PML::RARA

4 EU-approved indications of 1 drug need a PML::RARA result, in 1 tumour type, most of them in acute myeloid leukaemia.

Approved indications4

DrugBiomarker requirementRegimenSettingConditions
Acute myeloid leukaemia4
Defines the disease
+ all-trans-retinoic acid (ATRA)
Induction
Acute promyelocytic leukaemia only; Low-to-intermediate risk; white blood cell count ≤ 10 x 103/μl
t(15;17) translocation or PML/RAR-alpha gene
Monotherapy
Induction
Acute promyelocytic leukaemia only; After previous treatment should have included a retinoid and chemotherapy
Defines the disease
+ all-trans-retinoic acid (ATRA)
Consol.
Acute promyelocytic leukaemia only; Newly diagnosed; low-to-intermediate risk; white blood cell count ≤ 10 x 103/μl
t(15;17) translocation and/or PML/RAR-alpha gene
Monotherapy
Consol.
Acute promyelocytic leukaemia only; After previous treatment should have included a retinoid and chemotherapy; Relapsed/refractory

PML::RARA by tumour

Label wording4

The sentence from section 4.1 of the SmPC that each indication above comes from.

  1. Arsenic trioxide (Trisenox)
    Newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ≤ 10 x 103/μl) in combination with all-trans-retinoic acid (ATRA)
  2. Arsenic trioxide (Trisenox)
    Relapsed/refractory acute promyelocytic leukaemia (APL) (previous treatment should have included a retinoid and chemotherapy) characterised by the presence of the t(15;17) translocation and/or the presence of the promyelocytic leukaemia/retinoic-acid-receptor-alpha (PML/RAR-alpha) gene.
  3. Arsenic trioxide (Trisenox)
    TRISENOX is indicated for induction of remission, and consolidation in adult patients with: • Newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ≤ 10 x 103/μl) in combination with all-trans-retinoic acid (ATRA)
  4. Arsenic trioxide (Trisenox)
    TRISENOX is indicated for induction of remission, and consolidation in adult patients with: • Relapsed/refractory acute promyelocytic leukaemia (APL) (previous treatment should have included a retinoid and chemotherapy) characterised by the presence of the t(15;17) translocation and/or the presence of the promyelocytic leukaemia/retinoic-acid-receptor-alpha (PML/RAR-alpha) gene.