Temozolomide and cisplatin in relapsed/refractory acute leukemia

<p>Abstract</p> <p>Cisplatin depletes MGMT and increases the sensitivity of leukemia cells to temozolomide. We performed a phase I study of cisplatin and temozolomide in patients with relapsed and refractory acute leukemia. Fifteen patients had AML, 3 had ALL, and 2 had biphenotypi...

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Bibliographic Details
Main Authors: Rasul Muhammad, Ponce Doris, Katragadda Sreedhar, Seiter Karen, Ahmed Nasir
Format: Article
Language:English
Published: BMC 2009-05-01
Series:Journal of Hematology & Oncology
Online Access:http://www.jhoonline.org/content/2/1/21
Description
Summary:<p>Abstract</p> <p>Cisplatin depletes MGMT and increases the sensitivity of leukemia cells to temozolomide. We performed a phase I study of cisplatin and temozolomide in patients with relapsed and refractory acute leukemia. Fifteen patients had AML, 3 had ALL, and 2 had biphenotypic leukemia. The median number of prior chemotherapy regimens was 3 (1–5). Treatment was well tolerated up to the maximal doses of temozolomide 200 mg/m<sup>2</sup>/d times 7 days and cisplatin 100 mg/m<sup>2 </sup>on day 1. There was one complete remission in this heavily pretreated patient population. Five of 20 (25%) patients demonstrated a significant reduction in bone marrow blasts.</p>
ISSN:1756-8722