Activity of Cladribine Combined with Etoposide in Heavily Pretreated Patients with Indolent Lymphoid Malignancies
We determined the effectiveness and toxicity of combined chemotherapy consisting of etoposide 100 mg/m 2 /day i.v. and cladribine (2-CdA) 0.12 mg/kg/day i.v. each for 5 days (EC regimen) in the treatment of refractory or relapsed low-grade non-Hodgkin’s lymphoma and chronic lymphocytic leukemia. The...
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Veröffentlicht in: | Chemotherapy (Basel) 2005-08, Vol.51 (5), p.247-251 |
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creator | Robak, T. Szmigielska-Kapłon, A. Błoński, J.Z. Kasznicki, M. Chojnowski, K. |
description | We determined the effectiveness and toxicity of combined chemotherapy consisting of etoposide 100 mg/m 2 /day i.v. and cladribine (2-CdA) 0.12 mg/kg/day i.v. each for 5 days (EC regimen) in the treatment of refractory or relapsed low-grade non-Hodgkin’s lymphoma and chronic lymphocytic leukemia. The cycles were repeated every 28 days, reaching a maximum of six courses. Twenty patients entered the study. All patients had received three or more cycles of chemotherapy before the EC regimen (median 8, range 3–19). Thirteen patients received 2-CdA before the EC regimen. Seven out of 20 patients (35%) responded, including one complete response. Median overall survival time of responding patients was 22 months (range 3–30). Myelosuppression and infections were the major toxicity of the EC regimen. |
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The cycles were repeated every 28 days, reaching a maximum of six courses. Twenty patients entered the study. All patients had received three or more cycles of chemotherapy before the EC regimen (median 8, range 3–19). Thirteen patients received 2-CdA before the EC regimen. Seven out of 20 patients (35%) responded, including one complete response. Median overall survival time of responding patients was 22 months (range 3–30). Myelosuppression and infections were the major toxicity of the EC regimen.</description><identifier>ISSN: 0009-3157</identifier><identifier>EISSN: 1421-9794</identifier><identifier>DOI: 10.1159/000087251</identifier><identifier>PMID: 16088121</identifier><identifier>CODEN: CHTHBK</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antineoplastic agents ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biological and medical sciences ; Chemotherapy ; Cladribine - administration & dosage ; Clinical Study ; Clinical trials ; Etoposide - administration & dosage ; Female ; Hematologic and hematopoietic diseases ; Humans ; Infection - chemically induced ; Infusions, Intravenous ; Leukemia ; Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymphoma ; Lymphoma, Non-Hodgkin - drug therapy ; Male ; Medical sciences ; Middle Aged ; Neutropenia - chemically induced ; Pharmacology. Drug treatments ; Recurrence ; Survival Analysis ; Treatment Outcome</subject><ispartof>Chemotherapy (Basel), 2005-08, Vol.51 (5), p.247-251</ispartof><rights>2005 S. Karger AG, Basel</rights><rights>2005 INIST-CNRS</rights><rights>Copyright 2005 S. Karger AG, Basel.</rights><rights>Copyright (c) 2005 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-c2fb40d79bc2407f2e8e3d1081693bb87daf417fd6fb0a293e1072441a453ba53</citedby><cites>FETCH-LOGICAL-c391t-c2fb40d79bc2407f2e8e3d1081693bb87daf417fd6fb0a293e1072441a453ba53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17074203$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16088121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robak, T.</creatorcontrib><creatorcontrib>Szmigielska-Kapłon, A.</creatorcontrib><creatorcontrib>Błoński, J.Z.</creatorcontrib><creatorcontrib>Kasznicki, M.</creatorcontrib><creatorcontrib>Chojnowski, K.