Skip to main content

Antileukemic Activity In Vitro of Mitoxantrone and Anthracyclines in Untreated Childhood Acute Lymphoblastic Leukemia

  • Conference paper
Acute Leukemias IV

Abstract

Mitoxantrone (MITOX) is an anthracenedione with close resemblance to the anthracyclines and has shown antitumor effect in adult acute leukemia. Clinical data suggest that a) MITOX is not completely cross-resistant with anthracyclines [1,2]; b) The antileukemic activity of MITOX is similar to [3] or even higher [4] than that of anthracyclines and 3) MITOX may be less (cardio-) toxic than anthracyclines [5]. Reports about MITOX in childhood leukemia are restricted to refractory/relapsed patients [6–9]. To determine the possible value of MITOX in childhood acute lymphoblastic leukemia (ALL) at initial diagnosis we performed an in vitro phase II study. A comparison was made between results obtained with MITOX and the anthracyclines DNR and doxorubicin (DOX). We used the short-term, semi-automated MTT assay [10,11].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Paciucci PA, Cuttner J, Holland JF (1984) Mitoxantrone as a single agent and in combination chemotherapy in patients with refractory acute leukemia. Sem Oncol 11: 36–40

    CAS  Google Scholar 

  2. Hiddeman W, Büchner TH, Heil G, Schumacher K, Diedrich H, Maschmeyer G, Ho AD, Planker M, Gcrith-Stolzenburg S, Donhuijsen-Ant R, Lengfelder E, Hoelzer D (1990) Treatment of refractory acute lymphoblastic leukemia in adults with high dose cytosine arabinoside and mitoxantrone (HAM). Leukemia 4: 637–640

    Google Scholar 

  3. Cuttner J, Mick R, Budman DR, Mayer RJ, Lee EJ, Henderson ES, Weiss RB, Paciucci PA, Sobol R, Davey F, Bloomfield C, Schiffer C (1991) Phase III trial of brief intensive treatment of adult acute lymphocytic leukemia comparing daunorubicin and mitoxantrone: A CALGB Study. Leukemia 5: 425–431

    PubMed  CAS  Google Scholar 

  4. Arlin Z, Case Jr DC, Moore J, Wiernik P, Feldman E, Saletan S, Desai P, Sia L, Cartwright K, Lederle Cooperative Group (1990) Randomized multicenter trial of cytosine arabinoside with mitoxantrone or daunorubicin in previously untreated adult patients with acute nonlymphocytic leukemia (ANLL). Leukemia 4: 177–183

    PubMed  CAS  Google Scholar 

  5. Henderson IC, Allegra JC, Woodcock T, Wolff S, Bryan S, Cartwright K, Dukart G, Henry D (1989) Randomized clinical trial comparing mitoxantrone with doxorubicin in previously treated patients with metastatic breast cancer. J Clin Oncol 7: 560–571

    PubMed  CAS  Google Scholar 

  6. Graham ML, Estrada J, Ragab AH, Starling KA, Rosen D, Wilkerson RW (1991) Phase II trial of mitoxantrone in acute lymphocytic leukemia of childhood. A Pediatric Oncology Group Study. Invest New Drugs 9: 263–267

    Article  PubMed  CAS  Google Scholar 

  7. Ritter J, Creutzig U, Henze G, Jürgens H, Bode U, Prindull G, Schellong G (1987) Hochdosiertes Ara-C in Kombination mit Mitoxantron bei der Therapie der AML im Kindesalter. Erste Ergebnisse der AML-Rezidivstudie BFM-85. Onkologie 10: 24–27

    Article  PubMed  CAS  Google Scholar 

  8. Starling KA, Mulne AF, Vats TS, Schoch I, Dukart G (1985) Mitoxantrone in refractory acute leukemia in children: a Phase I study. Invest New Drugs 3: 191–195

    Article  PubMed  CAS  Google Scholar 

  9. Ungerleider RS, Pratt CB, Vietti TJ, Holcenberg JS, Kamen BA, Glaubiger DL, Cohen LF (1985) Phase I trial of mitoxantrone in children. Cancer Treatment Rep 69: 403–407

    CAS  Google Scholar 

  10. Pieters R, Loonen AH, Huismans DR, Broekema GJ, Dirven MWJ, Heyenbrok MW, Hählen K, Veerman AJP (1990) In vitro sensitivity of cells from children with leukemia using the MTT assay with improved culture conditions. Blood 76: 2327–2336

    PubMed  CAS  Google Scholar 

  11. Veerman AJP, Pieters R (1990) Drug sensitivity assays in leukemia and lymphoma. Br J Haematol 74: 381–384

    Article  PubMed  CAS  Google Scholar 

  12. Kaspers GJL, Pieters R, Van Zantwijk CH, De Laat PAJM, De Waal FC, Van Wering ER, Veerman AJP (1991) In vitro drug sensitivity of normal peripheral blood lymphocytes and childhood leukaemic cells from bone marrow and peripheral blood. Br J Cancer 64: 469–474

    Article  PubMed  CAS  Google Scholar 

  13. Pieters R, Huismans DR, Loonen AH, Hählen K, Van Der Does-Van Den Berg A, Van Wering ER, Veerman AJP (1991) Relation of cellular drug resistance to long-term clinical outcome in childhood acute lymphoblastic leukaemia. Lancet 338: 399–403

    Article  PubMed  CAS  Google Scholar 

  14. Larson RA, Kaly KM, Choi KE, Han DS, Sinkule JA (1987) A clinical and pharmacokinetic study of mitoxantrone in acute nonlymphocytic leukemia. J Clin Oncol 5: 391–397

    PubMed  CAS  Google Scholar 

  15. Pieters R, Kaspers GJL, Van Wering ER, Huismans DR, Loonen AH, Hählen K, Veerman AJP (1992) In vitro drug resistance in childhood acute lymphoblastic leukemia in relation to age and immunophenotype. Haematol Blood Transf 34: 309–320

    Google Scholar 

  16. Hammond D, Sather H, Nesbit M, Miller D, Coccia P, Bleyer A, Lukens J, Siegel S (1986) Analysis of prognostic factors in acute lymphoblastic leukemia. Med Pediatr Oncol 14: 124–134

    Article  PubMed  CAS  Google Scholar 

  17. Crist WM, Carroll AJ, Shuster JJ, Behm FG, Whitehead M, Vietti TJ, Look AT, Mahoney D, Ragab A, Pullen OJ, Land VJ (1990) Poor prognosis of children with pre-B acute lymphoblastic leukemia is associated with the t(l; 19) (q23; p13): a Pediatric Oncology Group Study. Blood 76: 117–122

    PubMed  CAS  Google Scholar 

  18. Van Wering ER, Van ’T Veer MB, Akkerboom JC, Vissers-Praalder EC, Pinkster T, De Waal FC (1986) The significance of the white blood cell count and of immunological typing for the prognosis of acute lymphatic leukaemia in children. Ned Tijdschr Geneeskd 130: 165–169

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Kaspers, G.J.J.L. et al. (1994). Antileukemic Activity In Vitro of Mitoxantrone and Anthracyclines in Untreated Childhood Acute Lymphoblastic Leukemia. In: Büchner, T., Hiddemann, W., Wörmann, B., Schellong, G., Ritter, J. (eds) Acute Leukemias IV. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 36. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78350-0_49

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78350-0_49

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78352-4

  • Online ISBN: 978-3-642-78350-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics