A retrospective study assessed the mortality and toxicity of the Hyper-CVAD protocol as a first-line treatment for acute lymphoblastic leukemia in patients under 40, comparing it to the HGMLAL07 regimen.
Results showed that the Hyper-CVAD regimen had lower complete remission rates (67.7% vs. 81.9%) and survival rates at one year (40% vs. 62%) and two years (18% vs. 34%).
The study suggests that due to its high cost and toxicity, Hyper-CVAD should primarily be used for patients with relapsed or refractory leukemia.