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Vindesine: A phase II study in childhood malignancies-A report for cancer and leukemia group B

✍ Scribed by Ettinger, Lawrence J. ;Brecher, Martin ;Coleman, Morton ;Smithson, W. Anthony ;Patterson, Richard ;Russell, E. Clifton ;Necheles, Thomas ;Jones, Barbara ;Ohnuma, Takao


Publisher
John Wiley and Sons
Year
1982
Tongue
English
Weight
538 KB
Volume
10
Category
Article
ISSN
0098-1532

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✦ Synopsis


Abstract

Vindesine, a semisynthetic derivative of vinblastine sulfate, was tested for anti‐tumor activity and clinical toxicity in 36 children. The drug was administered to the initial 13 patients entered into the study a 2 mg/m^2^/day for five days by IV bolus. Because of severe neurotoxicity and life‐threatening gastrointestinal toxicity, the regimen in 23 patients was modified to 4 mg/m^2^ IV infusion over four hours, weekly. This latter regimen was well tolerated, with acceptable gastrointestinal, hematological, and neurotoxicity. One child with acute lymphocytic leukemia resistant to vincristine had a transient Ml remission bone marrow. Improvement or stable disease was noted in one patient each with Ewing's sarcoma, neuroblastoma, and Hodgkin's disease.


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