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Treatment of the blastic phase of chronic myelogenous leukemia with mitoxantrone and high-dose cytosine arabinoside
| Content Provider | Scilit |
|---|---|
| Author | Kantarjian, Hagop M. Walters, Ronald S. Keating, Michael J. Talpaz, Moshe Andersson, Borje Beran, Miloslav McCredie, Kenneth B. Freireich, Emil J. |
| Copyright Year | 1988 |
| Description | Journal: Cancer Twenty-seven patients in the blastic phase of chronic myelogenous leukemia received combination chemotherapy with mitoxantrone 5 $mg/m^{2}$ intravenously daily for 5 days, and cytosine arabinoside 3 $g/m^{2}$ intravenously over 2 hours every 12 hours for six doses. The patients' median age was 42 years (range, 19–61 years), and 26 of them had Philadelphia chromosome-positive disease. Overall, seven patients (26%) achieved complete remission, and one (4%) had a partial remission for an overall response rate of 30%. Eight patients died during remission induction, and 11 had resistant disease. The median survival was 14 weeks for the total population, and 24 weeks for patients achieving a complete remission. The nonmyelosuppressive toxicity of the combination was acceptable; serious neurologic and pulmonary toxicities were uncommon. Significant marrow hypoplasia was observed resulting in a high incidence of febrile episodes (85% of patients). The combination of mitoxantrone and high-dose cytosine arabinoside did not significantly improve overall prognosis. Since chemotherapy continues to produce disappointing results, other innovative approaches need to be explored. |
| Ending Page | 676 |
| Starting Page | 672 |
| ISSN | 2573508X |
| e-ISSN | 10970142 |
| DOI | 10.1002/1097-0142%2819880815%2962%3A4%3C672%3A%3Aaid-cncr2820620404%3E3.0.co%3B2-t |
| Journal | Cancer |
| Issue Number | 4 |
| Volume Number | 62 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 1988-08-15 |
| Access Restriction | Open |
| Subject Keyword | Cytosine Arabinoside |
| Content Type | Text |
| Resource Type | Article |