Plasma methotrexate, red blood cell methotrexate, and red blood cell folate values and outcome in children with precursor B-acute lymphoblastic leukemia: a report from the Children's Oncology Group.

Content Provider	Semantic Scholar
Author	Salzer, Wanda L. Winick, Naomi Wacker, Pierre Lu, Xiaomin Devidas, Meenakshi Shuster, Jonathan J. Mahoney, Donald H. Lauer, S. J. Quentin Camitta, Bruce M.
Copyright Year	2012
Abstract	Plasma steady state methotrexate (MTX) level and red blood cell (RBC) MTX and folate concentrations were evaluated in 1124 children with newly diagnosed acute lymphoblastic leukemia enrolled in the Pediatric Oncology Group studies 9005 (lower risk; Regimens A and C) and 9006 (higher risk; Regimen A). These regimens included intermediate-dose MTX (1 g/m) given as a 24 hours infusion every other week for 12 doses during intensification. Plasma MTX level was evaluated at the end of MTX infusions. RBC MTX and folate concentrations were measured at the end of intensification. The 5 year continuous complete remission was 76±1.4% versus 85±3.0% for those patients with steady state MTX levels less than or equal to and greater than 14 μM, respectively (P=0.0125). Hispanic children had significantly reduced median steady state MTX levels, 8.7 μM, compared with non-Hispanic children, 9.95 μM (P=0.0015), but this did not correlate with a difference in outcome. Neither RBC MTX, RBC folate, nor the RBC MTX:folate ratio identified children at increased risk of failure.
Starting Page	1
Ending Page	6
Page Count	6
File Format	PDF HTM / HTML
DOI	10.1097/MPH.0b013e31820ee239
PubMed reference number	21364468
Journal	Medline
Volume Number	34
Issue Number	1
Alternate Webpage(s)	https://open.library.emory.edu/publications/emory:trbrd/pdf/
Alternate Webpage(s)	https://doi.org/10.1097/MPH.0b013e31820ee239
Journal	Journal of pediatric hematology/oncology
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Report