Cloretazine for the treatment of acute myeloid leukemia

被引:6
作者
Vey, Norbert
Giles, Frank
机构
[1] Inst J Paoli I Calmettes, Dept Hematol, F-13009 Marseille, France
[2] Univ Texas, MD Anderson Canc Ctr, Dept Leukemia, Houston, TX 77030 USA
关键词
acute myeloid leukemia; alkylating agents; cloretazine; elderly; induction chemotherapy; myelodysplastic syndrome;
D O I
10.1586/14737140.6.3.321
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cloretazine is a new sulfonylhydrazine alkylating agent with antileukemic activity. Phase I studies have shown myelosuppression to be the dose limiting toxicity in both solid tumors and leukemias. A large Phase II study of single agent cloretazine (600 mg/m(2)) confirmed its activity in patients with relapsed acute myeloid leukemia, and in elderly patients with previously untreated acute myeloid leukemia or myelodysplastic syndrome. It also confirmed the limited nonhematological toxicity, even in elderly patients. Cloretazine can be safely combined with cytarabine, and this combination regimen is currently being tested in a large Phase III study in patients with relapsed acute myeloid leukemia. Cloretazine is a promising new antileukemic agent that may be incorporated into an intensive combination regimen.
引用
收藏
页码:321 / 328
页数:8
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