Treatment of fludarabine-refractory chronic lymphocytic leukemia.

Abstract:

:The development of resistance to purine analogs defines a poor-risk subset of patients with chronic lymphocytic leukemia (CLL). Although in recent years chemoimmunotherapeutic combinations such as fludarabine, cyclophosphamide, and rituximab have induced response rates of 95% in previously untreated patients and increased the rates of failure-free survival, CLL remains incurable for many patients because of a lack of disease response or the development of refractoriness to fludarabine. Fludarabine-refractory disease is defined as CLL that does not respond to fludarabine or that recurs within 6 months of treatment with a fludarabine-containing regimen. The natural course of the disease is associated with poor survival. Salvage therapeutic strategies include alemtuzumab-containing regimens, targeted agents, and allogeneic stem cell transplantation. Single-agent alemtuzumab induces response in up to 40% of patients with fludarabine-refractory CLL, but responses are not durable, and the median survival is approximately 1 to 2 years. Alemtuzumab is also combined with fludarabine, cyclophosphamide, and/or rituximab, and other agents such as lenalidomide and flavopiridol, as well as targeted agents, and used in fludarabine-refractory CLL. Cumulative evidence suggests that allogeneic stem cell transplantation is an efficacious therapeutic strategy for patients who do not respond to fludarabine or who develop disease recurrence within 12 months after purine analog treatment. In conclusion, chemoimmunotherapy regimens that include alemtuzumab and/or rituximab and allogeneic stem cell transplantation improve the prognosis of this disease, but there is a continued need for novel, more effective therapies.

journal_name

Cancer

journal_title

Cancer

authors

Tsimberidou AM,Keating MJ

doi

10.1002/cncr.24329

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

2824-36

issue

13

eissn

0008-543X

issn

1097-0142

journal_volume

115

pub_type

杂志文章,评审

相关文献

CANCER文献大全
  • Gender and other survival predictors in patients with metastatic melanoma on Southwest Oncology Group trials.

    abstract:BACKGROUND:Some studies have suggested that women with metastatic malignant melanoma have a better survival rate than men. However, little is known about the effect of gender on survival in combination with other clinical variables and treatment variables. Thus, an analysis of 813 eligible patients from 15 consecutive ...

    journal_title:Cancer

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1002/1097-0142(20010315)91:6<1148::aid-cncr1111

    authors: Unger JM,Flaherty LE,Liu PY,Albain KS,Sondak VK

    更新日期:2001-03-15 00:00:00

  • Thymic carcinoma. A clinicopathologic study of 60 cases.

    abstract::The clinicopathologic features of 60 patients with thymic carcinoma were studied. Patients ranged in age from 10 to 76 years (mean, 46), of whom 24 were females and 36 were males. Overall survival at 1, 3, and 5 years was 56.6%, 40%, and 33.3%, respectively. The following morphologic features were correlated with surv...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910215)67:4<1025::aid-cncr2820

    authors: Suster S,Rosai J

    更新日期:1991-02-15 00:00:00

  • Idiopathic refractory sideroblastic anemia: incidence and risk factors for leukemic transformation.

    abstract::The clinical course of 29 patients with idiopathic refractory sideroblastic anemia studied by us was reviewed. Four patients developed acute leukemia. We were able to find 27 out of 268 cases of idiopathic refractory sideroblastic anemia reported in the literature which terminated in acute leukemia. Nine of these were...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(197908)44:2<724::aid-cncr2820440

    authors: Cheng DS,Kushner JP,Wintrobe MM

    更新日期:1979-08-01 00:00:00

  • Dose-ranging antiemetic evaluation of the serotonin antagonist tropisetron in patients receiving anti-cancer chemotherapy.

