Ifosfamide with mesna uroprotection and etoposide in recurrent, refractory acute leukemia in childhood. A Pediatric Oncology Group Study.

Abstract:

BACKGROUND:Ifosfamide has previously been shown to be active as a single agent and in combination with doxorubicin, etoposide, and teniposide in pediatric solid tumors and adult acute leukemia. The authors performed a dose-escalation trial of ifosfamide with a fixed dosage of etoposide, with mesna uroprotection, in children with multiply recurrent acute leukemia. METHODS:Chemotherapy was administered daily for 5 days. Etoposide 100 mg/m2 was followed by ifosfamide at an initial dosage of 1.6 g/m2. The ifosfamide was escalated in 20% increments to the maximum tolerated dosage in cohorts of three patients. Mesna 400 mg/m2 was given immediately before the ifosfamide and then at 3 and 6 hours after ifosfamide in the initial patients. Subsequent patients were treated with mesna 400 mg/m2 just before ifosfamide, and then every 2 hours to a total dosage equal to the ifosfamide dosage. RESULTS:Forty-four heavily pretreated patients were entered on study. Forty were evaluable for toxicity and 36 for response as well. The maximum tolerated dosage of ifosfamide was 4.0 g/m2/d for 5 days (20 g/m2/course). Overall, 10 patients achieved complete remission, and 3 achieved partial remission. Remissions were brief, although four patients went on to bone marrow transplant while in remission. One patient is still alive. CONCLUSIONS:The combination of etoposide and ifosfamide with mesna uroprotection showed promising activity in children with multiply recurrent acute leukemia.

journal_name

Cancer

journal_title

Cancer

authors

Bernstein ML,Whitehead VM,Devine S,Grier H,Kung F,Krischer J,Dreyer Z,Bell B,Land V,Buchanan GR

doi

10.1002/1097-0142(19930901)72:5<1790::aid-cncr2820

subject

Has Abstract,Author List Incomplete

pub_date

1993-09-01 00:00:00

pages

1790-4

issue

5

eissn

0008-543X

issn

1097-0142

journal_volume

72

pub_type

临床试验,杂志文章,多中心研究

相关文献

CANCER文献大全
  • Medroxyprogesterone acetate lowers plasma corticotropin and cortisol but does not suppress anterior pituitary responsiveness to human corticotropin releasing factor.

    abstract::The endocrine action of medroxyprogesterone acetate (MPA) has been claimed to be of a glucocorticoid-like nature. Upon clinical observation, MPA has been shown to improve life quality and overall well-being in patients with advanced breast cancer, renal carcinoma, prostatic carcinoma, and uterine adenocarcinoma. The a...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19901101)66:9<1949::aid-cncr2820

    authors: Lang I,Zielinski CC,Templ H,Spona J,Geyer G

    更新日期:1990-11-01 00:00:00

  • Cerebral metastases pathology after radiosurgery: a multicenter study.

    abstract:BACKGROUND:To the authors' knowledge, comprehensive human pathologic investigations that explore fundamental radiosurgical effects on metastatic brain tumors are sparse in the literature. The objective of this study was to analyze histopathologic findings in a set of clinically recurrent cerebral metastases after patie...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.21946

    authors: Szeifert GT,Atteberry DS,Kondziolka D,Levivier M,Lunsford LD

    更新日期:2006-06-15 00:00:00

  • Seminoma at Roswell Park, 1970 to 1979. An analysis of treatment failures.

    abstract::A retrospective study of all cases of seminoma treated at Roswell Park Memorial Institute from 1970 through 1979 was conducted. Fifty-six evaluable patients treated initially with radiation therapy were seen during this period, and the overall survival rate at an average follow-up period of 52 months was 82%. The surv...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840401)53:7<1451::aid-cncr2820

    authors: Huben RP,Williams PD,Pontes JE,Panahon AM,Murphy GP

    更新日期:1984-04-01 00:00:00

  • Fas (CD95/APO-1) and Fas ligand expression in normal pancreas and pancreatic tumors. Implications for immune privilege and immune escape.

