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Clinical Study of Cyclocytidine in Children With Acute Leukemia
Authors:ISE, TOHRU   OHTSUKI, HIROSHI   AKATSUKA, JUNICHI   TSUKIMOTO, ICHIRO   HANAWA, YOSHIYUK.I   NAGAO, TAKESHI   ISHIKAWA, AKIRA   KOIDE, RYO   TAGUCHI, NOBUYUKl   KUDO, HTSAO   MATSUYAMA, SHUSUKE   NISHIMURA, KOZO   OHMI, KEIKO   SHIKE, SEIJCHIRO   UEDA, YUTAKA   YOSHLKAWA, TOSHIO
Affiliation:1Department of Pediatrics National Cancer Center Hospital, Tokyo
2Department of Pediatrics National Cancer Center Hospital, Tokyo
3Department of Pediatrics Jikei University, School of Medicine, Tokyo
4Department of Pediatrics Toho University Hospital, Tokyo
5Department of Oncology and Hematology Kanagawa Children's Medical Center, Yokohama
6Department of Oncology and Hematology Kanagawa Children's Medical Center, Yokohama
7Department of Pediatrics Showa University, School of Medicine, Tokyo
8Department of Hematology National Children's Hospital, Tokyo
9Department of Hematology National Children's Hospital, Tokyo
10Department of Pediatrics Kyorin University, School of Medicine, Tokyo
11Department of Pediatrics Yokohama City University, School of Medicine, Yokohama
12Department of Pediatrics St. Luke's Tfi-ternational Hospital, Tokyo
13Department of Pediatrics University of Tokyo, Faculty of Medicine, Tokyo
14Department of Pediatrics University of Tokyo, Faculty of Medicine, Tokyo
15Department of Pediatrics Nippon Medical School, Tokyo
16Department of Pediatrics Juntendo University, School of Medicine, Tokyo
Abstract:One hundred children with various types of leukemia were given113 treatments with cyclocytidine. Eighty-four of these patientshad been treated previously. Cyclocytidine was daily given intravenouslyfor four to 11 consecutive days in amounts of 20mg/kg or 500mg/m2.The treatment course . was repeated, when necessary. Complete remission was obtained in one case of monocytic leukemiaamong six treated by cyclocytidine alone. Combined therapy withsteroid hormone gave 14 complete and eight partial remissionsin 38 cases, the remission rate standing at 58%. There were30 complete and 16 partial remissions in 69 cases treated withcombination therapy with two or more agents, and the remissionrate was 67%. Transient pains in the region of the parotid gland were themost characteristic toxicity. GI tract symptoms were less commonand milder than those of cytosine arabinoside. Dizziness wasnoticed in three cases. Nine children with acute leukemia who were given cyclocytidineorally showed no remarkable response. Cyclocytidine, given parenterally, seems beneficial for varioustypes of leukemia in children.
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