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Induction Consolidotion Noint.nonc. I<br />

1<br />

I 11<br />

LSA 2 L 2 Protocoi<br />

i<br />

( WOlln.r) Croniol<br />

Irrodiotion<br />

Irrodifltion<br />

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or 198 Au i.th<br />

I. th. , NTX<br />

t H H H<br />

!<br />

i.V.<br />

'CYCL.1200mg/n/tCYCL.600mg/m 2<br />

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e<br />

lIIII .. ,<br />

""<br />

-<br />

I<br />

p.os. ~P"d. - 6-TG =6-NPtNTJI I I = ;<br />

Fig. 3. Outline of therapy for study LSA 2 L 2 (WoHner et al.)<br />

Ooys ., 21 35 63<br />

.,.,<br />

91 lOS 119 133 74., 161<br />

i I i I I i I I I I i I i i I I i I I i i-'<br />

W •• b 1 2 3 , 5 6 ., 8 9 10 " 12 13 " 15 16 I., 18 19 20 21 22 23<br />

=<br />

,<br />

i<br />

above. At this time only preliminary results are<br />

available for these studies. The cumulative<br />

complete remission rate at 2 years is 0.79 for<br />

111 standard risk patients and 0.50 for 58<br />

children with high risk leukemia. Thus far the<br />

outcome has been significantly worse for<br />

patients with leukocyte counts exceeding<br />

100,000 cells/mm 3 (Fig. 6), with mediastinal<br />

masses (Fig. 7), and in children under the age<br />

of 2 and above the age of 10 years (Fig. 8). The<br />

significance of T -cell lymphoblasts and of<br />

initial CNS leukemia could not be calculated.<br />

Cumulali"" complele remission<br />

Cumulalive comp/ele remiuion<br />

r~~~~-lRfSludyY}<br />

Im] ] 1<br />

HR (LSAZ lZ)<br />

o.H.t 0.01<br />

0.2~------4-------~--------4-------~<br />

a+~-----~---~-----~---~<br />

o.z~---~----~----~---~<br />

Cumulalive J"urvival<br />

HR .. high riJ'/( group<br />

lR .. low rir/( roup<br />

Cumulalive sundval<br />

HR - high riJ'/( group<br />

lR • /ow riJ'/( roup<br />

0.11-----";=1<br />

11ft} 9 1 1<br />

LR<br />

0'6r-------~--~.,<br />

o.66t 0. 09<br />

25<br />

ZZ(mf 9 f ~<br />

O.~I----------+----+--- O."f.t 0.0'/ HR<br />

tU<br />

HRfLSAZ l 2 )<br />

02r-----+-----+-----;----~<br />

0.2<br />

2<br />

Years<br />

Fig. 4. Survival and relapse-free survival in childhood<br />

acute lymphocytic leukemia, study IV<br />

J<br />

0<br />

0<br />

Y e<br />

Z<br />

a<br />

r<br />

s<br />

3 +<br />

Fig. 5. Survival and relapse-free survival in childhood<br />

acute lymphocytic leukemia, studies V and<br />

LSA 2 L 2<br />

117

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