Toxicity trials of amsacrine (AMSA) and etoposide +/- azacitidine (AZ) in childhood acute non-lymphocytic leukemia (ANLL): a pilot study. Invest New Drugs 1991 May;9(2):181-4
Date
05/01/1991Pubmed ID
1714886DOI
10.1007/BF00175085Scopus ID
2-s2.0-0025825531 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
Recurrent or induction therapy-resistant ANLL carries a grave prognosis. The combination of AMSA at 100 mg/M2 daily for 5 days and etoposide at 200 mg/M2 daily for the first 3 days of therapy was given to 40 patients with refractory ANLL. An additional 17 patients received those two agents plus azacitidine at a dosage of 250 mg/M2 on days 4 and 5. All three drugs were given as one-hour infusions. All patients had normal electrolyte determinations daily and were on cardiac monitors during the period of drug administration. No arrhythmias were detected in 522 doses of AMSA. Toxicities observed were primarily related to myelosuppression. Forty-nine of the 57 patients required hospitalization for suspected or proven infection. Nausea/vomiting and mucositis were the next most commonly occurring toxicities. Responses were seen in 22 patients.
Author List
Steuber CP, Holbrook T, Camitta B, Land VJ, Sexauer C, Krischer JMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Amsacrine
Antineoplastic Combined Chemotherapy Protocols
Azacitidine
Child
Child, Preschool
Etoposide
Female
Humans
Infant
Leukemia, Myeloid, Acute
Male
Pilot Projects