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Treatment of acute lymphoblastic leukemia in adults with intensive
induction, consolidation, and maintenance chemotherapy
KK Hussein, S Dahlberg, D Head, CC Waddell, L Dabich, JK Weick, F Morrison, JH Saiki, E Metz and SE Rivkin
University of Oklahoma Health Sciences Center, Oklahoma City.
The Southwest Oncology Group conducted a study of acute lymphoblastic
leukemia (ALL) in adults over a 5-year period, testing the utility of the
L-10M regimen initially described by the group from Memorial Sloan-
Kettering Cancer Center. One hundred sixty-eight eligible patients were
treated with this intensive combination chemotherapy regimen. One hundred
fifteen (68%) achieved complete remission. With the current median
follow-up time of 34.5 months, the median durations of remission,
relapse-free survival, and overall survival were 22.9, 20.9, and 17.7
months, respectively. Only 35% of the patients over 50 years of age
achieved a complete remission. Age was a significant prognostic factor for
complete response, survival, relapse-free survival, and remission duration.
In addition, a low initial WBC count was found to have a statistically
significant association with longer remission duration. Responders between
the ages of 20 and 49 years with WBC counts of less than 15,000 appear to
have an exceptionally good prognosis.
Volume 73,
Issue 1,
pp. 57-63,
01/01/1989
Copyright © 1989 by The American Society of Hematology

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