Second remission induction rates for vincristine and prednisone alone (VP) and vincristine, L-asparaginase, and prednisone (VLP) are compared for children with acute lymphocytic leukemia. No evidence of a significant difference between the second induction complete remission rate for VP (78.6%) and
Remission induction with L-asparaginase, vincristine, and prednisone in children with acute nonl ymphoblastic leukemia
โ Scribed by Land, Vita J. ;Sutow, Wataru W. ;Dyment, Paul G. ;Falletta, John M. ;Morgan, Samuel K. ;Bryan, J. Hugh
- Publisher
- John Wiley and Sons
- Year
- 1976
- Tongue
- English
- Weight
- 522 KB
- Volume
- 2
- Category
- Article
- ISSN
- 0098-1532
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โฆ Synopsis
Abstract
Fortyโfive children with acute nonlymphoblastic leukemia in relapse received a total of 56 courses of Lโasparaginase combined with vincristine and prednisone. The complete remission rate of 40% (12 of 30 trials) in patients resistant to vincristine and prednisone was almost identical to that in children still sensitive to vincristine and prednisone (42%, 11 of 26 trials). The complete remission rate of 38% (14 of 37 exposures) in those children who had not received Lโasparaginase previously compared favorably with the complete remission rate in those children who had received prior Lโasparaginase (47%, 9 of 19 exposures). Fortyโseven of the 56 induction trials were in children with 1 or more remissions and 14 of these were in children with 3 or more prior remissions. Toxicity was minimal.
๐ SIMILAR VOLUMES
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
## Background: The authors report the occurrence of fatal or near-fatal sepsis in 16 of 38 children with newly diagnosed acute lymphoblastic leukemia (all) treated with a new induction regimen that differed from its predecessor by the substitution of dexamethasone for prednisone. ## Methods: The