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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1990-6-28
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pubmed:abstractText |
Forty-one children with refractory acute nonlymphocytic leukemia (ANLL) were treated from March 1975 to February 1979 with a schedule-dependent combination of methotrexate (MTX) and L-asparaginase. Intravenous (IV) MTX was followed 24 hours later by IV L-asparaginase (10,000 units [U]/m2). The MTX dose was started at 60 to 100 mg/m2 and was escalated by 20 to 40 mg/m2 as tolerated. This sequence was repeated every 7 to 10 days. Eight patients (20%) achieved a complete remission (CR) and six others had a partial response (PR), with clearance of blasts from the peripheral blood and reduction of bone marrow blasts to less than 25% of nucleated marrow cells. Responding patients received a median maximum MTX dose of 120 mg/m2 (range, 60 to 220 mg/m2). The median number of courses required to achieve a CR was 6 (range, 2 to 13 courses). Toxicity consisted of allergic reactions to L-asparaginase (n = 12), stomatitis (n = 6), minimal elevation of hepatic enzymes (n = 2), and hyperglycemia (n = 1). Treatment was given on an outpatient basis in 95% of all courses. The data indicate that this combination therapy has antileukemic activity and is relatively nontoxic in childhood ANLL.
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pubmed:grant | |
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 |
Jun
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pubmed:issn |
0008-543X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2615-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2340462-Adolescent,
pubmed-meshheading:2340462-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2340462-Asparaginase,
pubmed-meshheading:2340462-Child,
pubmed-meshheading:2340462-Child, Preschool,
pubmed-meshheading:2340462-Drug Hypersensitivity,
pubmed-meshheading:2340462-Female,
pubmed-meshheading:2340462-Humans,
pubmed-meshheading:2340462-Infant,
pubmed-meshheading:2340462-Injections, Intravenous,
pubmed-meshheading:2340462-Leukemia, Myeloid, Acute,
pubmed-meshheading:2340462-Male,
pubmed-meshheading:2340462-Methotrexate,
pubmed-meshheading:2340462-Neoplasm Recurrence, Local,
pubmed-meshheading:2340462-Remission Induction
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pubmed:year |
1990
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pubmed:articleTitle |
Methotrexate plus L-asparaginase. An active combination for children with acute nonlymphocytic leukemia.
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pubmed:affiliation |
Department of Hematology-Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee 38101.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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