Abstract | PURPOSE: PATIENTS AND METHODS: Between 1992 and 1996, 78 patients (aged 18 to 75 years) received intravenous F- AMP (25 mg/m2/d for 5 days, every 4 weeks) until maximum response, plus two further cycles as consolidation. The primary end point was response rate; secondary end points included time to progression ( TTP), duration of response, and overall survival (OS). RESULTS: Forty-four (62%) of 71 assessable patients had a response to F- AMP (LPC lymphoma, 63%; WM, 79%; MCL, 41%); the CR rate was 15%. At a median follow-up of 1.5 years, 19 of 44 responding patients have had progression of lymphoma; the median duration of response was 2.5 years. The median survival has not yet been reached. There was no significant difference in the duration of response or OS between patients with different histologies; TTP was shorter in patients with MCL (P = .015). Myelosuppression was relatively common, and the treatment-related mortality (TRM) was 5%, mostly associated with pancytopenia and infection. CONCLUSION:
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Authors | J M Foran, A Z Rohatiner, B Coiffier, T Barbui, S A Johnson, W Hiddemann, J A Radford, A J Norton, S M Tollerfield, M P Wilson, T A Lister |
Journal | Journal of clinical oncology : official journal of the American Society of Clinical Oncology
(J Clin Oncol)
Vol. 17
Issue 2
Pg. 546-53
(Feb 1999)
ISSN: 0732-183X [Print] United States |
PMID | 10080598
(Publication Type: Clinical Trial, Clinical Trial, Phase II, Journal Article, Multicenter Study)
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Chemical References |
- Antimetabolites, Antineoplastic
- Vidarabine Phosphate
- fludarabine phosphate
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Topics |
- Adult
- Aged
- Antimetabolites, Antineoplastic
(adverse effects, therapeutic use)
- Disease Progression
- Drug Administration Schedule
- Female
- Follow-Up Studies
- Humans
- Infusions, Intravenous
- Leukemia, Lymphocytic, Chronic, B-Cell
(drug therapy)
- Lymphoma, Non-Hodgkin
(drug therapy)
- Male
- Middle Aged
- Survival Analysis
- Vidarabine Phosphate
(adverse effects, analogs & derivatives, therapeutic use)
- Waldenstrom Macroglobulinemia
(drug therapy)
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