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Correspondence
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Volume 333:1155-1156 October 26, 1995 Number 17
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Recombinant Granulocyte Colony-Stimulating Factor in Acute Myelogenous Leukemia

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 by Dombret, H.
To the Editor: Dombret et al. (June 22 issue)1 report a striking difference in the rates of complete response between patients treated with granulocyte colony-stimulating factor (G-CSF) after chemotherapy for acute myeloid leukemia (AML) and patients not given G-CSF. Although treatment with G-CSF shortened the duration of neutropenia, the mortality rate was not reduced during induction chemotherapy. Since the chemotherapy doses were equivalent, a direct antileukemic effect of G-CSF was postulated. This higher rate of complete response was translated into neither a longer period of complete response nor better event-free or overall survival. An unexpected and rather extraordinary antileukemic effect . . . [Full Text of this Article]

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