Table 5.

Response to DLT for recurrent ALL after BMT: EBMT-95 survey


Treatment

No. of patients in CR/patients studied

Survival time, d
No chemotherapy   1/8   417  
Chemotherapy with CR   15/20   55, 59, 110, 122+, 132, 158, 185, 192, 241, 361, 464, 701+, 721, 1053, 1197  
Chemotherapy without CR
 
2/12
 
367, 371+
 

Treatment

No. of patients in CR/patients studied

Survival time, d
No chemotherapy   1/8   417  
Chemotherapy with CR   15/20   55, 59, 110, 122+, 132, 158, 185, 192, 241, 361, 464, 701+, 721, 1053, 1197  
Chemotherapy without CR
 
2/12
 
367, 371+
 

Following allogeneic SCT, 40 patients in the EBMT-95 cohort were treated with DLT. One group of 8 patients received no chemotherapy prior to DLT; only one of these individuals achieved complete remission. Following chemotherapy, 20 patients entered complete remission; in 5 patients ALL had relapsed prior to DLT. Their survival times after DLT revealed a broad time span, with most responses lasting more than 100 days. Of 12 patients who failed to achieve complete remission with chemotherapy, 2 benefited from DLT, achieving survival times of more than one year.

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