PMID- 21877883 OWN - NLM STAT- MEDLINE DCOM- 20120803 LR - 20211020 IS - 1029-2403 (Electronic) IS - 1042-8194 (Print) IS - 1026-8022 (Linking) VI - 53 IP - 3 DP - 2012 Mar TI - Outpatient consolidation treatment with clofarabine in a phase 2 study of older adult patients with previously untreated acute myelogenous leukemia. PG - 435-40 LID - 10.3109/10428194.2011.616960 [doi] AB - This report describes outpatient (OP) administration of clofarabine in older patients (>/=60 years) with untreated acute myelogenous leukemia (AML). Overall, 112 patients underwent clofarabine induction. Clofarabine was administered to 35 OPs for a total of 72 OP cycles, with 81% of these cycles representing consolidation treatment. Median length of hospital stay was 0-6 days and 5-25 days across OP and inpatient (IP) cycles, respectively. The most common adverse events (AEs) were nausea, vomiting, diarrhea, febrile neutropenia, edema, hypokalemia and pneumonia. The overall frequency of treatment-emergent grade >/=3 AEs and serious AEs was generally not different with IP or OP administration of clofarabine. No deaths were reported within 30 days following OP or IP consolidation cycles. In the appropriately selected older patient, OP administration of clofarabine consolidation appears feasible, is as well tolerated as IP administration and has potential to contribute to the quality of life in elderly patients with AML. FAU - Claxton, David AU - Claxton D AD - Division of Hematology/Oncology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA. dclaxton@hmc.psu.edu FAU - Erba, Harry P AU - Erba HP FAU - Faderl, Stefan AU - Faderl S FAU - Arellano, Martha AU - Arellano M FAU - Lyons, Roger M AU - Lyons RM FAU - Kovacsovics, Tibor AU - Kovacsovics T FAU - Gabrilove, Janice AU - Gabrilove J FAU - Huebner, Dirk AU - Huebner D FAU - Gandhi, Pritesh J AU - Gandhi PJ FAU - Kantarjian, Hagop AU - Kantarjian H CN - CLASSIC II Investigators LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Clinical Trial, Phase II PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111024 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Adenine Nucleotides) RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Arabinonucleosides) RN - 762RDY0Y2H (Clofarabine) SB - IM MH - Acute Kidney Injury/chemically induced MH - Adenine Nucleotides/administration & dosage/adverse effects/*therapeutic use MH - Aged MH - *Ambulatory Care MH - Antimetabolites, Antineoplastic/administration & dosage/adverse effects/*therapeutic use MH - Arabinonucleosides/administration & dosage/adverse effects/*therapeutic use MH - Clofarabine MH - *Consolidation Chemotherapy MH - Drug Administration Schedule MH - Female MH - Gastrointestinal Diseases/chemically induced MH - Humans MH - Hypokalemia/chemically induced MH - Inpatients/statistics & numerical data MH - Length of Stay MH - Leukemia, Myeloid, Acute/*drug therapy MH - Male MH - Middle Aged MH - Neutropenia/chemically induced/complications MH - Outpatients/statistics & numerical data MH - Pneumonia/etiology MH - Quality of Life PMC - PMC5556977 MID - NIHMS888478 COIS- Potential conflict of interest: Disclosure forms provided by the authors are available with the full text of this article at www.informahealthcare.com/lal. EDAT- 2011/09/01 06:00 MHDA- 2012/08/04 06:00 PMCR- 2017/08/15 CRDT- 2011/09/01 06:00 PHST- 2011/09/01 06:00 [entrez] PHST- 2011/09/01 06:00 [pubmed] PHST- 2012/08/04 06:00 [medline] PHST- 2017/08/15 00:00 [pmc-release] AID - 10.3109/10428194.2011.616960 [doi] PST - ppublish SO - Leuk Lymphoma. 2012 Mar;53(3):435-40. doi: 10.3109/10428194.2011.616960. Epub 2011 Oct 24.