Abstract
Treatment of acute lymphoblastic leukemia (ALL) in children with effective regimens including induction with vincristine, cytoxan, asparaginase, and prednisone followed by prolonged maintenance with various drug combinations results in complete remission (CR) rates of approximately 90%, with more than 50% of the patients being possibly cured [1]. Use of similar regimens in patients over 15 has, however, been far less successful [2]. During the last decade, considerable improvement has been achieved in the treatment of adult ALL using more intensive regimens, and several protocols including more aggressive induction with anthracyclines followed by intensive consolidation and multidrug maintenance over several years have yielded therapeutic results similar to those obtained in children [3–6] and possibly similar to those achieved by allogeneic bone marrow transplantation [7] with approximately 50% long-term survivors. These regimens, however, are very toxic and may not be suitable for all patients.
The French Group for Treatment of Adult Acute Lymphoblastic (FGTAALL).
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Lampert F, Henze G, Langermann HJ, Schellong G, Gadner H, Riehm HJ (1984) Acute lymphoblastic leukemia: current status of ther- 6. apy in children. In: Thiel E, Thierfelder S (eds) Leukemia. Springer, Berlin Heidelberg New York, pp 159–181 (Recent results in cancer research, vol 93 )
Gee TS, Haghbin M, Dowling MD, Cunning- 7. ham I, Middleman MP, Clarkson BD (1976) Acute lymphoblastic leukemia in adults and children. Differences in response with similar therapeutic regimes. Cancer 37: 1256–1264
Gottlieb AJ, Weinberg V, Ellison RR, Henderson ES, Terebelo H, Rafla S, Cuttner J, Silver RT, Carey RW, Levy RN, Hutchinson JL, Raich P, Cooper MR, Wiernik P, Anderson JR, Holland JF (1983) Efficacy of daunorubicin in the therapy of adult acute lymphocytic leukemia: a prospective randomized trial by cancer and leukemia group B. Blood 64: 267274
Schauer P, Arlin ZA, Mertelsmann R, Cirrincione C, Friedman A, Gee TS, Dowling M, Kempin S, Straus DJ, Koziner B, McKenzie S, Thaler HT, Dufour P, Little C, Dellaquila C, Ellis S, Clarkson B (1983) Treatment of acute lymphoblastic leukemia in adults: results of the L-10 and L-10M protocols. J Clin Oncol 1: 462–470
Hoelzer D, Thiel E, Löffler H, Bodenstein H, Plaumann L, Büchner T, Urbanitz D, Koch P, Heimpel H, Engelhardt L, Müller U, Wendt FC, Sodomann H, Rühl H, Herrmann F, Ka-both W, Dietzfelbinger H, Pralle H, Lunscken Ch, Hellriegel KP, Spors S, Nowrousian RM, Fischer J, Fülle H, Miltrou PS, Pfreundschuh M, Görg Ch, Emmerich B, Queisser W, Meyer P, Labedski L, Essers U, König H, Mainzer K, Herrmann R, Messerer D, Zwingers T (1984) Intensified therapy in acute lymphoblastic leukemia and acute undifferentiated leukemia in adults. Blood 64: 38–47
Gingrich RD, Burns CP, Armitage JO, Aunan SB, Edwards RW, Dick FR, Maguire LC, Leimert JT (1985) Long-term relapse free survival in adult acute lymphoblastic leukemia. Cancer Treat Rep 69: 153–160
Nesbit Jr ME, Woods WG, Weisdorf D, Filipovich A, Lebien TW, Kersey JH, Ramsay NKC (1985) Bone marrow transplantation for acute lymphocytic leukemia. Sem Oncol 12: 149–159
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© 1987 Springer-Verlag Berlin Heidelberg
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Fière, D. et al. (1987). Treatment of Adult Acute Lymphoblastic Leukemia. Preliminary Results of a Trial from the French Group. In: Büchner, T., Schellong, G., Hiddemann, W., Urbanitz, D., Ritter, J. (eds) Acute Leukemias. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 30. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71213-5_19
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DOI: https://doi.org/10.1007/978-3-642-71213-5_19
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