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Superhigh doses of dexamethasone in the treatment of refractory forms of acute lymphoblast leukemia of adults
- Authors: Parovichnikova EN1, Savchenko VG1, Isaev VG1, Sokolov AN1, Moskov VI1, Klyasova GA1, Galtseva IV1, Ustinova EN1, Gribanova EO1, Lapin VA1, Zagoskina TP1
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- Issue: Vol 78, No 7 (2003)
- Pages: 21-24
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/33344
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Abstract
vincristin, a-asparaginase) in patients with refractory acute lymphoblastic leukemia (ALE).
Material and methods. A pilot multicenter trial with participation of hematological departments of Hematological
Research Center (Moscow), municipal hospital N 1 (Krasnoyarsk), municipal hospital N\8
(Yaroslavl), Research Institute of Hematology and Blood Transfusion (Kirov) included 34 patients (jtQ
patients with late recurrences, 24 - with primary resistant forms, early and secondary recurrences)
Results. In patients with late ALL recurrences a complete remission (CR) was achieved in 70% cases,
the median being 10 months. In patients with primary resistant ALL, early and secondary recurrences
CR reached 37.5%, the median was 14 months.
Conclusion. The program HiDexa is highly effective : overall complete remission rate reached 47%,
median of complete remission duration was 10 months. Dexamethasone in high doses must be used only
intravenously.
About the authors
E N Parovichnikova
V G Savchenko
V G Isaev
A N Sokolov
V I Moskov
G A Klyasova
I V Galtseva
E N Ustinova
E O Gribanova
V A Lapin
T P Zagoskina
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