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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Annals of hematology 67 (1993), S. 63-66 
    ISSN: 1432-0584
    Keywords: Ubenimex ; Bestatin ; Adult acute nonlymphocytic leukemia ; Immunotherapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A multi-institutional randomized study for the evaluation of ubenimex (Bestatin) in the treatment of adult acute nonlymphocytic leukemia was performed. One hundred and ninety-five patients were registered from February 1988 to December 1990. Patients who had reached complete remission by one or two courses of remission induction chemotherapy were divided into the ubenimex group or the control group by randomization. Patients of the ubenimex group started to receive 30 mg ubenimex orally once a day when maintenance therapy began and continued as long as possible. Remission duration and survival were analyzed based on the data as of August 31, 1991. Remission duration of the ubenimex group was superior to that of the control group (generalized Wilcoxon test:-p=0.0338). Fifty percent remission duration was 508 days in the ubenimex group and 386 days in the control group. There has been no statistical difference in survival between the two groups as yet.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0584
    Keywords: Key words Acyclic retinoid ; Acute promyelocytic leukemia (APL) ; Differentiation therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Acyclic retinoid (all-trans-3, 7, 11, 15-tetramethyl-2, 4, 6, 10, 14-hexadecapentaenoic acid) binds cellular retinoic acid-binding protein with an affinity similar to that of all-trans retinoic acid and induces differentiation of human hepatoma cell lines and a human acute myelogenous leukemia cell line (HL-60). We investigated the in vitro efficacy of acyclic retinoid to induce the differentiation of acute promyelocytic leukemia (APL) cells using primary cultured cells obtained from 11 APL patients. Five days' incubation with acyclic retinoid effected a dose-dependent induction of differentiation. Cells from eight patients showed maximum differentiation at 10–6 M acyclic retinoid. Cells from one patient required 10–5 M for maximum differentiation, while those from two patients exhibited moderate differentiation at 10–5 M. Five days' incubation with acyclic retinoid (10–7∼10–5 M) did not affect the viability or number of cells from any patient except one, whose cells showed a slight decrease in viability at 10–5 M. Thus, we conclude that acyclic retinoid induced the differentiation of primary cultured APL cells at concentrations of 10–6∼10–5 M, a range at which it is not toxic.
    Type of Medium: Electronic Resource
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