High-dose idarubicin in combination with Ara-C in patients with relapsed or refractory acute lymphoblastic leukemia: a pharmacokinetic and clinical study

作者: Alessandra Tedeschi , Marco Montillo , Elena Strocchi , Anna Maria Cafro , Elisabetta Tresoldi

DOI: 10.1007/S00280-006-0332-4

关键词: MedicineRefractoryAcute lymphocytic leukemiaCerebrospinal fluidIdarubicinPharmacologyMetaboliteCytarabinePharmacokineticsAntimetabolite

摘要: Objective High dose (HD) Ara-C combined with a single HD idarubicin (IDA) is an efficient and safe salvage regimen for patients refractory or relapsed acute lymphoblastic leukemia as indicated by phase II studies. No data are available on the pharmacokinetics of IDA after rapid intravenous infusion. An open pharmacokinetic clinical study was performed to evaluate antileukemic efficacy, investigate presence its reduced metabolite idarubicinol (IDAol) in cerebrospinal fluid (CSF) treated HD-IDA.

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