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NK 171(依托泊苷)治疗恶性淋巴瘤和急性白血病的II期研究。血液系统恶性肿瘤NK 171合作研究组

[Phase II study of NK 171 (etoposide) on malignant lymphomas and acute leukemia. A cooperative study group on NK 171 in hematological malignancies].

作者信息

Kimura K, Yamada K, Yoshida T

出版信息

Gan To Kagaku Ryoho. 1986 Mar;13(3 Pt 1):496-501.

PMID:3954373
Abstract

A Phase II clinical trial of NK 171 (Etoposide), a semisynthetic podophyllotoxin, was undertaken in 56 patients with advanced malignant lymphoma and 36 patients with acute leukemia. The dosage of NK 171 was 110-130 mg/m2 day p.o. or 80-100 mg/m2 day i.v. for 5 consecutive days. Of the 92 patients, 23.9% obtained a complete or partial remission. By tumor type, good responses were obtained in non-Hodgkin's lymphoma (34%, 17/50), Hodgkin's disease (25%, 1/4), AML (21.4%, 3/14), and CML-BC (25%, 1/4). Side effects included leukopenia (78.4%), alopecia (62.0%), anorexia (40.2%), nausea (30.4%) thrombocytopenia (25.6%) and fever (16.3%). These results demonstrated NK 171 to be an effective agent against malignant lymphoma and acute myeloblastic leukemia.

摘要

对56例晚期恶性淋巴瘤患者和36例急性白血病患者进行了半合成鬼臼毒素NK 171(依托泊苷)的II期临床试验。NK 171的剂量为口服110 - 130mg/m²/天或静脉注射80 - 100mg/m²/天,连续5天。92例患者中,23.9%获得完全或部分缓解。按肿瘤类型划分,非霍奇金淋巴瘤(34%,17/50)、霍奇金病(25%,1/4)、急性髓细胞白血病(21.4%,3/14)和慢性粒细胞白血病急变期(25%,1/4)有较好的反应。副作用包括白细胞减少(78.4%)、脱发(62.0%)、厌食(40.2%)、恶心(30.4%)、血小板减少(25.6%)和发热(16.3%)。这些结果表明NK 171是一种治疗恶性淋巴瘤和急性髓细胞白血病的有效药物。

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