Southwest Oncology Group Study S0530: a phase 2 trial of clofarabine and cytarabine for relapsed or refractory acute lymphocytic leukaemia
- PMID: 21113977
- PMCID: PMC3058291
- DOI: 10.1111/j.1365-2141.2010.08387.x
Southwest Oncology Group Study S0530: a phase 2 trial of clofarabine and cytarabine for relapsed or refractory acute lymphocytic leukaemia
Abstract
Clofarabine and cytarabine target different steps in DNA synthesis and replication, are synergistic in vivo, and have non-overlapping toxicities, making this combination a potentially promising treatment for acute lymphocytic leukaemia. Thirty-seven patients were treated. The median age was 41 years, 44% of patients were either in ≥2nd relapse or had refractory disease and 59% of patients had poor risk cytogenetics. Six out of 36 patients (17%) achieved a complete remission with or without complete count recovery; median overall survival was 3 months. Nucleoside transporter expression did not predict outcome. This regimen lacked sufficient activity to warrant further testing.
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References
-
- Bobadilla D, Enriquez E, Alvarez E, Gaytan P, Smith D, Slovak ML. An interphase fluorescence in situ hybridization (FISH) assay for the detection of 3q26.2/EVI1 rearrangements in myeloid malignancies. British Journal of Haematology. 2007;136:806–813. - PubMed
-
- Cooper T, Nowak B, Gandhi V. Biochemical modulation of cytarabine triphosphate by clofarabine. Proceedings of the American Association for Cancer Research. 2003;44:142. - PubMed
-
- Cooper T, Ayres M, Nowak B, Gandhi V. Biochemical modulation of cytarabine triphosphate by clofarabine. Cancer Chemotherapy and Pharmacology. 2005;55:361–368. - PubMed
-
- Dabbagh L, Coupland RW, Cass CE, Mackey JR. Immunohistochemical variation of human nucleoside transporters in primary breast cancer. Biochemical and Biophysical Research Communications. 2001;280:951–959. - PubMed
-
- Faderl S, Gandhi V, O’Brien S, Bonate P, Cortes J, Estey E, Beran M, Wierda W, Garcia-Manero G, Ferrajoli A, Estrov Z, Giles FJ, Du M, Swari M, Keating M, Plunkett W, Kantarjian H. Results of a Phase I–II study of clofarabine in combination with cytarabine (ara-c) in relapsed and refractory leukemias. Blood. 2005;105:940–947. - PubMed
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