    abstract:BACKGROUND:Tropisetron (ICS 205-930) antagonizes the serotonin type 3 receptor and has antiemetic activity in animals given cisplatin. Its mean serum half-life in 11.1 hours. METHODS:In this dose-ranging trial, 22 patients undergoing anti-cancer chemotherapy received 24 courses of a single intravenous infusion of trop...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930101)71:1<226::aid-cncr28207

    authors: Pisters KM,Kris MG,Tyson LB,Clark RA,Gralla RJ

    更新日期:1993-01-01 00:00:00

  • Fine-needle aspiration of thyroid nodules: correlation between cytology and histology and evaluation of discrepant cases.

    abstract:BACKGROUND:The purpose of this study was to evaluate the results of thyroid fine-needle aspiration (FNA) and to determine the reasons for the discrepancies between the cytologic and histologic diagnoses. METHODS:The authors evaluated the cytologic and histologic results of 133 FNAs obtained from 92 patients who underw...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970825)81:4<253::aid-cnc

    authors: Sidawy MK,Del Vecchio DM,Knoll SM

    更新日期:1997-08-25 00:00:00

  • Estimating the magnitude of colorectal cancers prevented during the era of screening: 1976 to 2009.

    abstract:BACKGROUND:Ideally, screening detects cancer at a more curable stage and, as a result, decreases the rate of subsequent diagnosis at a late stage. Although it is suggested that some cancer screening tests have led to substantial increases in early-stage incidence with only marginal reductions in late-stage incidence (e...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28794

    authors: Yang DX,Gross CP,Soulos PR,Yu JB

    更新日期:2014-09-15 00:00:00

  • Breast cancers presenting luminal B subtype features show higher discordant human epidermal growth factor receptor 2 results between immunohistochemistry and fluorescence in situ hybridization.

    abstract:BACKGROUND:The aims of this study were to compare human epidermal growth factor receptor 2 (HER2) results between immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), and to investigate the clinicopathological characteristics and outcomes according to their results. METHODS:Using consecutive tissu...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26406

    authors: Park S,Park HS,Koo JS,Yang WI,Kim SI,Park BW

    更新日期:2012-02-15 00:00:00

  • High mobility group AT-hook 1 (HMGA1) is an independent prognostic factor and novel therapeutic target in pancreatic adenocarcinoma.

    abstract:BACKGROUND:High mobility group AT-hook 1 (HMGA1) proteins are architectural transcription factors that are overexpressed by pancreatic adenocarcinomas. The authors hypothesized that tumor HMGA1 status represents a novel prognostic marker in pancreatic adenocarcinoma. They also tested the hypothesis that HMGA1 promotes ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23560

    authors: Liau SS,Rocha F,Matros E,Redston M,Whang E

    更新日期:2008-07-15 00:00:00

  • Invasive tumor cells and prognosis in a selected population of patients with glioblastoma multiforme.

    abstract:BACKGROUND:After surgical resection, the residual, invasive glioblastoma (GBM) cells give rise to a recurrent tumor, which, in 96% of patients, arises adjacent to the resection margin. METHODS:In this study, the authors prospectively enrolled 25 patients with GBM who underwent gross total resection followed by adjuvan...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/cncr.23624

    authors: Mangiola A,de Bonis P,Maira G,Balducci M,Sica G,Lama G,Lauriola L,Anile C

    更新日期:2008-08-15 00:00:00

  • The occurrence of soft tissue sarcomas in three siblings with Werner's syndrome.

    abstract::Werner's syndrome, a relatively rare and autosomal recessive disorder, is well known to be characterized by a high frequency of malignant neoplasm. The occurrence of familial neoplasm in patients with this condition, however, has been recorded only once before in the literature. Reported are the findings with regard t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19841201)54:11<2580::aid-cncr282

    authors: Usui M,Ishii S,Yamawaki S,Hirayama T

    更新日期:1984-12-01 00:00:00

  • Prostatic intra-epithelial neoplasia and early invasion in prostate cancer.