    abstract:BACKGROUND:Fas (CD95/APO-1) and Fas ligand (FasL) play key roles in immunologic homeostasis and immune privilege and may regulate normal cell turnover. Earlier studies had suggested that FasL-positive pancreatic carcinoma cell lines can induce apoptosis in T cells, thereby evading host immune surveillance. In the curre...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10549

    authors: Bernstorff WV,Glickman JN,Odze RD,Farraye FA,Joo HG,Goedegebuure PS,Eberlein TJ

    更新日期:2002-05-15 00:00:00

  • Real-time detection of hepatic micrometastases from pancreatic cancer by intraoperative fluorescence imaging: preliminary results of a prospective study.

    abstract:BACKGROUND:Recently, a highly sensitive fluorescent imaging technique was developed for the real-time identification of hepatic tumors. The authors applied this procedure for the intraoperative detection of radiographically occult hepatic micrometastases from pancreatic cancer. METHODS:Forty-nine consecutive patients ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26594

    authors: Yokoyama N,Otani T,Hashidate H,Maeda C,Katada T,Sudo N,Manabe S,Ikeno Y,Toyoda A,Katayanagi N

    更新日期:2012-06-01 00:00:00

  • Gastrointestinal metastases from malignant tumors of the lung.

    abstract::Autopsy data of 423 cases of primary tumor of the lung over a 36-year period were evaluated for the presence of gastrointestinal tract metastases. Fifty-eight cases (14%) were found and were analyzed for histologic nature of tumor, anatomic location, symptomatology and complications. The most common histologic type of...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19820101)49:1<170::aid-cncr28204

    authors: Antler AS,Ough Y,Pitchumoni CS,Davidian M,Thelmo W

    更新日期:1982-01-01 00:00:00

  • A comparison of screening mammography results from programs for women of different socioeconomic status.

    abstract:BACKGROUND:The ability of screening mammography programs serving women of different socioeconomic status (SES) to diagnose early stage breast carcinoma in a comparably effective fashion has been questioned. METHODS:Results of screening 50,653 women of lower SES were compared with those of screening 45,923 more socioec...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19980501)82:9<1692::aid-cn

    authors: Dershaw DD,Loring L,True SJ,Momrow DC,Liberman L,Morris EA

    更新日期:1998-05-01 00:00:00

  • Accumulative increase of loss of heterozygosity from leukoplakia to foci of early cancerization in leukoplakia of the oral cavity.

    abstract:BACKGROUND:Oral leukoplakia is a premalignant lesion, but the genetic changes in the foci of early cancerization in leukoplakia have not been studied. METHODS:Loss of heterozygosity (LOH) was successively investigated in 13 cases in the leukoplakia and foci of early cancerization in the same leukoplakia. The authors m...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20011101)92:9<2349::aid-cncr1582

    authors: Jiang WW,Fujii H,Shirai T,Mega H,Takagi M

    更新日期:2001-11-01 00:00:00

  • Meaningful endpoints for therapies approved for hematologic malignancies.

    abstract:BACKGROUND:Overall survival (OS) is considered the gold standard for determining treatment efficacy in oncology trials, but the relation between treatment and OS can be challenging to assess because of long study durations and the impact of subsequent therapies on outcome. Using OS can be particularly difficult for new...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30622

    authors: Smith BD,DeZern AE,Bastian AW,Durie BGM

    更新日期:2017-05-15 00:00:00

  • Ten-year change in neighborhood socioeconomic status and colorectal cancer.

    abstract:BACKGROUND:A growing body of research has demonstrated that individuals who live in neighborhoods with more severe socioeconomic deprivation may have higher risks for colorectal cancer (CRC). However, previous studies have examined neighborhood socioeconomic status (SES) at only 1 point in time, and it is unclear wheth...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31832

    authors: Zhang D,Matthews CE,Powell-Wiley TM,Xiao Q

    更新日期:2019-02-15 00:00:00

  • Phase I study of 5-fluorouracil administered by protracted venous infusion, leucovorin, and pelvic radiation therapy.

