title: Treatment of acute nonlymphocytic leukemia in the elderly with intermediate high-dose cytosine arabinoside.
abstract: Effective treatment of the elderly patients (greater than or equal to 65 years) with acute nonlymphocytic leukemia (ANLL) remains elusive and controversial. In the present study, single-agent Cytosine Arabinoside (ARA-C) was administered at an intermediate dose level (500 mg/m2 intravenously [I.V.] 1-hour infusion q12 hours for 12 doses) to 30 newly diagnosed and previously untreated patients. Complete remission was achieved in seven patients after the initial cycle of treatment, in two patients after retreatment, and in one patient after delayed recovery of his peripheral count over a 6-month period. The toxicity of this schedule was primarily hematologic, and the response rate was in keeping with that reported by other groups using aggressive multiagent regimens.
authors.affiliation: Division of Hematology, Mayo Clinic, Rochester, Minnesota 55905.
authors.forename: L
authors.initials: L
authors.lastname: Letendre
authors.forename: R D
authors.initials: RD
authors.lastname: Niedringhaus
authors.forename: T M
authors.initials: TM
authors.lastname: Therneau
authors.forename: D A
authors.initials: DA
authors.lastname: Gastineau
authors.forename: R M
authors.initials: RM
authors.lastname: Goldberg
authors.forename: J B
authors.initials: JB
authors.lastname: Gerstner
authors.forename: J A
authors.initials: JA
authors.lastname: Mailliard
authors.forename: W J
authors.initials: WJ
authors.lastname: Gundlach
authors.forename: C G
authors.initials: CG
authors.lastname: Kardinal
authors.forename: R V
authors.initials: RV
authors.lastname: Pierre
mesh_terms: D000367:Age Factors; D000368:Aged; D003561:Cytarabine / Q000008:administration & dosage* / Q000009:adverse effects; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy*; D008297:Male; D011897:Random Allocation
chemical_list: D003561:Cytarabine