Published in:
01-11-2003 | Adis Drug Profile
Oral Fludarabine
A Viewpoint by Bruce D. Cheson
Author:
Bruce D. Cheson
Published in:
Drugs
|
Issue 21/2003
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Excerpt
A bit more than a decade ago, the treatment of indolent lymphoid malignancies, particularly chronic lymphocytic leukemia (CLL), underwent the first of two major revolutions. Alkylating agents, such as chlorambucil, had been the standard of care, but were quite unsatisfactory. Over the ensuing years, randomised clinical trials demonstrated the superiority of the purine analogue fludarabine with respect to overall and complete response rates, duration of response and time to progression. Unfortunately, prolongation of survival has been elusive. …