Please use this identifier to cite or link to this item: https://doi.org/10.1155/2009/547582
Title: Outpatient-based therapy of oral fludarabine and subcutaneous alemtuzumab for asian patients with relapsed/refractory chronic lymphocytic leukemia
Authors: Hwang, W.Y.K. 
Dearden, C.
Loh, Y.S.M.
Linn, Y.C.
Tien, S.L.
Teoh, G.K.H. 
How, G.F. 
Heng, K.K. 
Goh, Y.T. 
Lee, L.H. 
Issue Date: 2009
Citation: Hwang, W.Y.K., Dearden, C., Loh, Y.S.M., Linn, Y.C., Tien, S.L., Teoh, G.K.H., How, G.F., Heng, K.K., Goh, Y.T., Lee, L.H. (2009). Outpatient-based therapy of oral fludarabine and subcutaneous alemtuzumab for asian patients with relapsed/refractory chronic lymphocytic leukemia. Advances in Hematology 2009 : -. ScholarBank@NUS Repository. https://doi.org/10.1155/2009/547582
Abstract: Background. Intravenous alemtuzumab and fludarabine are effective in combination for the treatment of chronic lymphocytic leukemia (CLL), but require hospital visits for intravenous injection. We performed a pilot study to assess the safety and efficacy of outpatient-based oral fludarabine with subcutaneous alemtuzumab (OFSA) for the treatment of relapsed/refractory CLL. Results. Depending on their response, patients were given two to six 28-day cycles of subcutaneous alemtuzumab 30mg on days 1,3, and 5 and oral fludarabine 40mg/ m2 /day for 5 days. Median patient age was 74. The lymphocyte counts of all five patients fell after the 1st cycle of treatment and reached normal/low levels on completion of 2 to 6 cycles of therapy. Platelet counts and hemoglobin were unaffected. All five patients achieved complete hematological remission, while two attained minimal residual disease negativity on 4-color flow cytometry. Conclusions. Our OFSA regimen was effective in elderly Asian patients with relapsed/refractory CLL, and it should be investigated further. © 2009 William Y. K. Hwang et al.
Source Title: Advances in Hematology
URI: http://scholarbank.nus.edu.sg/handle/10635/129913
ISSN: 16879104
DOI: 10.1155/2009/547582
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