    abstract::Prostatic intra-epithelial neoplasia (PIN, or intraductal dysplasia) is considered a precursor of invasive carcinoma, characterized by proliferation and anaplasia of cells lining prostatic ducts and acini. The highest grade of PIN, Grade 3, is thought to represent carcinoma in situ. To quantitate the degree of disrupt...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870215)59:4<788::aid-cncr28205

    authors: Bostwick DG,Brawer MK

    更新日期:1987-02-15 00:00:00

  • Effectiveness of once weekly total skin electron beam therapy in mycosis fungoides and Sezary syndrome.

    abstract::During the past eight years, 137 patients with mycosis fungoides were given total skin electron beam therapy (TSEB) using 2.5 to 4 MeV electrons. A single treatment delivers 400 rads to the entire skin surface, and patients are treated once a week for six to eight consecutive weeks. All have been followed for a median...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19810301)47:5<870::aid-cncr28204

    authors: Nisce LZ,Safai B,Kim JH

    更新日期:1981-03-01 00:00:00

  • Additional experience with empiric radiotherapy for presumed human immunodeficiency virus-associated primary central nervous system lymphoma.

    abstract:BACKGROUND:In light of the steadily improving capability to treat opportunistic infections, the authors reviewed their recent experience with short course empiric radiotherapy for the treatment of human immunodeficiency virus (HIV)-associated presumed central nervous system (CNS) lymphoma. METHODS:Medical records were...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950715)76:2<328::aid-cncr28207

    authors: Donahue BR,Sullivan JW,Cooper JS

    更新日期:1995-07-15 00:00:00

  • Superior vena cava syndrome caused by an intrathoracic plasmacytoma.

    abstract::A case of an extramedullary intrathoracic plasmacytoma causing superior vena cava syndrome is described. Review of the literature on intrathoracic plasmacytomas and superior vena cava syndrome revealed that no similar cases have been described to date. The initial presentation, management, and response to treatment ar...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19910915)68:6<1376::aid-cncr2820

    authors: Davis SR,King HS,Le Roux I,Bolding E

    更新日期:1991-09-15 00:00:00

  • Phosphorylated CXCR4 is associated with poor survival in adults with B-acute lymphoblastic leukemia.

    abstract:BACKGROUND:CXC chemokine receptor 4 (CXCR4) is activated by phosphorylation (pCXCR4) and is essential for the migration of hematopoietic precursors to bone marrow. CXCR4 overexpression predicts a poor prognosis in patients with acute myeloid leukemia. Data regarding the prognostic impact of CXCR4 in patients with B-acu...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26113

    authors: Konoplev S,Jorgensen JL,Thomas DA,Lin E,Burger J,Kantarjian HM,Andreeff M,Medeiros LJ,Konopleva M

    更新日期:2011-10-15 00:00:00

  • Second solid malignancies among children, adolescents, and young adults diagnosed with malignant bone tumors after 1976: follow-up of a Children's Oncology Group cohort.

    abstract:BACKGROUND:The growing number of individuals surviving childhood cancer has increased the awareness of adverse long-term sequelae. One of the most worrisome complications after cancer therapy is the development of second malignant neoplasms (SMNs). METHODS:The authors describe the incidence of solid organ SMN in survi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23860

    authors: Goldsby R,Burke C,Nagarajan R,Zhou T,Chen Z,Marina N,Friedman D,Neglia J,Chuba P,Bhatia S

    更新日期:2008-11-01 00:00:00

  • Fanconi anemia. Oxymetholone hepatic tumors, and chromosome aberrations associated with leukemic transition.

    abstract::Jaundice and hepatomegaly developed in a boy with Fanconi anemia after he had undergone treatment with oxymetholone for nine years. A liver scan showed patchy uptake consistent with the presence of space-occupying lesions. After oxymetholone treatment was stopped, the jaundice resolved, the liver size decreased, and t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800915)46:6<1401::aid-cncr2820

    authors: Obeid DA,Hill FG,Harnden D,Mann JR,Wood BS

    更新日期:1980-09-15 00:00:00

  • Validation of the caregiver Pediatric Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events measure.