    abstract:BACKGROUND:This study was designed to assess the toxicity of pelvic radiation therapy, 5-fluorouracil (5-FU) administered by protracted venous infusion, and leucovorin. METHODS:Pelvic radiation therapy consisted of 50.4-54 gray (Gy) administered in 28-30 fractions. Systemic treatment consisted of leucovorin (10 mg dai...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/(sici)1097-0142(19990815)86:4<710::aid-cnc

    authors: Martenson JA,Shanahan TG,O'Connell MJ,Cobau CD,Schroeder G,Burch PA,Levitt R,Rowland KM Jr

    更新日期:1999-08-15 00:00:00

  • Carcinoma of the esophagus with adenoid cystic differentiation.

    abstract::Adenoid cystic carcinoma of the esophagus is a relatively rare lesion which characteristically exhibits a clinically aggressive behavior. In spite of this aggressive nature, it is most often referred to as a counterpart of the more common adenoid cystic carcinoma of salivary gland origin, a comparatively indolent tumo...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19840301)53:5<1131::aid-cncr2820

    authors: Epstein JI,Sears DL,Tucker RS,Eagan JW Jr

    更新日期:1984-03-01 00:00:00

  • Immunologic enhancement of B16 melanoma growth.

    abstract::In certain experimental tumor models, tumor growth is less pronounced in immune deficient animals. Characteristically, tumors such as the murine B16 melanoma and Lewis lung carcinoma (3LL) are weakly antigenic. We proposed that with such tumors that are weakly antigenic, growth is enhanced by T-cell factors. Young mic...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880501)61:9<1792::aid-cncr2820

    authors: Ershler WB,Tuck D,Moore AL,Klopp RG,Kramer KE

    更新日期:1988-05-01 00:00:00

  • Caregiver symptom burden: the risk of caring for an underserved patient with advanced cancer.

    abstract:BACKGROUND:The growing diversity of the population of the United States and the high burden of cancer-related symptoms reflect the need for caregiver research within underserved groups. In this longitudinal study, the authors assessed changes in symptom severity in caregivers and underserved minority patients diagnosed...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25695

    authors: Palos GR,Mendoza TR,Liao KP,Anderson KO,Garcia-Gonzalez A,Hahn K,Nazario A,Ramondetta LM,Valero V,Lynch GR,Jibaja-Weiss ML,Cleeland CS

    更新日期:2011-03-01 00:00:00

  • Cancer in the respiratory organs of Swedish farmers.

    abstract::In a cohort of 254,417 male Swedish farmers (4,330,717 person-years) the incidence of cancer of the respiratory organs was compared to a reference cohort of 1,725,845 men (30,131,664 person-years) employed in other economic activities than agriculture or forestry. In the study cohort 1450 cases of cancer in the respir...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880301)61:5<1055::aid-cncr2820

    authors: Wiklund K,Steineck G

    更新日期:1988-03-01 00:00:00

  • Breast secretion in Finnish women: a metabolic epidemiologic study.

    abstract::Breast fluid was collected from 244 nonlactating Finnish women with no known breast disease and analyzed with respect to various epidemiologic and hormonal parameters commonly associated with breast cancer risk. The data obtained permit characterization of women with breast secretory ability and provide fundamental in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19810315)47:6<1444::aid-cncr2820

    authors: Wynder EL,Hill P,Laakso K,Littner R,Kettunen K

    更新日期:1981-03-15 00:00:00

  • Extended-field radiation therapy for carcinoma of the cervix.

    abstract::The survival of cervical carcinoma patients with paraaortic/high common iliac nodal metastases was evaluated by retrospective chart review during a 13-year interval. Thirty-three patients with cervical carcinoma and surgically documented nodal metastases received primary, extended-field radiation therapy. Overall 2-ye...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900715)66:2<251::aid-cncr28206

    authors: Podczaski E,Stryker JA,Kaminski P,Ndubisi B,Larson J,DeGeest K,Sorosky J,Mortel R

