Source:http://linkedlifedata.com/resource/pubmed/id/17325852
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2007-2-27
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pubmed:abstractText |
Nelarabine (compound 506U78), a novel purine nucleoside, is a soluble pro-drug of 9-beta-D-arabinofuranosylguanine (ara-G). Nelarabine is rapidly demethoxylated in blood by adenosine deaminase to ara-G. Pre-clinical and clinical studies have demonstrated the selective cytotoxicity of ara-G to T-lineage derived cells. CALGB Protocol 59901 was a Phase II study of nelarabine in patients with systemically untreated cutaneous T-cell lymphoma (CTCL) or refractory/relapsed systemic T-cell lymphoma (STCL). The objectives were to determine response rate, remission duration and safety profile associated with nelarabine given at 1.5 g m(-2) per day on days 1, 3 and 5 as an intravenous infusion every 21 days for a minimum of two cycles and to continue up to two cycles beyond CR up to a maximum of eight cycles. Nineteen patients were enrolled in the study: 11 CTCL and eight STCL patients. Grade 3 or 4 adverse events were documented in 50% and 28%, respectively. In particular, 33% of patients experienced Grade 3 or 4 neurologic toxicities. There were two partial remissions lasting 3 months and 5.5 months, respectively. Median event-free survival was 1.2 months and median overall survival was 3 months. Due to lack of efficacy and excessive toxicity, nelarabine is not recommended as monotherapy in adult patients with CTCL and STCL at this dose schedule.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/CA02599,
http://linkedlifedata.com/resource/pubmed/grant/CA04326,
http://linkedlifedata.com/resource/pubmed/grant/CA11789,
http://linkedlifedata.com/resource/pubmed/grant/CA31946,
http://linkedlifedata.com/resource/pubmed/grant/CA33601,
http://linkedlifedata.com/resource/pubmed/grant/CA35113,
http://linkedlifedata.com/resource/pubmed/grant/CA41287,
http://linkedlifedata.com/resource/pubmed/grant/CA47577,
http://linkedlifedata.com/resource/pubmed/grant/CA77406,
http://linkedlifedata.com/resource/pubmed/grant/CA77440,
http://linkedlifedata.com/resource/pubmed/grant/CA77658
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1042-8194
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pubmed:author |
pubmed-author:Cancer and Leukemia Group B,
pubmed-author:CanellosGeorgeG,
pubmed-author:ChesonBruce DBD,
pubmed-author:CookJames RJR,
pubmed-author:CzuczmanMyron SMS,
pubmed-author:HsiEric DED,
pubmed-author:JohnsonJeffreyJ,
pubmed-author:KellyMichaelM,
pubmed-author:NiedzwieckiDonnaD,
pubmed-author:PorcuPierluigiP
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pubmed:issnType |
Print
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pubmed:volume |
48
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
97-103
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pubmed:dateRevised |
2007-12-3
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pubmed:meshHeading |
pubmed-meshheading:17325852-Adult,
pubmed-meshheading:17325852-Aged,
pubmed-meshheading:17325852-Antineoplastic Agents,
pubmed-meshheading:17325852-Arabinonucleosides,
pubmed-meshheading:17325852-Disease-Free Survival,
pubmed-meshheading:17325852-Female,
pubmed-meshheading:17325852-Humans,
pubmed-meshheading:17325852-Lymphoma, T-Cell, Cutaneous,
pubmed-meshheading:17325852-Lymphoma, T-Cell, Peripheral,
pubmed-meshheading:17325852-Male,
pubmed-meshheading:17325852-Middle Aged,
pubmed-meshheading:17325852-Prodrugs,
pubmed-meshheading:17325852-Survival Analysis,
pubmed-meshheading:17325852-Treatment Outcome
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pubmed:year |
2007
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pubmed:articleTitle |
Results of a phase II study of 506U78 in cutaneous T-cell lymphoma and peripheral T-cell lymphoma: CALGB 59901.
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pubmed:affiliation |
Roswell Park Cancer Institute, Buffalo, NY 14263, USA. myron.czuczman@roswellpark.org
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase II,
Research Support, N.I.H., Extramural
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