FOLLOW-UP OF PATIENTS WITH HAIRY CELL LEUKEMIA AFTER TREATMENT WITH CLADRIBINE

<p>Background. The long-term outcome in 16 patients with hairy cell leukemia (HCL) treated with cladribine between 1995 and 2003 is reported.</p><p>Patients and methods. Cladribine was administered to 13 patients in a dose 0.1 mg/kg/day for 7 days, and the same daily dose was appli...

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Bibliographic Details
Main Author: Peter Černelč
Format: Article
Language:English
Published: Slovenian Medical Association 2004-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/2420
Description
Summary:<p>Background. The long-term outcome in 16 patients with hairy cell leukemia (HCL) treated with cladribine between 1995 and 2003 is reported.</p><p>Patients and methods. Cladribine was administered to 13 patients in a dose 0.1 mg/kg/day for 7 days, and the same daily dose was applied once a week for 6 weeks in 3 patients. Their mean age was 57 years (range 32–67) and the male to female ratio 8:1. Four patients had also received a prior therapy with interferon and one was splenectomised.</p><p>Results. Complete remission (CR) was achieved in 12 (75%) patients and partial remission (PR) in 4 (25%) of cases. With a follow up of 9 years in 12 patients CR lasted between 18 and 88 months (mean 68), 3 (25%) of them relapsed after 54–80 months (mean 71) while 4 patients with PR progressed after 40 to76 months (mean 63). Six patients had an infection prior to or during the treatment.</p><p>Conclusions. In HCL patients cladribine treatment yields high percentage of CR and durable response, tolerable toxicity and prolonged survival.<br /><br /></p>
ISSN:1318-0347
1581-0224