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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8373
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pubmed:dateCreated |
1984-3-23
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pubmed:abstractText |
108 children with standard-risk acute lymphocytic leukaemia (ALL) were randomised to a post-induction treatment protocol including 15 doses of intermediate-dose methotrexate (1000 mg/m2) in addition to conventional oral therapy of mercaptopurine and low-dose methotrexate. After median follow-up of 26 months, 22 patients have had relapses. Among the 108 patients, rates of methotrexate systemic clearance ranged from 44.7 to 132 ml/min/m2. When the group was divided into three subgroups according to the patients' rates of methotrexate clearance, statistical analysis of the Kaplan-Meier curves estimating the probability of complete remission showed significant differences (p = 0.016) among the subgroups, patients with faster clearance having higher probability of relapse. Multivariate Cox's regression analysis incorporating other potential prognostic variables identified three significant variables influencing the risk of relapse--methotrexate clearance and white-blood-cell count and haemoglobin level at diagnosis (p = 0.0015). This study has demonstrated the potential clinical importance of the rate of drug clearance in children with ALL.
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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
|
pubmed:month |
Feb
|
pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
18
|
pubmed:volume |
1
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
359-62
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:6141424-6-Mercaptopurine,
pubmed-meshheading:6141424-Bone Marrow Examination,
pubmed-meshheading:6141424-Central Nervous System Diseases,
pubmed-meshheading:6141424-Child,
pubmed-meshheading:6141424-Clinical Trials as Topic,
pubmed-meshheading:6141424-Drug Therapy, Combination,
pubmed-meshheading:6141424-Female,
pubmed-meshheading:6141424-Humans,
pubmed-meshheading:6141424-Kinetics,
pubmed-meshheading:6141424-Leukemia, Lymphoid,
pubmed-meshheading:6141424-Male,
pubmed-meshheading:6141424-Methotrexate,
pubmed-meshheading:6141424-Probability,
pubmed-meshheading:6141424-Random Allocation,
pubmed-meshheading:6141424-Recurrence,
pubmed-meshheading:6141424-Testicular Neoplasms
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pubmed:year |
1984
|
pubmed:articleTitle |
Methotrexate systemic clearance influences probability of relapse in children with standard-risk acute lymphocytic leukaemia.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|