2-Chlorodeoxyadenosine: an effective new agent for the treatment of chronic lymphocytic leukemia.

Abstract:

:2-Chlorodeoxyadenosine, a new lymphocyte-selective, anti-neoplastic drug was administered to 18 patients with advanced chronic lymphocytic leukemia of B-cell origin. All patients were resistant to conventional treatment. A total of 44 courses of 2-chlorodeoxyadenosine were completed with minimal toxicity. An overall response rate of 55% was achieved with four of 18 patients demonstrating partial response and six of 18 patients experiencing clinical improvement. Only minor bone marrow suppression occurred during administration of the drug, indicating a high degree of lymphocyte selectivity. Reduction of lymphocyte infiltration in bone marrow occurred in treated patients including one patient who experienced normalization of the bone marrow. Three of four patients with concurrent autoimmune hemolytic anemia experienced resolution of hemolysis, as indicated by elimination of transfusion requirement, fall in reticulocyte count, elevation of hemoglobin, and ability to taper prednisone without recurrence of hemolysis. Duration of responses ranged from 2 to 15 months without maintenance therapy.

journal_name

Blood

journal_title

Blood

authors

Piro LD,Carrera CJ,Beutler E,Carson DA

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

1069-73

issue

3

eissn

0006-4971

issn

1528-0020

journal_volume

72

pub_type

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