Adult T-cell leukemia-lymphoma - historical
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The purpose of this page is to provide references to regimens that are obsolete, outdated, or of historical interest only. As a general rule, this includes the inferior arm(s) of a randomized study, unless said regimens continue to be recommended by trustworthy sources such as the NCCN Guidelines. Is there a regimen missing from this list? See the main ATCLL page for current regimens.
2 regimens on this page
2 variants on this page
|
Untreated
Interferon alfa-2b & Zidovudine
Regimen
| Study | Dates of enrollment | Evidence |
|---|---|---|
| Gill et al. 1995 | NR | Non-randomized, fewer than 20 pts |
Immunotherapy
- Interferon alfa-2b (Intron-A) as follows:
- Cycle 1: 5,000,000 units SC once per day on days 1 to 7
- Cycles 2 to 52: 10,000,000 units SC once per day on days 1 to 7
- Zidovudine (Retrovir) 200 mg PO five times per day
7-day cycle for up to 52 cycles or at least 4 cycles past documented CR
References
- Gill PS, Harrington W Jr, Kaplan MH, Ribeiro RC, Bennett JM, Liebman HA, Bernstein-Singer M, Espina BM, Cabral L, Allen S, Kornblau S, Pike MC, Levine AM. Treatment of adult T-cell leukemia-lymphoma with a combination of interferon alfa and zidovudine. N Engl J Med. 1995 Jun 29;332(26):1744-8. link to original article contains dosing details in manuscript PubMed
LSG15
Regimen
| Study | Dates of enrollment | Evidence |
|---|---|---|
| Yamada et al. 2001 (JCOG 9303) | 1994-1996 | Phase 2 |
Note: Ranimustine is not available in the United States and is approved only in Japan. This regimen was notable for excess CNS relapses and was subsequently replaced by mLSG15.
Chemotherapy
- Vincristine (Oncovin) 1 mg/m2 (maximum dose of 2 mg) IV once on day 1
- Cyclophosphamide (Cytoxan) 350 mg/m2 IV once on day 1
- Doxorubicin (Adriamycin) 40 mg/m2 IV once on day 1, then 30 mg/m2 IV once on day 8
- Ranimustine (Cymerin) 60 mg/m2 IV once on day 8
- Vindesine (Eldisine) 2.4 mg/m2 IV once on day 15
- Etoposide (Vepesid) 100 mg/m2 IV once per day on days 15 to 17
- Carboplatin (Paraplatin) 250 mg/m2 IV once on day 15
Glucocorticoid therapy
- Prednisone (Sterapred) 40 mg/m2 PO once per day on days 1, 8, 15 to 17
28-day cycle for 7 cycles
References
- JCOG 9303: Yamada Y, Tomonaga M, Fukuda H, Hanada S, Utsunomiya A, Tara M, Sano M, Ikeda S, Takatsuki K, Kozuru M, Araki K, Kawano F, Niimi M, Tobinai K, Hotta T, Shimoyama M. A new G-CSF-supported combination chemotherapy, LSG15, for adult T-cell leukaemia-lymphoma: Japan Clinical Oncology Group Study 9303. Br J Haematol. 2001 May;113(2):375-82. link to original article PubMed