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Fludarabine therapy in macroglobulinemic lymphoma
HM Kantarjian, R Alexanian, CA Koller, R Kurzrock and MJ Keating
Department of Hematology, University of Texas M.D. Anderson Cancer Center,
Houston 77030.
Fludarabine, a fluorinated analogue of adenine, was given to 11 patients
with macroglobulinemic lymphoma, all but one having failed prior standard
chemotherapy. Five patients (45%) responded with more than a 50% reduction
of immunoglobulin M (IgM) tumor mass for a projected median duration of
longer than 1 year. The onset of remission was usually slow, with a median
tumor halving time of 5.2 months in responding patients, emphasizing the
importance of repeated courses of treatment. Fludarabine is an important
new agent effective against macroglobulinemic lymphoma, and should be
evaluated further in combination with other active modalities.
Volume 75,
Issue 10,
pp. 1928-1931,
05/15/1990
Copyright © 1990 by The American Society of Hematology

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