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Idarubicin in Refractory Acute Leukemia
Author(s) -
H.H. Fülle,
K.P. Hellriegel
Publication year - 1986
Publication title -
oncology research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.553
H-Index - 48
eISSN - 2296-5262
pISSN - 2296-5270
DOI - 10.1159/000215992
Subject(s) - idarubicin , medicine , etoposide , aplasia , chemotherapy , leukemia , refractory (planetary science) , regimen , salvage therapy , acute leukemia , surgery , cytarabine , oncology , gastroenterology , biology , astrobiology
10 patients with resistant or relapsed acute leukemia (9 AML, 1 ALL) were treated with idarubicin (4-demethoxydaunorubicin) in combination with cytosine arabinoside +/- etoposide. All patients had been heavily pretreated. 9 AML-patients had previously received 2-4 cycles of TAD-9 regimen. 2 complete and 1 partial remission were achieved. 1 patient died from septicemia in bone marrow aplasia without leukemic cells. 6 patients did not respond to idarubicin-based salvage treatment. The median survival from start of therapy was 4 months. Idarubicin-based combination chemotherapy is effective in relapsed acute leukemia, even in patients intensively pretreated with anthracyclines.

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