Objective the clinical effects of arsenic trioxide in previously untreated patients of acute promyelocytic leukemia. Methods As2O3 was given to twenty-two previously untreated patients, and DA regimens were used as maintenance treatment. Continual complete remission and adverse effects were followed. Results complete remission rate was 81.8%. The longest survival time was five years. Conclusions arsenic trioxide is effective in the treatment of APL.