Abstract
This article reviews current chemotherapy of childhood acute lymphoblastic leukemia, with particular emphasis on the pharmacology of the drugs used. In the perspective of the overall treatment plan, the use, mode of action, toxicity and pharmacology of prednisone, vincristine, L-asparaginase, cyclophosphamide, 6-mercaptopurine, methotrexate and cytosine arabinoside are reviewed. Issues relating to central nervous system prophylaxis, drug compliance, drug resistance, and treatment failure are considered.
MeSH terms
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Antineoplastic Agents / adverse effects
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Antineoplastic Agents / metabolism
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Antineoplastic Agents / therapeutic use*
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Asparaginase / therapeutic use
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Central Nervous System Diseases / etiology
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Central Nervous System Diseases / prevention & control
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Child
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Cyclophosphamide / therapeutic use
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Cytarabine / therapeutic use
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Humans
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Leukemia, Lymphoid / complications
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Leukemia, Lymphoid / drug therapy*
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Mercaptopurine / therapeutic use
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Methotrexate / therapeutic use
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Patient Compliance
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Prednisone / therapeutic use
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Vincristine / therapeutic use
Substances
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Antineoplastic Agents
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Cytarabine
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Vincristine
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Cyclophosphamide
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Mercaptopurine
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Asparaginase
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Prednisone
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Methotrexate