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Dexverapamil as resistance modifier in acute myeloid leukaemia

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Abstract

In order to evaluate dexverapamil as a resistance modifier in acute myeloid leukaemia, we have added dexverapamil (4×300 mg/d orally) to DA chemotherapy (daunorubicin, cytosine arabinoside) in six patients with acute myeloid leukaemia. Two patients (1 first and 1 second relapse) achieved complete remission and two patients (1 refractory disease, 1 third relapse) showed some improvement. One patient in first relapse died due to disease progression and one drug-refractory patient remained refractory. The peak plasma levels of dexverapamil and nordexverapamil ranged from about 600 to 4100 ng/ml and from 450 to 1130 ng/ml, respectively. Major sideeffects were hypotension and sinus bradycardia. These results show the need for further evaluation of dexverapamil as a resistance modifier in acute myeloid leukaemia.

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Pirker, R., Zöchbauer, S., Kupper, H. et al. Dexverapamil as resistance modifier in acute myeloid leukaemia. J Cancer Res Clin Oncol 121 (Suppl 3), R21–R24 (1995). https://doi.org/10.1007/BF02351067

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