Litzow Mark R, Lee Sandra, Bennett John M, Dewald Gordon W, Gallagher Robert E, Jain Vibha, Paietta Elisabeth M, Racevskis Janis, Rousey Steven R, Mazza Joseph J, Tallman Martin S
Division of Hematology, Mayo Clinic College of Medicine, 200 First St. S.W., Rochester, MN 55905, USA.
Haematologica. 2006 Aug;91(8):1105-8. Epub 2006 Jul 25.
We designed a phase II trial of arsenic trioxide (AT) for the treatment of relapsed and refractory acute lymphoblastic leukemia (ALL). The dose administered was 0.25 mg/kg/day intravenously for 5-7 days per week for up to 60 days. Of 11 patients eligible, eight had B-cell and three T-cell ALL and two were Philadelphia chromosome-positive. The median duration of therapy was 21 days (range 7-28). One patient died of an infection. There were no responses. Ten patients have died. The median survival was 3.2 months (range 1.2-4.1). We conclude that AT is not active in the treatment of ALL.
我们设计了一项关于三氧化二砷(AT)治疗复发难治性急性淋巴细胞白血病(ALL)的II期试验。给药剂量为0.25mg/kg/天,静脉注射,每周5 - 7天,最长60天。11名符合条件的患者中,8例为B细胞ALL,3例为T细胞ALL,2例费城染色体阳性。治疗的中位持续时间为21天(范围7 - 28天)。1例患者死于感染。无缓解病例。10例患者死亡。中位生存期为3.2个月(范围1.2 - 4.1个月)。我们得出结论,AT对ALL治疗无效。