Table 2.

Clinical outcomes after therapy with forodesine




BM disease, %

WBC count, × 109/L

Absolute PB leukemia, × 109/L


Patient no.
No. of courses
Before
After
Before
After
Before
After
Other observations
Overall response, course 1
1   1   94   12   4.4   6.1   Detectable only by flow cytometry   Detectable only by flow cytometry   25% decrease in adenopathy, pleural effusion   SD  
2   2   55   69   21.3   45.8   92.2   20.2   —   SD  
3   1   90   ND   87.1   200.5*  44.4   26.6*  No change LN/spleen   PD  
4   1   78   97  14.8   0.7   10.9   0.14   —   PD  
5
 
4
 
91
 
19
 
150.6
 
17.2
 
102.4
 
3.96
 
No change LN/spleen
 
SD
 



BM disease, %

WBC count, × 109/L

Absolute PB leukemia, × 109/L


Patient no.
No. of courses
Before
After
Before
After
Before
After
Other observations
Overall response, course 1
1   1   94   12   4.4   6.1   Detectable only by flow cytometry   Detectable only by flow cytometry   25% decrease in adenopathy, pleural effusion   SD  
2   2   55   69   21.3   45.8   92.2   20.2   —   SD  
3   1   90   ND   87.1   200.5*  44.4   26.6*  No change LN/spleen   PD  
4   1   78   97  14.8   0.7   10.9   0.14   —   PD  
5
 
4
 
91
 
19
 
150.6
 
17.2
 
102.4
 
3.96
 
No change LN/spleen
 
SD
 

No improvement in transfusion requirements were observed (all patients were transfusion-dependent prior to forodesine treatment). Details are provided for course 1 only, with posttherapy assessments at day 21 unless otherwise indicated. Refer to text and Figure 2A-C for additional details.

SD indicates stable disease; PD, progressive disease; ND, not done.

*

Day 10

Day 14 bone marrow aspiration showed 3% blasts without morphologically detectable LL cells

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