Prolonged remissions in adults with acute leukemia following late intensification chemotherapy and immunotherapy.

Abstract:

:Sixty-two patients with acute leukemia who remained in continuous complete remission for 8 to 45 months received three courses of intensified therapy with new chemotherapeutic agents, after which they received no further chemotherapy. Immunotherapy with BCG was then administered to 55 of these patients. They have been observed for up to 117 months off all chemotherapy, and 37 patients have relapsed. Thirty-two relapses occurred within 24 months, and 22 occurred within six months after completion of late intensification therapy. Only 1 of 24 patients who remained in unmaintained remission for four years after late intensification therapy has relapsed subsequently. Toxicity from intensification therapy was usually mild, and the most serious side effects were liver function abnormalities. These results suggest that late intensification therapy plus BCG immunotherapy results in prolonged disease-free survival for some patients with acute leukemia.

journal_name

Cancer

journal_title

Cancer

authors

Bodey GP,Freireich EJ,McCredie KB,Smith TL,Gehan EA,Gutterman JU,Hersh EM

doi

10.1002/1097-0142(19810415)47:8<1937::aid-cncr2820

subject

Has Abstract

pub_date

1981-04-15 00:00:00

pages

1937-45

issue

8

eissn

0008-543X

issn

1097-0142

journal_volume

47

pub_type

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