Source:http://linkedlifedata.com/resource/pubmed/id/15761021
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2005-6-21
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pubmed:abstractText |
2-Chlorodeoxyadenosine (2-CdA), a purine analog, has become universally accepted as the agent of choice in treating hairy cell leukemia (HCL). However, few studies have reported long-term outcomes after 2-CdA treatment. Between January 1990 and June 2003, 86 consecutive patients with HCL were treated with a single 7-day course of 2-CdA by continuous infusion at a dose of 0.1 mg/kg per day. Of the 86 patients (mean age: 49 years), 67 patients (79%) achieved a complete remission (CR); 18 patients (21%) achieved a partial remission (PR); and 1 patient's response was unable to be assessed. The progression-free survival (PFS) for initial relapse after 12 years was 54%. At a median follow-up of 9.7 years (range, 0.3-13.8 years), 31 (36%) of 85 patients relapsed. There were 23 relapsed patients treated with a second cycle of 2-CdA; 2 patients were treated with alternative agents; and 6 patients were observed. Of the 23 relapsed patients retreated with 2-CdA, 12 (52%) achieved a CR and 7 (30%) patients achieved a PR (overall response rate: 83%). The overall survival (OS) rate after 12 years was 87%. There were 15 patients (17%) who developed other malignancies. Long-term follow-up of up to 14 years (median: 9.7 years) showed an excellent PFS and OS for HCL patients after 2-CdA treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
106
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
241-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15761021-Adult,
pubmed-meshheading:15761021-Aged,
pubmed-meshheading:15761021-Aged, 80 and over,
pubmed-meshheading:15761021-Antineoplastic Agents,
pubmed-meshheading:15761021-Cladribine,
pubmed-meshheading:15761021-Disease-Free Survival,
pubmed-meshheading:15761021-Female,
pubmed-meshheading:15761021-Follow-Up Studies,
pubmed-meshheading:15761021-Humans,
pubmed-meshheading:15761021-Leukemia, Hairy Cell,
pubmed-meshheading:15761021-Male,
pubmed-meshheading:15761021-Middle Aged,
pubmed-meshheading:15761021-Neoplasms, Second Primary,
pubmed-meshheading:15761021-Recurrence,
pubmed-meshheading:15761021-Survival Analysis,
pubmed-meshheading:15761021-Time Factors
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pubmed:year |
2005
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pubmed:articleTitle |
Treatment of hairy cell leukemia with 2-chlorodeoxyadenosine (2-CdA): long-term follow-up of the Northwestern University experience.
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pubmed:affiliation |
Division of Hematology/Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, 676 N St Clair St, Suite 700, Chicago, IL 60611, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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