Background. The treatment of relapsed and refractory leukemia in children remains a challenge. The morbidity of further chemotherapy is considerable, as most patients have already been exposed to intensive multiagent chemotherapy. The FLAG (fludarabine, high-dose cytarabine, and G-CSF) regimen is as
Letter to the Editor:FLAG (fludarabine, high-dose cytarabine and G-CSF) for refractory and high-risk relapsed acute leukemia in children
โ Scribed by Sarper, Nazan; Yalman, Nevin
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 41 KB
- Volume
- 34
- Category
- Article
- ISSN
- 0098-1532
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โฆ Synopsis
FLAG (Fludarabine, High-Dose Cytarabine and G-CSF) for Refractory and High-Risk Relapsed Acute Leukemia in Children
We have read with interest the report about FLAG therapy in childhood acute leukemia by McCarthy et al. [1]. We want to add our experience with IDA-FLAG in poor-risk childhood leukemia. Between March 1997-July 1998, we treated 17 patients (3-18 yr) with IDA-FLAG (idarubicin, fludara, cytarabine, G-CSF) [2]. A total of 25 courses were administered. There were six patients with relapsed acute lymphoblastic leukemia (ALL), nine relapsed acute myeloblastic leukemia (AML), one chronic myelomonocytic leukemia (CMML), and one chronic myeloid leukemia (CML) in acute blast crisis. Five of the AML relapses were after
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