    abstract:BACKGROUND:Despite improvements in survival rates, cancer treatments have significant side effects that affect the quality of life of children and their families. When an ill child cannot self-report symptoms (eg, he or she is too ill), caregiver (parent) reporting becomes critical. This study evaluates the validity an...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.33389

    authors: Reeve BB,McFatrich M,Lin L,Lucas NR,Mack JW,Jacobs SS,Withycombe JS,Baker JN,Freyer DR,Hinds PS

    更新日期:2020-12-17 00:00:00

  • Novel strategies and therapeutics for the treatment of prostate carcinoma.

    abstract:BACKGROUND:An increased understanding of the biology of prostate carcinoma has led to the clinical evaluation of mechanism-based and targeted therapies. Modulating the immune system has been pursued through the use of both active and passive immunity as well as the ex vivo genetic manipulation of effector cells. A vari...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(20000915)89:6<1329::aid-cncr19>3

    authors: Morris MJ,Scher HI

    更新日期:2000-09-15 00:00:00

  • The frequency of founder mutations in the BRCA1, BRCA2, and APC genes in Australian Ashkenazi Jews: implications for the generality of U.S. population data.

    abstract:BACKGROUND:Several studies have shown that Ashkenazi Jews in the United States and Israel have a high prevalence of the founder mutations BRCA1 185delAG, BRCA1 5382insC, BRCA2 6174delT, and APC I1307K at frequencies of 1.0--1.1%, 0.2--0.3%, 0.6--1.4%, and 6.1--7.0%, respectively. The objective of this study was to comp...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20010715)92:2<440::aid-cncr1340>

    authors: Bahar AY,Taylor PJ,Andrews L,Proos A,Burnett L,Tucker K,Friedlander M,Buckley MF

    更新日期:2001-07-15 00:00:00

  • Metronomic therapy with cyclophosphamide and dexamethasone for prostate carcinoma.

    abstract:BACKGROUND:The current study was designed to evaluate the efficacy and toxicity of the continuous oral administration of a combination of cyclophosphamide (50 mg/day given in the morning) and dexamethasone (1 mg/day given in the evening) in patients with prostate specific antigen (PSA) progression despite single or mul...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11713

    authors: Glode LM,Barqawi A,Crighton F,Crawford ED,Kerbel R

    更新日期:2003-10-15 00:00:00

  • Tumor infiltrating Foxp3+ regulatory T-cells are associated with recurrence in pathologic stage I NSCLC patients.

    abstract:BACKGROUND:Early stage lung cancer has a variable prognosis, and there are currently no markers that predict which patients will recur. This study examined the relation between tumor-regulatory T (Treg) cells and total tumor-infiltrating T-cell lymphocytes (TIL) to determine whether they correlated with recurrence. ME...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22282

    authors: Petersen RP,Campa MJ,Sperlazza J,Conlon D,Joshi MB,Harpole DH Jr,Patz EF Jr

    更新日期:2006-12-15 00:00:00

  • Flow cytometric analysis of deparaffinized nuclei in urinary bladder carcinoma. Comparison with cytogenetic analysis.

    abstract::Both cytogenetic analysis and flow cytometry (FCM) have prognostic efficacy in the analysis of transitional cell carcinoma (TCC) of urinary bladder. To correlate results of the two methods, we studied a unique group of patients whose tumors had undergone prospective conventional cytogenetic analysis. Paraffin blocks o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860415)57:8<1594::aid-cncr2820

    authors: Coon JS,Schwartz D,Summers JL,Miller AW 3rd,Weinstein RS

    更新日期:1986-04-15 00:00:00

  • Thymoma in a 12-year-old boy.

