Determination of the maximum tolerated dose of idarubicin when used in a combination chemotherapy program of reinduction of childhood ALL at first marrow relapse and a preliminary assessment of toxicity compared to that of daunorubicin: A report from the childrens cancer study group

Stephen A. Feig, Mark D. Krailo, Richard E. Harris, Edward Baum, John S. Holcenberg, Herbert Kaizer, Laurel Steinherz, Thomas W. Pendergrass, E. Frederick Saunders, Phyllis L. Warkentin, W. Archie Bleyer, G. Denman Hammond

Research output: Contribution to journalArticle

11 Scopus citations


An escalating‐dose trial of idarubicin, used weekly for 3 doses in combination with vincristine, prednisone, and L‐asparaginase (VPLI), to reinduce remission of childhood ALL at first bone marrow relapse was conducted by the Childrens Cancer Study Group (CCSG). The maximum tolerated dose (MTD) of idarubicin, used in the manner, was determined to be 12.5 mg/m2/dose. Twelve of 16 (75%) evaluable patients in first marrow relapse of ALL treated at a dose of 10 or 12.5 mg/m2 entered a second complete remission, compared to 41 of 69 evaluable patients (59%) treated in a comparable way with daunorubicin (30 mg/m2) (VPLD). Prolonged myelosuppression was observed in both groups, but the frequency of documented bacterial sepsis and the duration of required hospitalization were greater among patients treated with idarubicin. No additional toxicity, specifically attributable to idarubicin, was observed at these doses.

Original languageEnglish (US)
Pages (from-to)124-129
Number of pages6
JournalMedical and Pediatric Oncology
Issue number2
StatePublished - 1992



  • idarubicin
  • lymphoblastic leukemia
  • toxicity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Cancer Research

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