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10.1038/bmt.2012.51

http://scihub22266oqcxt.onion/10.1038/bmt.2012.51
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C4893814!4893814 !22426752
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suck abstract from ncbi


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pmid22426752
      Bone+Marrow+Transplant 2012 ; 47 (11 ): 1448-54
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  • A phase I/II study of CY and topotecan in patients with high-risk malignancies undergoing autologous hematopoietic cell transplantation: the St Jude long-term follow-up #MMPMID22426752
  • Kasow KA ; Stewart CF ; Barfield RC ; Wright NL ; Li C ; Srivastava DK ; Leung W ; Horwitz EM ; Bowman LC ; Handgretinger R ; Hale GA
  • Bone Marrow Transplant 2012[Nov]; 47 (11 ): 1448-54 PMID22426752 show ga
  • Fifty-eight consecutive children with high-risk malignancies were treated with CY, and targeted topotecan followed by autologous hematopoietic cell transplantation (AHCT) in a phase I/II Institutional Review Board-approved study. Twelve participants enrolled in phase I; 5 received dose level 1 of topotecan 3?mg/m(2) per day, with subsequent doses targeted to total systemic exposure of 100±20?ng?h/mL and CY 750?mg/m(2) per day. Seven participants received dose level 2. CY dose escalation to 1?g/m(2) per day was considered excessively toxic; one died from irreversible veno-occlusive disease and two experienced reversible hepatotoxicity. These adverse events halted further dose escalation. A total of 46 participants were enrolled in phase II; results are on the 51 participants who received therapy at dose level 1, the maximum tolerated dose. Diagnoses included neuroblastoma (26), sarcoma (9), lymphoma (8), brain tumors (5), Wilms (2) and retinoblastoma (1). Twenty participants (39.3%) were in ?CR1 at enrollment; median age was 5.1 years. Most common non-hematological grade III-IV toxicity was gastrointestinal (n=37). Neutrophil and platelet engraftment occurred at a median of 15 and 24 days, respectively. Twenty-six (51%) participants remain alive at a median of 6.4 years after AHCT. CY 3.75?g/m(2), and targeted topotecan followed by AHCT are feasible and produce acceptable toxicity in children with high-risk malignancies.
  • |Adolescent [MESH]
  • |Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Combined Modality Therapy [MESH]
  • |Cyclophosphamide/administration & dosage/adverse effects [MESH]
  • |Hematopoietic Stem Cell Transplantation/*methods [MESH]
  • |Humans [MESH]
  • |Neoplasms/*drug therapy/*surgery [MESH]
  • |Risk Factors [MESH]
  • |Survival Rate [MESH]
  • |Topoisomerase I Inhibitors/administration & dosage/adverse effects [MESH]
  • |Topotecan/administration & dosage/adverse effects [MESH]


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