    abstract::A case of thymoma in a 12-year-old boy is presented. The patient had a history of thymic irradiation in infancy, and a family history of leukemia. The mass was readily resected and the patient is well 10 years later. The tumor contained an unusual admixture of normal thymic tissue with the neoplastic epithelial elemen...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197602)37:2<953::aid-cncr2820370

    authors: Chatten J,Katz SM

    更新日期:1976-02-01 00:00:00

  • Immunohistochemical analysis of proliferating cell nuclear antigen, p53 protein and nm23 protein, and nuclear DNA content in transitional cell carcinoma of the bladder.

    abstract:BACKGROUND:Transitional cell carcinoma (TCC) of the bladder displays an unpredictable biologic behavior and the morphologic methods of grading tumor malignancy are often insufficient to predict the clinical outcome of patients with TCC of the bladder. Thus, the new indicator should reliably reflect prognosis. In this s...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19961015)78:8<1762::aid-cn

    authors: Shiina H,Igawa M,Nagami H,Yagi H,Urakami S,Yoneda T,Shirakawa H,Ishibe T,Kawanishi M

    更新日期:1996-10-15 00:00:00

  • Development, implementation, and effects of a cancer center's exercise-oncology program.

    abstract:BACKGROUND:National and international bodies acknowledge the benefit of exercise for people with cancer, yet limited accessibility to related programing remains. Given their involvement in managing the disease, cancer centers can play a central role in delivering exercise-oncology services. The authors developed and im...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.32297

    authors: Santa Mina D,Au D,Auger LE,Alibhai SMH,Matthew AG,Sabiston CM,Oh P,Ritvo PG,Chang EB,Jones JM

    更新日期:2019-10-01 00:00:00

  • A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors.

    abstract:BACKGROUND:The current study assessed the feasibility of a mentored home-based vegetable gardening intervention and examined changes in health-related outcomes among breast cancer survivors (BCS). METHODS:BCS were randomized to either a year-long vegetable gardening intervention to begin immediately or a wait-list con...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.31559

    authors: Bail JR,Frugé AD,Cases MG,De Los Santos JF,Locher JL,Smith KP,Cantor AB,Cohen HJ,Demark-Wahnefried W

    更新日期:2018-08-01 00:00:00

  • Long-term outcome after a treosulfan-based conditioning regimen for patients with acute myeloid leukemia: A report from the Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation.

    abstract:BACKGROUND:Allogeneic hematopoietic cell transplantation (HCT) is a curative therapy for patients with acute myeloid leukemia (AML). However, post-HCT relapse and regimen-related toxicity remain significant barriers to long-term survival. In recent years, new conditioning regimens have been explored to improve transpla...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30646

    authors: Nagler A,Labopin M,Beelen D,Ciceri F,Volin L,Shimoni A,Foá R,Milpied N,Peccatori J,Polge E,Mailhol A,Mohty M,Savani BN

    更新日期:2017-07-15 00:00:00

  • Treatment of intrahepatic malignancy with radiofrequency ablation: radiologic-pathologic correlation.

    abstract:BACKGROUND:Radiofrequency (RF)-induced tissue coagulation represents a new approach for the thermal destruction of tumors within the liver. The purpose of the current study was to 1) assess technique safety; 2) determine the extent and evolution of induced cellular damage; and 3) correlate the observed pathologic effec...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Goldberg SN,Gazelle GS,Compton CC,Mueller PR,Tanabe KK

    更新日期:2000-06-01 00:00:00

  • Atrial natriuretic peptide as a marker for doxorubicin-induced cardiotoxic effects.

    abstract::Doxorubicin is an effective antineoplastic agent, but it frequently causes dose-related cardiotoxic effects. Because the atrial natriuretic peptide (ANP) level is elevated in children with heart defects, the authors measured the ANP levels in children to determine whether ANP might serve as a simple diagnostic indicat...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920315)69:6<1492::aid-cncr2820

    authors: Bauch M,Ester A,Kimura B,Victorica BE,Kedar A,Phillips MI

    更新日期:1992-03-15 00:00:00