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Table 1 Clinical therapy details for the patient with relapse T-ALL

From: The evolution of malignant and reactive γδ + T cell clones in a relapse T-ALL case after allogeneic stem cell transplantation

Therapy date

Therapy

Response

Blast cells (%) post-treatment

CSF

Intrathecal chemotherapy

BM / PB

18.11-01.12.2009

CTX, VCR, ADM, DXM

PR

11 / 3

-

MTX + DXM

18.12-22.12.2009

MTX, Ara-c , DXM

NR

37 / 3

  

25.01-30.01.2010

CTX, Ara-c, TPT

NR

47 / 1

-

Ara-c + DXM

05.03.2010

Allo-HSCT (conditioning regimen: Flu, BU/CY)

CR

1 / 0

-

MTX + DXM

13.04.2010

CsA, MP

GVHD (Grade II)

0.5 / 0

  

13.05.2010

CsA, MP

GVHD under control

1.5 / 0

-

MTX + DXM

12.08.2010- 07.01.2011

Radiotherapy

CNSL cured

0 / 0

+

(Ara-c + MTX + DXM) x 8 times

26.04-21.05.2012

VDS, NVT, L-ASPDXM

Relapse, CR

3 / 0

-

MTX + DXM (03.05 2012) Ara-c + DXM (25.05.2012)

08.06-06.07.2012

VCR, NVT, L-ASP, DXM, CTX

CR

1 / 0

-

 
  1. Notes: ADM adramycin, Ara-c cytarabine, BM bone marrow, BU busulfan, CNSL central nervous system leukemia, CsA cyclosporin, CSF cerebrospinal fluid,CTX cyclophosphamide, CR complete remission, CY cyclophosphamide, DXM dexamethasone, Flu fludarabine, L-ASP l-asparaginase, MP methylprednisolone,MTX Methotrexate, NR minor remission, NVT mitoxantrone, PR partial remission, PB peripheral blood, TPT Topotecan, VCR vincristine, VDS Vindesine.