PMID- 7683357 OWN - NLM STAT- MEDLINE DCOM- 19930601 LR - 20181130 IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 7 Suppl 1 DP - 1993 May TI - Preliminary results with 5-aza-2'-deoxycytidine (DAC)-containing chemotherapy in patients with relapsed or refractory acute leukemia. The EORTC Leukemia Cooperative Group. PG - 49-50 AB - Twenty two patients with acute relapsed leukemia (AML 20, ALL 2) were treated with 5-aza-2'-deoxycytidine (DAC) and either m-amsacrine or idarubicin. DAC was administered as a 6-h infusion, every 12 h for 6 days in combination with either m-amsacrine (120 mg/m2) as a 1-h infusion on days 6 and 7 (n = 19) or idarubicin (12 mg/m2) as a 15-min infusion on days 5, 6 and 7 (n = 3). Thirteen patients (59%) achieved a complete remission. The treatment was complicated by nausea, vomiting, diarrhoea with signs of peritonitis (n = 9), weight loss (n = 7), cerebellar or cerebral toxicity (n = 2), gastrointestinal bleeding (n = 3), liver toxicity (n = 2) and prolonged myelosuppression. Median duration of remission was 4 months (range 1-30). The preliminary data show that DAC is an anti-leukemic agent, comparable to high dose Ara-C with comparable severe toxicity. FAU - Willemze, R AU - Willemze R AD - Department of Hematology, Leiden University Medical Center, The Netherlands. FAU - Archimbaud, E AU - Archimbaud E FAU - Muus, P AU - Muus P LA - eng PT - Journal Article PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antineoplastic Agents) RN - 00DPD30SOY (Amsacrine) RN - 776B62CQ27 (Decitabine) RN - M801H13NRU (Azacitidine) RN - ZRP63D75JW (Idarubicin) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Amsacrine/administration & dosage MH - Antineoplastic Agents/*therapeutic use MH - Azacitidine/*analogs & derivatives/therapeutic use MH - Decitabine MH - Female MH - Humans MH - Idarubicin/administration & dosage MH - Leukemia, Myeloid/*drug therapy MH - Male MH - Middle Aged MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy MH - Recurrence MH - Remission Induction EDAT- 1993/05/01 00:00 MHDA- 1993/05/01 00:01 CRDT- 1993/05/01 00:00 PHST- 1993/05/01 00:00 [pubmed] PHST- 1993/05/01 00:01 [medline] PHST- 1993/05/01 00:00 [entrez] PST - ppublish SO - Leukemia. 1993 May;7 Suppl 1:49-50.