Low-dose arabinosyl cytosine in acute leukemia after a myelodysplastic syndrome and in elderly leukemia

E. P. Alessandrino, E. Orlandi, E. Brusamolino, M. Lazzarino, C. Bernasconi

Research output: Contribution to journalArticle

Abstract

Low-dose arabinosyl cytosine (ARA-C) was tested in 15 patients with acute leukemia after a myelodysplastic syndrome (MDS) and in six elderly patients with acute nonlymphoid leukemia (ANLL). The drug was given subcutaneously at 10 mg/m2, every 12 hr for 2 weeks, every 28 days. The overall response rate was 19% (one complete remission, three partial responses), and the median duration of response was 4 months. No particular features at diagnosis were predictive of response. Pancytopenia and marrow hypoplasia occurred after 44 (78%) of 56 courses of therapy and were more severe in nonresponders. Four patients died during the aplasia following ARA-C therapy. Subcutaneous low-dose ARA-C was of limited benefit and bore a noticeable hematologic toxicity.

Original languageEnglish
Pages (from-to)191-193
Number of pages3
JournalAmerican Journal of Hematology
Volume20
Issue number2
Publication statusPublished - 1985

ASJC Scopus subject areas

  • Hematology

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    Alessandrino, E. P., Orlandi, E., Brusamolino, E., Lazzarino, M., & Bernasconi, C. (1985). Low-dose arabinosyl cytosine in acute leukemia after a myelodysplastic syndrome and in elderly leukemia. American Journal of Hematology, 20(2), 191-193.