Abstract
We present our experience on the use of fludarabine, cytarabine, granulocyte colony-stimulating factor in combination with Bortezomib. In total, 13 children with relapsed/refractory leukemia (acute lymphoblastic leukemia=9 and acute myeloid leukemia=4) were included from January 2018 to May 2019. Culture-positive sepsis and intensive care unit admission rates were 38% and 30%, respectively, with no postchemotherapy mortality in this cohort. Morphologic remission was documented in 92% and negative minimal residual disease was achieved in 61%, with 100% remission in those with acute myeloid leukemia. These results bear significant relevance in developing countries where multidrug-resistant sepsis is on the rise.
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
MeSH terms
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Adolescent
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Bortezomib / administration & dosage
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Child
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Child, Preschool
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Cytarabine / administration & dosage
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Drug Resistance, Multiple, Bacterial / drug effects*
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Drug Resistance, Neoplasm / drug effects*
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Female
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Follow-Up Studies
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Granulocyte Colony-Stimulating Factor / administration & dosage
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Humans
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Leukemia, Myeloid, Acute / drug therapy*
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Leukemia, Myeloid, Acute / pathology
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Male
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Neoplasm Recurrence, Local / drug therapy*
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Neoplasm Recurrence, Local / pathology
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
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Prognosis
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Retrospective Studies
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Vidarabine / administration & dosage
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Vidarabine / analogs & derivatives
Substances
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Cytarabine
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Granulocyte Colony-Stimulating Factor
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Bortezomib
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Vidarabine
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fludarabine