Institutional experience with clofarabine and cytarabine in relapsed pediatric acute myeloid leukemia

Lucas Moreno, Jose Maria Fernandez-Navarro, Maria Del Mar Andres, Francisco Bautista, Maria Tasso, Amparo Verdeguer

Research output: Contribution to journalArticlepeer-review

Abstract

Cytarabine (1000 mg/m/d intravenous for 5 d) and clofarabine (40 mg/m/d intravenous for 5 d) were given every 28 days to 9 children with relapsed acute myeloid leukemia at our institution. Among 19 courses, there were 18 infectious episodes. Median hospitalization time was 13 days (7.7 to 30.5 d) per cycle. Hepatobiliary abnormalities included alanine aminotransferase/aspartate aminotransferase elevation and hyperbilirubinemia. Four patients achieved complete remission (one after an earlier allogeneic Haematopoietic Progenitor Cell Transplant). Four patients are alive disease free. In summary, a proportion of children responded and was able to receive allogeneic Haematopoietic Progenitor Cell Transplant. Side effects were tolerable, although hospitalization time was prolonged.

Original languageEnglish
Pages (from-to)e17-21
JournalJournal of pediatric hematology/oncology
Volume34
Issue number1
DOIs
Publication statusPublished - Jan 2012
Externally publishedYes

Keywords

  • Adenine Nucleotides/administration & dosage
  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols/therapeutic use
  • Arabinonucleosides/administration & dosage
  • Child
  • Child, Preschool
  • Clofarabine
  • Cytarabine/administration & dosage
  • Female
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Infant
  • Leukemia, Myeloid, Acute/drug therapy
  • Male
  • Recurrence
  • Retrospective Studies
  • Transplantation, Homologous

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