Abstract | UNLABELLED: A phase I-II study of bendamustine fractionated twice daily schedule for 4 days identified 75 mg/m(2) intravenously(IV) twice daily for 4 days as a phase II study schedule. BACKGROUND: PATIENTS AND METHODS: Adults with refractory acute leukemia or high-risk MDS were treated with bendamustine at a starting dose of 50 mg/m(2) IV over 1-2 hours twice daily for 4 days. Dose escalations were by 25 mg/m(2) in the 1st 3 levels. The study used the 3 + 3 design. RESULTS: A total of 25 patients were treated. Their median age was 57 years; the median salvage number was 3. Grade 2 creatinine elevations were observed in 1 of 6 patients at the 50 mg/m(2) dose, in 2 of 13 patients at the 75 mg/m(2) dose, and in 3 of 6 patients at the 100 mg/m(2) dose. This was considered significant, even though DLT was not reached. One patient achieved marrow complete remission. Significant reductions of marrow blasts (50% or more) were observed in 6 of 25 patients (24%). CONCLUSION:
Bendamustine fractionated dose level of 100 mg/m(2) IV twice daily for 4 days (800 mg/m(2) per course) was associated with Grade 2 renal toxicity. The proposed phase II schedule is 75 mg/m(2) IV twice daily for 4 days. Future studies should evaluate this schedule in less heavily treated patients.
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Authors | Christelle Chacar, Elias Jabbour, Farhad Ravandi, Gautam Borthakur, Tapan Kadia, Zeev Estrov, Mary Beth Rios, Jorge Cortes, Hagop Kantarjian |
Journal | Clinical lymphoma, myeloma & leukemia
(Clin Lymphoma Myeloma Leuk)
Vol. 12
Issue 3
Pg. 197-200
(Jun 2012)
ISSN: 2152-2669 [Electronic] United States |
PMID | 22578814
(Publication Type: Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article)
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Copyright | Copyright © 2012 Elsevier Inc. All rights reserved. |
Chemical References |
- Antineoplastic Agents, Alkylating
- Nitrogen Mustard Compounds
- Bendamustine Hydrochloride
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Topics |
- Acute Disease
- Adult
- Aged
- Aged, 80 and over
- Antineoplastic Agents, Alkylating
(administration & dosage, adverse effects, therapeutic use)
- Bendamustine Hydrochloride
- Female
- Humans
- Leukemia
(drug therapy)
- Male
- Middle Aged
- Myelodysplastic Syndromes
(drug therapy)
- Nitrogen Mustard Compounds
(administration & dosage, adverse effects, therapeutic use)
- Treatment Outcome
- Young Adult
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