Asparaginase As Consolidation Therapy in Patients Undergoing Bone Marrow Transplantation for Acute Lymphoblastic Leukemia
Bone Marrow Transplantation, (1998) 21, 879–885 1998 Stockton Press All rights reserved 0268–3369/98 $12.00 http://www.stockton-press.co.uk/bmt Toxicity, pharmacology and feasibility of administration of PEG-L- asparaginase as consolidation therapy in patients undergoing bone marrow transplantation for acute lymphoblastic leukemia ML Graham1, BL Asselin2, JE Herndon II3, JR Casey1, S Chaffee1, GH Ciocci1, CW Daeschner4, AR Davis4, S Gold6, EC Halperin7, MJ Laughlin1, PL Martin8, JF Olson1 and J Kurtzberg1,9 Departments of 1Pediatrics, 3Community and Family Medicine, 5Pharmacy, 7Radiation Oncology and 9Pathology, Duke University Medical Center, Durham, NC; 2Department of Pediatrics, University of Rochester, Rochester, NY; 4Department of Pediatrics, Eastern Carolina University School of Medicine, Greenville; 6Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill; 8Department of Pediatrics, Bowman-Gray School of Medicine, Winston-Salem, NC, USA Summary: for bone marrow transplantation have occasionally been successful, but usually at the price of higher morbidity and We attempted to administer PEG-L-asparaginase (PEG- mortality rates, since most preparative regimens employ L-A) following hematologic recovery to 38 patients maximal or near maximal radiation and chemotherapy undergoing autologous or allogeneic marrow transplan- doses.6–8 tation for acute lymphoblastic leukemia (ALL). Twenty- Other strategies for reducing relapse have been explored. four patients (12 of 22 receiving allogeneic and 12 of 16 Since the development of graft-versus-host disease receiving autologous transplants) received between one (GVHD) in some series of allogeneic BMT has been asso- and 12 doses of PEG-L-A, including nine who com- ciated with a diminished relapse rate,9–12 Sullivan et al13 pleted the planned 12 doses of therapy.
[Show full text]