Methotrexate and asparaginase combination chemotherapy in refractory acute lymphoblastic leukemia of childhood.

Abstract:

:Two groups of children with refractory acute lymphoblastic leukemia were treated with a regimen of methotrexate (MTX) and asparaginase (Asn'ase) based on studies of the effect of MTX in vitro on human lymphoblasts exposed to Asn'ase. Induction therapy in 12 children produced 4 complete remissions, 3 partial remissions, and 5 failures. Responsiveness to Asn'ase seemed necessary for successful induction with the drug combinations. Maintenance therapy in 18 children produced a median hematologic remission of 31 weeks (range 3-85 weeks). During remission, 2 children developed central nervous system leukemia and 2 died of infection. The mean maximally tolerated dose of MTX was 361 mg/m2. The results of this trial suggest therapeutic synergy in maintenance therapy and the capability of Asn'ase to attenuate MTX toxicity.

journal_name

Cancer

journal_title

Cancer

authors

Lobel JS,O'Brien RT,McIntosh S,Aspnes GT,Capizzi RL

doi

10.1002/1097-0142(197903)43:3<1089::aid-cncr282043

subject

Has Abstract

pub_date

1979-03-01 00:00:00

pages

1089-94

issue

3

eissn

0008-543X

issn

1097-0142

journal_volume

43

pub_type

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