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ZA Arlin, E Feldman, S Kempin, T Ahmed, A Mittelman, S Savona, J Ascensao, P Baskind, P Sullivan and HG Fuhr
Department of Medicine, New York Medical College, Valhalla 10595.
Thirty-six patients with relapsed acute lymphoblastic leukemia (ALL) and
four with primary refractory ALL were treated with a regimen that included
amsacrine, 200 mg/m2, intravenously daily for three days with cytarabine, 3
gm/m2, by infusion over three hours daily for five days. There were 27
remissions in the 36 relapsed patients and two in the four patients with
primary refractory disease. Seventeen of the 23 patients with common ALL,
four of the six with T-cell ALL, one of the three with B-cell ALL, and
seven of eight whose cells were not characterized responded. Toxicity of
this regimen was comparable to other reinduction regimens for ALL, but the
side effects characteristic of high-dose cytarabine therapy were absent.
Since these results compare favorably with conventional induction regimens,
its use in the primary treatment of adults and children with high-risk ALL
is proposed.
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| Copyright © 1988 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||