    更新日期:1990-07-15 00:00:00

  • Hyperglycemia in patients with acute myeloid leukemia is associated with increased hospital mortality.

    abstract:BACKGROUND:Hyperglycemia is often observed in medically ill patients. Previous studies have shown that patients with hyperglycemia during induction therapy for acute lymphoblastic leukemia develop more infections and have shorter disease-free survival. The authors hypothesized that hyperglycemia may be associated with ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22777

    authors: Ali NA,O'Brien JM Jr,Blum W,Byrd JC,Klisovic RB,Marcucci G,Phillips G,Marsh CB,Lemeshow S,Grever MR

    更新日期:2007-07-01 00:00:00

  • Primary lymphoma of the breast: ultrastructural study of two cases.

    abstract::Two cases of primary non-Hodgkin's lymphomas of the breast were studied with light and electron microscopy. By light microscopy, according to Rappaport's classification, one was a poorly differentiated lymphocytic lymphoma, the other a diffuse histiocytic lymphoma. However, the ultrastructural features of the latter w...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197705)39:5<2025::aid-cncr282039

    authors: Navas JJ,Battifora H

    更新日期:1977-05-01 00:00:00

  • The clinical significance of large cells in bone marrow in patients with chronic lymphocytic leukemia.

    abstract:BACKGROUND:Patients with chronic lymphocytic leukemia (CLL) that transforms to Richter syndrome (RS) frequently show atypical lymphocytes in bone marrow; however, a diagnosis of RS requires confirmation of the presence of sheets of large cells in bone marrow or lymph nodes. METHODS:In this study, the authors evaluated...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20251

    authors: Ma Y,Mansour A,Bekele BN,Zhou X,Keating MJ,O'Brien S,Giles FJ,Albitar M

    更新日期:2004-05-15 00:00:00

  • The coexistence of lymphangiosarcoma and Kaposi's sarcoma in a renal transplant recipient.

    abstract::A case of coexisting lymphangiosarcoma and Kaposi's sarcoma that occurred in a female renal transplant recipient is presented. Both sarcomas were localized to the skin and were slowly progressive over several years. The coexistence of these two sarcomas may indicate that they arose from a common precursor endothelial ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19911115)68:10<2330::aid-cncr282

    authors: Studniberg HM,Rivers JK,Cooke BE,Barnetson RS

    更新日期:1991-11-15 00:00:00

  • Preventable and mitigable adverse events in cancer care: Measuring risk and harm across the continuum.

    abstract:BACKGROUND:Patient safety is a critical concern in clinical oncology, but the ability to measure adverse events (AEs) across cancer care is limited by a narrow focus on treatment-related toxicities. The objective of this study was to assess the nature and extent of AEs among cancer patients across inpatient and outpati...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30916

    authors: Lipitz-Snyderman A,Pfister D,Classen D,Atoria CL,Killen A,Epstein AS,Anderson C,Fortier E,Weingart SN

    更新日期:2017-12-01 00:00:00

  • Combination versus successive single agent chemotherapy in lymphocytic lymphoma.

    abstract::Fifty-three patients with advanced lymphocytic lymphoma were randomly assigned to treatment with the combination cyclophosphamide, vincristine, and prednisone (CVP) or the same agents used successively in maximal doses (C-V-P). Complete remissions occurred in 68% with CVP and 48% with C-V-P. For patients with nodular ...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(197801)41:1<23::aid-cncr28204101

    authors: Kennedy BJ,Bloomfield CD,Kiang DT,Vosika G,Peterson BA,Theologides A

    更新日期:1978-01-01 00:00:00

  • Immune thrombocytopenic purpura and intravenous immunoglobulin.

