Leukemia

Leukemia

Since discovery of the first effective leukemia treatment in the 1940s, researchers have amassed a growing number of therapies to extend survival and cure many different forms of the disease. Research into targeted drugs are also beginning to have a major impact on leukemia treatment.

While certain forms of leukemia can now be cured in up to 95 percent of patients, others are far more challenging and leukemia has proven far more complex than researchers could have imagined in the 1940s. Yet deeper understanding about the disease is fueling the continuous development of new, more effective therapies and is improving survival and quality of life for patients.

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1995

Lymphocyte transfusions re-induce leukemia remissions

Lymphocyte transfusions re-induce leukemia remissions

Researchers discover that giving a "graft" of lymphocytes (a form of white blood cells) from a biologically matched, healthy donor to a patient with chronic myeloid leukemia (CML) can help drive the leukemia back into remission if the cancer returns after a previous stem cell or bone marrow transplant from the same donor. In these patients, the new donor lymphocytes will often recognize the cancer cells as diseased, and work to destroy them.

This phenomenon, known as the "graft-versus-leukemia" or "graft-versus-lymphoma" effect, appears to be most powerful in certain leukemias and in slow-growing lymphomas. Scientists continue to explore ways to capitalize on the graft versus leukemia/lymphoma effect to improve outcomes for patients with both diseases.

Approval of tretinoin leads to 95 percent cure rate for rare leukemia

Approval of tretinoin leads to 95 percent cure rate for rare leukemia

Badge indicating that research was paid for using federal funds

Tretinoin (Vesanoid), a drug related to vitamin A, is found to cause remission in patients with acute promyelocytic leukemia (APL), a rare form of leukemia. It may be given alone or in combination with other drugs in patients whose disease has recurred after previous therapy. The discovery of the drug is fueled by the realization that this form of leukemia develops when cells do not mature properly; tretinoin is the first drug to correct this abnormal process. Prior to the availability of this drug, APL was a rapidly progressing and often fatal illness. Today, patients are treated with a newer drug, called arsenic trioxide, as well as tretinoin, and APL is considered one of the most curable forms of leukemia.

1988

Benzene established to cause cancer

Benzene established to cause cancer

Badge indicating that research was paid for using federal funds

Scientists find that occupational exposure to benzene, a chemical commonly used as a solvent and in oil-related products, is associated with increased risk of developing non-lymphocytic leukemia, non-Hodgkin lymphoma, and other diseases. Following this discovery, workers begin taking steps to protect themselves from benzene exposure and reduce their cancer risk.

1986

National bone marrow transplantation registry is established

National bone marrow transplantation registry is established

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The National Marrow Donor Program (NMDP) operates the world's largest registry of unrelated adult donors and umbilical cord blood units. (Umbilical cord blood contains stem cells, which can help save the lives of some patients with blood-related cancers.) The registry facilitates and expedites matches between marrow and umbilical cord blood donors and the patients who need these lifesaving transplants.

1982

Daunorubicin proven superior to doxorubicin for AML

Daunorubicin proven superior to doxorubicin for AML

Badge indicating that research was paid for using federal funds

Large trial shows that using the anthracycline drug daunorubicin (Cerubidine, Rubidomycin), in combination with cytarabine (ara-C), is more effective at causing complete remissions of acute myelocytic leukemia – one of the most common leukemias in adults – than the previous standard drug, doxorubicin (Adriamycin). Over the following decade, researchers evaluate similar drugs, such as idarubicin (Idamycin), that provide similar, and possibly better, remission rates.

1977

Chlorambucil induces remissions for chronic lymphocytic leukemia

1975

Era of bone marrow transplantation begins – extending lives of many patients with leukemia and lymphoma

Era of bone marrow transplantation begins – extending lives of many patients with leukemia and lymphoma

The world's first transplant of bone marrow from a sibling donor is successfully performed in Minnesota in an infant with a severe immunodeficiency syndrome. Ten years later, bone marrow transplantation is successfully used to cure lymphoma. These discoveries usher in a new era in which bone marrow transplantation becomes a viable option for treating – and sometimes curing – leukemias, lymphomas and other blood diseases. Much of this progress can be attributed to the research of E. Donnall Thomas, who received the 1990 Nobel Prize in Physiology or Medicine for his pioneering work in the field. Subsequent refinements have enabled doctors to treat leukemias, lymphomas, and myelomas using patients' own marrow (autologous transplants) or with donations of stem cells obtained from umbilical cord blood.

1974

FDA approves doxorubicin

FDA approves doxorubicin

Doxorubicin (Adriamycin), an anticancer antibiotic, is widely used to treat many cancer types, including some leukemias and Hodgkin lymphoma. Together with cytarabine, doxorubicin induces acute myelogenous leukemia remissions by damaging the DNA of cancer cells. However, doxorubicin and similar drugs can cause serious and often long term side effects which require long-term monitoring.

1964

Cytarabine provides major boost to combination chemotherapy for acute myelocytic leukemia

Cytarabine provides major boost to combination chemotherapy for acute myelocytic leukemia

Various studies show that the drug cytarabine (ara-C) has activity against leukemias and is highly effective for treating a type of the disease known as acute myelocytic leukemia. Over time, the drug becomes a critical component of chemotherapy for adults and children with this form of leukemia, and researchers learn that precise timing and dosing of the drug is critical to successful treatment. The drug is still widely used today, often in combination with other chemotherapy drugs.

1961

FDA approves new chemotherapy drugs vinblastine and vincristine

FDA approves new chemotherapy drugs vinblastine and vincristine

Vinblastine (Velban, Velsar) is approved after researchers demonstrate that the drug blocks a key protein involved in cancer cell division and induces some leukemias and lymphomas into remission. Vincristine (Oncovin), a sister drug to vinblastine, is approved in 1963. These drugs are in a family of chemotherapies called "microtubule drugs," and further investigation leads to the development of similar, more effective and sometimes less toxic drugs for leukemia and other cancers, including lymphoma, breast cancer, ovarian cancer and others.

1960

Researchers link "Philadelphia chromosome" to leukemia

Researchers link "Philadelphia chromosome" to leukemia

Investigators in Philadelphia identify a chromosomal abnormality linked to many leukemias. A decade later, researchers discover that this abnormality results when parts of two chromosomes – chromosomes 9 and 22 – switch places in a phenomenon called translocation. It later becomes the target of one of the first-ever targeted cancer treatments, imatinib (Gleevec), which transforms treatment of chronic myelogenous leukemia and other cancers.

1958

US government researchers pioneer use of combination chemotherapy

US government researchers pioneer use of combination chemotherapy

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In research sponsored by the National Cancer Institute, scientists find that a combination of the drugs 6-mecaptopurine and methotrexate can reduce or eliminate cancer growth and extend survival in patients with leukemia. The findings herald a new era in the treatment of leukemia, and cancer in general, in which carefully honed drug combinations allow doctors to attack cancer cells from different angles. Combination therapy is now a mainstay of treatment for a wide range of cancers.

1952

Researchers discover ways to protect the body from radiation damage

Researchers discover ways to protect the body from radiation damage

Early studies explore ways to protect healthy tissue in the body from the side effects of intense cancer treatment. Leon Jacobson and others discover that shielding a mouse's spleen from radiation can protect the mouse from otherwise lethal radiation. Eventually, scientists learn that the body recruits stem cells, which are found in the spleen and bone marrow, to protect and heal itself from radiation damage. This finding paves the way for the development and widespread use of stem cell transplantation in patients with lymphoma and leukemia, who often receive intensive radiation therapy and chemotherapy to treat their disease.