Liposomal daunorubicin (daunoxome) and polyethylated glycol conjugated asparaginase (PEG-ASPA) in children with relapsed and refractory acute lymphoblastic leukemia treated on compassionate basis
Joint Authors
Sidqi, Muhammad
Vannier, Jean Pierre
Leverger, Guy
Yaqubin, Karimah
Adjaud, Dalilah
Vilmer, Etienne
Baruchel, Andre
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 20, Issue 1 (31 Mar. 2008), pp.55-62, 8 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2008-03-31
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Topics
Abstract EN
Background: Daunoxome (DNX) is an encapsulated form of daunorubicin in liposomal vesicles with suggested better pharmacokinetics, pharmacodynamics and lesser cardio toxicity than the free form.
Polyethyl glycol asparaginase (PEG-ASPA), a modified form of L-asparaginase, has better activity and lesser immunogenicity than its native molecule.
Aim: To evaluate on a compassionate basis, the combination of Daunoxome and PEG-ASPA, as regard to efficacy and toxicity, as a salvage treatment in refractory/ relapsed childhood ALL.
Methods: The combination of these 2 drugs were used in 9 multiple relapsed or refractory ALL children on the basis of: DNX weekly 100mg/m2 D1, 8, 15.
PEG-ASPA single, 2500IU/m2 dose D15.
Vinca alkaloids and corticosteroids were associated.
Results: Median hospital stay was 4 days (0-55).
Complications: Neutropenia grade IV n=4, grade III infection n=6, grade II cardiac toxicity n=1, grade III allergy, grade III hemostasis disorders, thrombosis, n=1 respectively.
All patients achieved complete remission (CR) except one who died from disease progression.
8 patients were subjected to hematopoietic stem cell transplantatation (HSCT).
Two patients of them are alive and well, 4 died from transplant related causes and 2 from disease progression.
Conclusion: Salvage treatment containing DNX and PEG-ASPA, of small sample childhood ALL with very Journal of the Egyptian Nat.
Cancer Inst., Vol.
20, No.
1, March: 55-62, 2008 Liposomal Daunorubicin (Daunoxome) and Polyethylated Glycol Conjugated Asparaginase (PEG-ASPA) in Children with Relapsed and Refractory Acute Lymphoblastic Leukemia Treated on Compassionate Basis MOHAMED SEDKI, M.D.1; JEAN-PIERRE VANNIER, M.D.2; GUY LEVERGER, M.D.3; KARIMA YAKOUBEN, M.D.1; DALILA ADJAOUD, M.D.1; ETIENNE VILMER, M.D.1 and ANDRÉ BARUCHEL, M.D.1 The Departments of 1Service d’Hématologie-Immunologie Pédiatrique, Hôpital Robert Debré, Paris, France.
2Service d’Hématologie-Oncologie Pédiatrique Hôpital Charles Nicolle CHU Rouen, France and 3Service d’Hématologie-Oncologie Pédiatrique, Hôpital d’Enfants Armand Trousseau 75012 Paris, France.
55 advanced disease, is feasible as regard toxicity and response rate allowing to HSCT and possible cure.
American Psychological Association (APA)
Sidqi, Muhammad& Vannier, Jean Pierre& Leverger, Guy& Yaqubin, Karimah& Adjaud, Dalilah& Vilmer, Etienne…[et al.]. 2008. Liposomal daunorubicin (daunoxome) and polyethylated glycol conjugated asparaginase (PEG-ASPA) in children with relapsed and refractory acute lymphoblastic leukemia treated on compassionate basis. Journal of the Egyptian National Cancer Institute،Vol. 20, no. 1, pp.55-62.
https://search.emarefa.net/detail/BIM-355788
Modern Language Association (MLA)
Sidqi, Muhammad…[et al.]. Liposomal daunorubicin (daunoxome) and polyethylated glycol conjugated asparaginase (PEG-ASPA) in children with relapsed and refractory acute lymphoblastic leukemia treated on compassionate basis. Journal of the Egyptian National Cancer Institute Vol. 20, no. 1 (Mar. 2008), pp.55-62.
https://search.emarefa.net/detail/BIM-355788
American Medical Association (AMA)
Sidqi, Muhammad& Vannier, Jean Pierre& Leverger, Guy& Yaqubin, Karimah& Adjaud, Dalilah& Vilmer, Etienne…[et al.]. Liposomal daunorubicin (daunoxome) and polyethylated glycol conjugated asparaginase (PEG-ASPA) in children with relapsed and refractory acute lymphoblastic leukemia treated on compassionate basis. Journal of the Egyptian National Cancer Institute. 2008. Vol. 20, no. 1, pp.55-62.
https://search.emarefa.net/detail/BIM-355788
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 62
Record ID
BIM-355788