    abstract::The observation, in 1980, of a rapid increase in platelet counts as a result of administration of intravenous immunoglobulin (IVIG) in a patient with immune thrombocytopenic purpura (ITP) was followed by clinical studies confirming the efficacy of this new treatment alternative in ITP. Simultaneously, new sensitive as...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19910915)68:6+<1422::aid-cncr282

    authors: Imbach P

    更新日期:1991-09-15 00:00:00

  • Radioimmunoassay for plasma glutathione S-transferase-pi and its clinical application in gastrointestinal cancer.

    abstract:BACKGROUND:Plasma acidic glutathione S-transferase (GST-pi) concentrations in 135 patients with gastrointestinal cancer were measured by an improved radioimmunoassay (RIA). METHODS:Blood was collected into a silicified glass tube containing a specific anticoagulant. The plasma, which was separated rapidly by centrifug...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19951015)76:8<1363::aid-cncr2820

    authors: Fan KC,Huang YC,Li CH

    更新日期:1995-10-15 00:00:00

  • Solid tumor models for the assessment of different treatment modalities. XIII. Comparison of response and recovery of host and solid tumor to cyclophosphamide and radiation.

    abstract::A study of the effects of local tumor radiation alone (1500R) and cyclophosphamide alone (150 mg/kg) on the experimental solid tumor rat hepatoma 3924A has been completed. Cyclophosphamide was more effective in controlling tumor growth than either radiation or 5-fluorouracil (5-FU) (150 mg/kg) previously reported. Par...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800601)45:11<2793::aid-cncr282

    authors: Looney WB,Hopkins HA,Grover WH,Macleod MS,Ritenour ER,Hobson AS

    更新日期:1980-06-01 00:00:00

  • Carcinoma of the lower lip: treatment results at Indiana University Hospitals.

    abstract::Sixty-six consecutive cases of carcinoma of the lower lip were seen at the Indiana University Hospitals from 1960 to 1972. Each patient's records were reviewed as to age, sex, race, stage, stage by treatment modality, pathology, treatment methods used and cause of failure. Early lip cancer represents a highly curative...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197801)41:1<352::aid-cncr2820410

    authors: Hornback NB,Shidnia H

    更新日期:1978-01-01 00:00:00

  • Ganglioside composition of human neuroblastomas. Correlation with prognosis. A Pediatric Oncology Group Study.

    abstract::The ganglioside composition of neuroblastoma samples from 53 patients was determined. Tumor sites included the adrenals (15), and the thoracic (20), abdominal (15), and pelvic (3) areas. Age of the patients at the time of surgery ranged from 1 day to over 10 years and the Stage of the tumors from A to D. Differences i...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19851201)56:11<2640::aid-cncr282

    authors: Schengrund CL,Repman MA,Shochat SJ

    更新日期:1985-12-01 00:00:00

  • Leiomyosarcoma in the mediastinum presenting as superior vena cava syndrome.

    abstract::The authors report a case of leiomyosarcoma in the mediastinum presenting with superior vena cava obstruction, and also demonstrate the aggressive nature of this tumor in spite of radiotherapy. Where technically feasible, surgery appears to be the treatment of choice. The pathologic and electron microscopic features o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840601)53:11<2553::aid-cncr282

    authors: Sunderrajan EV,Luger AM,Rosenholtz MJ,Maltby JD

    更新日期:1984-06-01 00:00:00

  • Two studies evaluating irinotecan treatment for recurrent malignant glioma using an every-3-week regimen.

    abstract::Two studies were performed to evaluate the safety, tolerability, and efficacy of irinotecan (CPT-11) in the treatment of adults with malignant glioma. Patients with progressive or recurrent malignant gliomas were enrolled. In the first study, CPT-11 was administered once every 3 weeks as a 90-minute intravenous infusi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11306

    authors: Cloughesy TF,Filka E,Kuhn J,Nelson G,Kabbinavar F,Friedman H,Miller LL,Elfring GL

    更新日期:2003-05-01 00:00:00