Abstract |
Hairy cell leukemia is a rare lymphoproliferative disorder resistant to conventional chemotherapeutic agents. Recently, the purine analogue cladribine (2-chlorodeoxyadenosine, 2-CdA) was introduced for the treatment of this disease. We report on 14 patients with hairy cell leukemia who were treated with 2-CdA at our department between 1993 and 1997. The patients received a single cycle of 2-CdA at a dose of 0.07 or 0.09 mg/kg/day by continuous infusion, over a seven-day period. Five patients were previously untreated, while the others had received prior treatment with interferon-alpha (seven patients), interferon-alpha and splenectomy (one patient) or interferon-alpha, splenectomy and pentostatin (one patient). Six patients achieved complete remission, three a good partial response and three partial remission. Two patients did not respond to treatment and one of them died from septicemia in aplasia. Relapse of the disease occurred in two patients. Side effects such as fever (WHO grade 2) and/or neutropenia (WHO grade 4) were noted in eight patients. Thus, 2-CdA is an effective treatment of hairy cell leukemia that can induce long lasting remissions in both, previously treated and untreated patients.
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Authors | W Füreder, A Weltermann, A Chott, H Gisslinger, P Valent, U Jäger, K Geissler, K Lechner |
Journal | Wiener klinische Wochenschrift
(Wien Klin Wochenschr)
Vol. 111
Issue 24
Pg. 1027-30
(Dec 23 1999)
ISSN: 0043-5325 [Print] Austria |
PMID | 10677889
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Antibiotics, Antineoplastic
- Antineoplastic Agents
- Immunosuppressive Agents
- Interferon-alpha
- Pentostatin
- Cladribine
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Topics |
- Adult
- Antibiotics, Antineoplastic
(therapeutic use)
- Antineoplastic Agents
(administration & dosage, adverse effects, therapeutic use)
- Cladribine
(administration & dosage, adverse effects, therapeutic use)
- Data Interpretation, Statistical
- Female
- Follow-Up Studies
- Humans
- Immunosuppressive Agents
(therapeutic use)
- Interferon-alpha
(therapeutic use)
- Leukemia, Hairy Cell
(drug therapy, mortality, therapy)
- Male
- Middle Aged
- Pentostatin
(therapeutic use)
- Recurrence
- Remission Induction
- Splenectomy
- Time Factors
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