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AML18 (CPX-351 vs DA + gemtuzumab ozogamicin): reconstructed Kaplan–Meier curves

Updated 2026-09-25 · reconstructed by TrialCurve from a CC BY-licensed publication

CPX-351 vs daunorubicin, cytarabine, and gemtuzumab ozogamicin in older adults with non-adverse-risk AML: the NCRI AML18 trial. Curves rebuilt as patient-level data (Guyot 2012) and checked against the statistics printed on the figure.

PublicationBlood. 2025 Nov 18;147(10):1048–57. doi: 10.1182/blood.2025031006
DOI10.1182/blood.2025031006
RegistryNCT02272478
PhasePhase 2, Phase 3
ConditionsAcute Myeloid Leukaemia, Myelodysplastic Syndrome
InterventionsArm A Mylotarg plus DA Versus CPX-351, Arm B Vosaroxin and Decitabine, Arm D Small molecule or Not, Arm C DA V FLAG-Ida V DAC, Arm E CPX-351 (200 V 300), Arm F DA V IDAC
SponsorCardiff University
Enrolment1600
Source licenceFigure published under CC BY 4.0

Event free survival — AML18 randomization, CPX-351 vs DAGO2/DA

From figure panel A · validated against the values printed on the figure · curve source: vision model

Reconstructed from the published curve. Median: CPX-351 11.4 months; DAGO2/DA 17.9 months. Survival at 12 months: CPX-351 46%; DAGO2/DA 67%. Hazard ratio DAGO2/DA vs CPX-351 0.72 (95% CI 0.56–0.92).

0%20%40%60%80%100%0612182430MonthsCPX-351DAGO2/DA
ArmNEventsMedian (Months)
CPX-35129520811.4
DAGO2/DA1448917.9

Landmark survival (reconstructed)

TimeCPX-351DAGO2/DA
6 mo69.8%80.5%
12 mo46.3%67.1%
18 mo36.2%49.6%
24 mo30.4%40.1%

Checks against the published figure

Download pseudo-IPD (CSV)

Overall survival — AML18 randomization, CPX-351 vs DAGO2/DA

From figure panel B · validated against the values printed on the figure · curve source: vision model

Reconstructed from the published curve. Median: CPX-351 22.4 months; DAGO2/DA not reached. Survival at 12 months: CPX-351 68%; DAGO2/DA 79%. Hazard ratio DAGO2/DA vs CPX-351 0.61 (95% CI 0.46–0.82).

0%20%40%60%80%100%0612182430MonthsCPX-351DAGO2/DA
ArmNEventsMedian (Months)
CPX-35129517022.4
DAGO2/DA14460not reached

Landmark survival (reconstructed)

TimeCPX-351DAGO2/DA
6 mo80.9%89.5%
12 mo67.7%78.8%
18 mo57.2%69.7%
24 mo47.1%63.0%

Checks against the published figure

Download pseudo-IPD (CSV)

About these data

Pseudo-IPD reproduces the published curves and numbers at risk; the rows are not real patients. Cite the publication (DOI above) and TrialCurve. The source figure is © the authors (CC BY 4.0); the charts here are redrawn from the reconstruction.

Load these data in R or Python
# R
library(survival)
d <- read.csv("https://trialcurve.com/data/trials/aml18-cpx-351-vs-da-plus-gemtuzumab-ozogamicin-1.csv")
survfit(Surv(time, event) ~ arm, data = d)
coxph(Surv(time, event) ~ arm, data = d)

# Python
import pandas as pd
from lifelines import KaplanMeierFitter
d = pd.read_csv("https://trialcurve.com/data/trials/aml18-cpx-351-vs-da-plus-gemtuzumab-ozogamicin-1.csv")
for arm, g in d.groupby("arm"):
    KaplanMeierFitter().fit(g.time, g.event, label=arm).plot_survival_function()

Suggested citation: Blood. 2025 Nov 18;147(10):1048–57. doi: 10.1182/blood.2025031006 doi:10.1182/blood.2025031006. Reconstructed data: TrialCurve (2026), https://trialcurve.com/trials/aml18-cpx-351-vs-da-plus-gemtuzumab-ozogamicin

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