy more than doubled EFS vs chemotherapy alone (39.8% vs 13.6%)3,4
Addition of MYLOTARG more than doubled median RFS vs DA chemotherapy alone from 11.4 to 28 months (HR 0.526 ; 95% CI: 0.362–0.764) p=0.0006)3,4

With MYLOTARG, reinforce AML therapy by prolonging remission in more patients than with intensive chemotherapy alone3,4

The median EFS* of gemtuzumab ozogamicin + chemotherapy was 17.3 months (95% CI: 13.4, 30.0) in the MYLOTARG arm versus 9.5 months (95% CI: 8.1, 12.0) in the DA alone arm; hazard ratio (HR) 0.562 (95% CI: 0.415, 0.762); 2-sided p=0.0002 by log-rank test.

Median RFS was 28.0 months (95% CI: 16.3, NE) in the MYLOTARG arm versus 11.4 months (95% CI; 10.0, 14.4) in the DA alone arm; hazard ratio (HR) 0.526 (95% CI: 0.362, 0.764)

More patients in the MYLOTARG arm achived an overall response vs the control arm, although this difference was not significant 

*The primary endpoint was event free survival (EFS), defined as the time from randomisation to relapse, death from any cause or time to the date of assessment of response if CR or CRp had not been achieved.5

Explore more Efficacy and safety of MYLOTARG video

Watch Professor Robert Hills discuss the key clinical data from the pivotal ALFA-0701 study.



 

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Treating Patients with de novo AML in the DGH Setting

Watch Dr. Sreetharan Munisamy discuss the current treatment landscape for de novo AML in Video 1 of the Key Topics in the Management of de novo AML video series. Click the link below to explore the rest of the on-demand series.
 

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CI, Confidence Intervals; CR, Complete Remission, CRp, Complete Remission with incomplete platelet recovery;
DA, daunorubicin and cytarabine;  DGH, District General Hospital;  EFS: Event-free Survival, HR, Hazard Ratio; mEFS, median Event-free Survival; NE, not estimable; RFS: Relapse-free survival

References

National Institute for Health and Care Excellence. Technolgy appraisal guidance (TA545): Gemtuzumab ozogamicin for untreated acute myeloid leukaemia (Published 14 November 2018). Available at: https://www.nice.org.uk/guidance/ta545/chapter/1-Recommendations [accessed April 2023]Scottish Medicines Consortium. Gemtuzumab ozogamicin (MYLOTARG): SMC2089 (Published: 08 October 2020). Available at: https://www.scottishmedicines.org.uk/medicines-advice/gemtuzumab-ozogamicin-mylotarg-fullsub-smc2089/  [Accessed: April 2023]Lambert J, et al. Haematologica 2019;104:113–119.Lambert J, et al. Haematologica 2019;104:113–119. Supplementary analysis.Castaigne S, et al. Lancet 2012;379:1508-1516
PP-MYL-GBR-0681. April 2023
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