Treatment of acute nonlymphocytic leukemia in the elderly with intermediate high-dose cytosine arabinoside
β Scribed by Letendre, Louis ;Niedringhaus, Robert D. ;Therneau, Terry M. ;Gastineau, Dennis A. ;Goldberg, Richard M. ;Gerstner, James B. ;Mailliard, James A. ;Gundlach, William J. ;Kardinal, Carl G. ;Pierre, Robert V.
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 362 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0098-1532
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β¦ Synopsis
Effective treatment of the elderly patients (265 years) with acute nonlymphocytic leukemia (ANLL) remains elusive and controversial. In the present study, single-agent Cytosine Arabinoside (AM-C) was administered at an intermediate dose level (500 mg/m2 intravenously [I.V.] I-hour infusion q12 hours for 12 doses) to 30 newly diagnosed and previously untreated patients.
Complete remission was achieved in seven patients after the initial cycle of treatment, in two patients after retreatment, and in one patient after delayed recovery of his peripheral count over a 6-month period. The toxicity of this schedule was primarily hematologic, and the response rate was in keeping with that reported by other groups using aggressive multiagent regimens.
π SIMILAR VOLUMES
High-dose cytosine arabinoside (Ara-C) was used in adult patients with refractory acute nonlymphoblastic leukemia, either alone (3 g/m2 every 12 h X 12 doses) or with 3 additional days of anthracycline antibiotics. The systemic toxicities were similar for both groups without an increase in the group
## BACKGROUND. Peripheral nerve toxicity has been reported but is not a commonly recognized complication of high dose cytosine arabinoside (HDAC) therapy. This study was undertaken to estimate the prevalence and describe the clinical spectrum of acute polyneuropathy associated with HDAC therapy fo