title: [Cytoprotective effect of amifostine in children during induction therapy according to BFM-83: report on cases].
abstract: Amifostine is the agent of proved cytoprotective activity against alkylating drugs and rubidomycine. Its protective effect against other cytotoxic drugs is doubtful. BFM-83 induction therapy for ANLL (ARA-C + RUB + VP-16) which is applied to children with acute non-lymphoblastic leukemia (ANLL) commonly contributes to severe adverse reactions. We administered amifostine to three children: 2 boys with ANLL (7 and 11 yrs) and 1 girl with MDS (3 yrs) during etoposide and rubidomycine induction therapy in order to decrease chemotherapy-related adverse reactions. Doses of amifostine were 740 mg/m2, 910 mg/m2 and 910 mg/m2 respectively. Efficacy of the therapy was evaluated on the base of blast decline in the bone marrow, efficacy of the cytoprotection by myelo and nephrotoxicity symptoms analysis. Chemotherapy-related adverse effects in the children protected by amifostine were less severe and observed by the shorter periods as compared with the historical control group of 20 patients treated according to BFM-83 without cytoprotection. These cases show the potential beneficial effect of amifostine during BFM-83 induction therapy for ANLL. The further randomised clinical study of the proposed cytoprotection should be performed to establish its value.
authors.affiliation: II Kliniki Chorób Dzieci Instytutu Pediatrii Akademii Medycznej w Lodzi.
authors.forename: K
authors.initials: K
authors.lastname: Nowak
authors.forename: W
authors.initials: W
authors.lastname: Bolanowski
authors.forename: B
authors.initials: B
authors.lastname: Zalewska-Szewczyk
authors.forename: M
authors.initials: M
authors.lastname: Stolarska
authors.forename: J
authors.initials: J
authors.lastname: Bodalski
mesh_terms: D004999:Amifostine / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003561:Cytarabine / Q000008:administration & dosage; D003630:Daunorubicin / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy*; D008297:Male; D012189:Retrospective Studies
chemical_list: D003561:Cytarabine; D005047:Etoposide; D004999:Amifostine; D003630:Daunorubicin