Favorable response to maintenance therapy of second or subsequent remissions in childhood acute lymphocytic leukemia.

Abstract:

:Twenty-two children with acute lymphocytic leukemia (ALL) who had relapsed while on therapy and for whom remissions were successfully reinduced were maintained with a combination of methotrexate, daunomycin, 6-mercaptopurine, prednisone, and vincristine (Djerassi-methotrexate with BOMB). The median duration of remission was 35 weeks (range, five to 364+ weeks). Of 8 children (36%) did not relapse while receiving this therapy, 4 are off all therapy (durations of remissions, 40+, 97+, 132+, and 216+ weeks). Improved responses were found in children with platelet counts of greater than 10(5)/mm3 at the time of index relapse. Intrathecal chemotherapy seemed to greatly prolong the duration of remission for 16 children when compared to those children who did not receive IT therapy (45.5 vs. 24 weeks). No central nervous system relapses occurred. This maintenance regimen for children with previously relapsed ALL appears to be effective and worth additional clinical trials.

journal_name

Cancer

journal_title

Cancer

authors

Kimball JC,Herson J,Sullivan MP

doi

10.1002/1097-0142(19800901)46:5<1093::aid-cncr2820

subject

Has Abstract

pub_date

1980-09-01 00:00:00

pages

1093-7

issue

5

eissn

0008-543X

issn

1097-0142

journal_volume

46

pub_type

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