[A case of complete remission from acute unclassified leukemia achieved by using a prodrug of ara C, stearyl-ara-CMP (YNK01)]

Gan No Rinsho. 1990 Oct;36(12):2204-9.
[Article in Japanese]

Abstract

YNK01 (a daily oral dose of 450 mg) was administered for 22 days to a 58-year-old-female with Ph1-positive acute unclassified leukemia. Leukemia cells were negative for peroxidase and esterase, but were positive for CD19, CD13, CD34, CD9, HAL-DR, CD25, and TdT. Complete remission was obtained and continued for at least a month. The main side effects noted were diarrhea and melena. The administration of YNK01 resulted in plasma ara C levels that ranged between 15.4 to 23.0 ng/ml, which appear to be nearly equivalent to dose achieved during continuous IV infusion of a low dose (20 mg/m2/day) of ara C.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Disease
  • Administration, Oral
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / pharmacokinetics
  • Antineoplastic Agents / therapeutic use*
  • Arabinonucleotides / administration & dosage
  • Arabinonucleotides / pharmacokinetics
  • Arabinonucleotides / therapeutic use*
  • Cytarabine / blood
  • Cytidine Monophosphate / administration & dosage
  • Cytidine Monophosphate / analogs & derivatives*
  • Cytidine Monophosphate / pharmacokinetics
  • Cytidine Monophosphate / therapeutic use
  • Drug Administration Schedule
  • Female
  • Humans
  • Leukemia / blood
  • Leukemia / drug therapy*
  • Leukemia / metabolism
  • Middle Aged
  • Prodrugs*
  • Remission Induction

Substances

  • Antineoplastic Agents
  • Arabinonucleotides
  • Prodrugs
  • Cytarabine
  • 1-arabinofuranosylcytosine-5'-stearylphosphate
  • Cytidine Monophosphate