High-dose cytosine arabinoside in multiple myeloma

Hagop Kantarjian, Robert Dreicer, Barthel Barlogie, William Plunkett, Raymond Alexanian

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

In 14 patients with advanced refractory multiple myeloma, the effect of high-dose cytosine arabinoside (ara-C) administration was evaluated. There was one partial remission among 13 evaluable patients who received 2 g/m2 intravenously over 2 hr every 12 hr, for a total of 2-8 g/m2 per course, repeated every 3-4 weeks. Myelosuppression constituted the dose-limiting toxicity, causing two treatment-related deaths from infection and bleeding. Prior extensive therapy, a low percentage of cells in S phase and low levels of intracellular ara-CTP accumulation in the bone marrow could explain the resistance of myeloma to this treatment.

Original languageEnglish (US)
Pages (from-to)227-231
Number of pages5
JournalEuropean Journal of Cancer and Clinical Oncology
Volume20
Issue number2
DOIs
StatePublished - Feb 1984

ASJC Scopus subject areas

  • Oncology

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