</creatorcontrib><title>Activity of Cladribine Combined with Etoposide in Heavily Pretreated Patients with Indolent Lymphoid Malignancies</title><title>Chemotherapy (Basel)</title><addtitle>Chemotherapy</addtitle><description>We determined the effectiveness and toxicity of combined chemotherapy consisting of etoposide 100 mg/m 2 /day i.v. and cladribine (2-CdA) 0.12 mg/kg/day i.v. each for 5 days (EC regimen) in the treatment of refractory or relapsed low-grade non-Hodgkin’s lymphoma and chronic lymphocytic leukemia. The cycles were repeated every 28 days, reaching a maximum of six courses. Twenty patients entered the study. All patients had received three or more cycles of chemotherapy before the EC regimen (median 8, range 3–19). Thirteen patients received 2-CdA before the EC regimen. Seven out of 20 patients (35%) responded, including one complete response. Median overall survival time of responding patients was 22 months (range 3–30). Myelosuppression and infections were the major toxicity of the EC regimen.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Cladribine - administration & dosage</subject><subject>Clinical Study</subject><subject>Clinical trials</subject><subject>Etoposide - administration & dosage</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Infection - chemically induced</subject><subject>Infusions, Intravenous</subject><subject>Leukemia</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymphoma</subject><subject>Lymphoma, Non-Hodgkin - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neutropenia - chemically induced</subject><subject>Pharmacology. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymphoma</topic><topic>Lymphoma, Non-Hodgkin - drug therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neutropenia - chemically induced</topic><topic>Pharmacology. Drug treatments</topic><topic>Recurrence</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robak, T.</creatorcontrib><creatorcontrib>Szmigielska-Kapłon, A.</creatorcontrib><creatorcontrib>Błoński, J.Z.</creatorcontrib><creatorcontrib>Kasznicki, M.</creatorcontrib><creatorcontrib>Chojnowski, K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Chemotherapy (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robak, T.</au><au>Szmigielska-Kapłon, A.</au><au>Błoński, J.Z.</au><au>Kasznicki, M.</au><au>Chojnowski, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Activity of Cladribine Combined with Etoposide in Heavily Pretreated Patients with Indolent Lymphoid Malignancies</atitle><jtitle>Chemotherapy (Basel)</jtitle><addtitle>Chemotherapy</addtitle><date>2005-08</date><risdate>2005</risdate><volume>51</volume><issue>5</issue><spage>247</spage><epage>251</epage><pages>247-251</pages><issn>0009-3157</issn><eissn>1421-9794</eissn><coden>CHTHBK</coden><abstract>We determined the effectiveness and toxicity of combined chemotherapy consisting of etoposide 100 mg/m 2 /day i.v. and cladribine (2-CdA) 0.12 mg/kg/day i.v. each for 5 days (EC regimen) in the treatment of refractory or relapsed low-grade non-Hodgkin’s lymphoma and chronic lymphocytic leukemia. The cycles were repeated every 28 days, reaching a maximum of six courses. Twenty patients entered the study. All patients had received three or more cycles of chemotherapy before the EC regimen (median 8, range 3–19). Thirteen patients received 2-CdA before the EC regimen. Seven out of 20 patients (35%) responded, including one complete response. Median overall survival time of responding patients was 22 months (range 3–30). Myelosuppression and infections were the major toxicity of the EC regimen.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>16088121</pmid><doi>10.1159/000087251</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Antineoplastic agents Antineoplastic Combined Chemotherapy Protocols - administration & dosage Antineoplastic Combined Chemotherapy Protocols - therapeutic use Biological and medical sciences Chemotherapy Cladribine - administration & dosage Clinical Study Clinical trials Etoposide - administration & dosage Female Hematologic and hematopoietic diseases Humans Infection - chemically induced Infusions, Intravenous Leukemia Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Lymphoma Lymphoma, Non-Hodgkin - drug therapy Male Medical sciences Middle Aged Neutropenia - chemically induced Pharmacology. Drug treatments Recurrence Survival Analysis Treatment Outcome |
title | Activity of Cladribine Combined with Etoposide in Heavily Pretreated Patients with Indolent Lymphoid Malignancies |
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