## Abstract Four patients with acute lymphocytic leukemia previously treated with conventional chemotherapy received intramuscular Lโasparaginase in combination with other chemotherapy for reinduction and maintenance therapy. These patients received the Lโasparaginase for 8, 14, 27, and 34+ months
L-asparaginase-induced coagulopathy during therapy of acute lymphocytic leukemia
โ Scribed by Sills, Richard H. ;Nelson, Douglas A. ;Stockman, James A.
- Publisher
- John Wiley and Sons
- Year
- 1978
- Tongue
- English
- Weight
- 132 KB
- Volume
- 4
- Category
- Article
- ISSN
- 0098-1532
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โฆ Synopsis
Abstract
LโAsparaginaseโinduced coagulation abnormalities were observed in all patients receiving this drug. All patients studied demonstrated low factor IX and fibrinogen levels and most (75%) had low levels of factor XI. Disturbances in other factors were much less frequent. Despite the presence of markedly abnormal coagulation studies, clinical bleeding was not observed.
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Fifty-four adults with acute leukemia resistant to other therapies received treatment with Daunorubicin and L-asparaginase. Seventeen (31 %) achieved complete remission. The complete remission rate was higher among the 31 patients receiving simultaneous therapy than among the 23 patients receiving s
A remission-induction regimen for childhood leukemia using cyclophosphamide, asparaginase, vincristine, and prednisone (CAVP) was compared to standard vincristine-prednisone (VP) induction. The more intensive regimen was associated with a lower complete remission rate (81% vs 93%) and a higher early
## Abstract Ten patients with lateโstage acute lymphocytic leukemia were treated with Lโasparaginase and cytosine arabinoside. Complete remission was achieved in 8 patients including 5 of 5 patients with Tโcell leukemia. Major toxicity included anaphylactic reactions in 3 of the 10 patients.