Clinical Evaluation of 6-Chloropurine in Leukemia of Adults

Abstract 1. 6-Chloropurine, an analogue of 6-mercaptopurine, has been shown to produce complete remissions in three and partial remissions in eight of 30 adults with acute leukemia. No beneficial effects were obtained in four additional patients known to be resistant to 6-mercaptopurine. 2. Three of...

Full description

Saved in:
Bibliographic Details
Published inBlood Vol. 13; no. 8; pp. 705 - 724
Main Authors Ellison, Rose Ruth, and, David A. Karnofsky, Burchenal, Joseph H.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.1958
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Abstract 1. 6-Chloropurine, an analogue of 6-mercaptopurine, has been shown to produce complete remissions in three and partial remissions in eight of 30 adults with acute leukemia. No beneficial effects were obtained in four additional patients known to be resistant to 6-mercaptopurine. 2. Three of four patients with chronic granulocytic leukemia responded to 6-chloropurine. 3. Slight objective improvement was noted in patients with lymphomas but only at the point of hematologic toxicity. 4. A high incidence of jaundice was noted, but it is difficult to relate this definitely to the therapy. 5. While 6-chloropurine appears to be slightly superior to 6-mercaptopurine in acute leukemia in adults, the pattern of response would indicate that these agents have a similar mechanism and range of therapeutic activity.
AbstractList Abstract 1. 6-Chloropurine, an analogue of 6-mercaptopurine, has been shown to produce complete remissions in three and partial remissions in eight of 30 adults with acute leukemia. No beneficial effects were obtained in four additional patients known to be resistant to 6-mercaptopurine. 2. Three of four patients with chronic granulocytic leukemia responded to 6-chloropurine. 3. Slight objective improvement was noted in patients with lymphomas but only at the point of hematologic toxicity. 4. A high incidence of jaundice was noted, but it is difficult to relate this definitely to the therapy. 5. While 6-chloropurine appears to be slightly superior to 6-mercaptopurine in acute leukemia in adults, the pattern of response would indicate that these agents have a similar mechanism and range of therapeutic activity.
Author and, David A. Karnofsky
Burchenal, Joseph H.
Ellison, Rose Ruth
Author_xml – sequence: 1
  givenname: Rose Ruth
  surname: Ellison
  fullname: Ellison, Rose Ruth
– sequence: 2
  givenname: David A. Karnofsky
  surname: and
  fullname: and, David A. Karnofsky
– sequence: 3
  givenname: Joseph H.
  surname: Burchenal
  fullname: Burchenal, Joseph H.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/13560569$$D View this record in MEDLINE/PubMed
BookMark eNp9kMtKxDAUhoOMOBd9AkH6Aq05SZOmiIuhjBcYcDO4DWkuGO00Q9oO-Pa2zoA7Fz9ncf7_XL4lmrWhtQjdAs4ABLmvmxBM9g40E1mB2aQLtABGRIoxwTO0wBjzNC8LmKNl131iDDkl7ArNgTKOGS8X6KFqfOu1apLNUTWD6n1ok-ASnlYfTYjhMETf2sS3ydYOX3bv1dRdm6Hpu2t06VTT2ZtzXaHd02ZXvaTbt-fXar1NdY5Jn3LnNKcFESYvhaUWdAEMHNdUADBKS5ZjYUgxtigoU9cFU0477rQy1JV0hehprI6h66J18hD9XsVvCVhOJOQvCTmSkEKOFCaNqbtT6jDUe2v-MufXR8PjyWDH04_eRtlpb1ttjY9W99IE_--CHyjNcVc
CitedBy_id crossref_primary_10_1016_0002_9343_64_90002_6
crossref_primary_10_1002_1097_0142_196302_16_2_244__AID_CNCR2820160215_3_0_CO_2_K
crossref_primary_10_1002_1097_0142_197108_28_2_361__AID_CNCR2820280215_3_0_CO_2_3
crossref_primary_10_1016_0003_9861_60_90021_7
crossref_primary_10_3892_mmr_2017_7050
crossref_primary_10_1016_0016_5085_80_90205_X
crossref_primary_10_1016_0006_2952_62_90159_4
crossref_primary_10_1016_S0025_7125_16_33756_7
crossref_primary_10_1002_1097_0142_197504_35_4_1121__AID_CNCR2820350416_3_0_CO_2_B
crossref_primary_10_1016_0021_9681_61_90118_7
crossref_primary_10_1016_S0022_5347_17_65644_1
crossref_primary_10_1002_1097_0142_196905_23_5_1019__AID_CNCR2820230506_3_0_CO_2_N
ContentType Journal Article
Copyright 1958 American Society of Hematology
Copyright_xml – notice: 1958 American Society of Hematology
DBID 6I.
AAFTH
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
DOI 10.1182/blood.V13.8.705.705
DatabaseName ScienceDirect Open Access Titles
Elsevier:ScienceDirect:Open Access
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
DatabaseTitleList CrossRef
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
Chemistry
Biology
Anatomy & Physiology
EISSN 1528-0020
EndPage 724
ExternalDocumentID 10_1182_blood_V13_8_705_705
13560569
S0006497120800615
Genre Journal Article
GroupedDBID ---
-~X
.55
.GJ
1CY
23N
2WC
34G
39C
4.4
53G
5GY
5RE
5VS
6I.
6J9
9M8
AAEDW
AAFTH
AAQQT
AAXUO
ABOCM
ABVKL
ACGFO
ADBBV
AENEX
AFFNX
AFOSN
AHPSJ
AI.
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
BAWUL
BTFSW
C1A
CS3
DIK
DU5
E3Z
EBS
EJD
EX3
F5P
FDB
FRP
GS5
GX1
IH2
J5H
K-O
KQ8
L7B
LSO
MJL
MVM
N4W
N9A
OHT
OK1
P2P
R.V
RHF
RHI
ROL
SJN
THE
TR2
TWZ
UCJ
VH1
W2D
W8F
WH7
WHG
WOQ
WOW
X7M
YHG
YKV
ZA5
ZGI
ZXP
0R~
0SF
AALRI
ADVLN
AFETI
AITUG
AKRWK
CGR
CUY
CVF
ECM
EIF
H13
NPM
AAYXX
CITATION
ID FETCH-LOGICAL-c402t-6ffc63728d498e3e1c7151f6c381153395408d27e3e31adbb75afcf6fcad3f93
IEDL.DBID ABVKL
ISSN 0006-4971
IngestDate Fri Aug 23 00:35:54 EDT 2024
Sat Sep 28 08:43:46 EDT 2024
Fri Feb 23 02:45:55 EST 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 8
Keywords MERCAPTOPURINE/related compounds
LEUKEMIA/therapy
Language English
License This article is made available under the Elsevier license.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c402t-6ffc63728d498e3e1c7151f6c381153395408d27e3e31adbb75afcf6fcad3f93
OpenAccessLink https://www.sciencedirect.com/science/article/pii/S0006497120800615
PMID 13560569
PageCount 20
ParticipantIDs crossref_primary_10_1182_blood_V13_8_705_705
pubmed_primary_13560569
elsevier_sciencedirect_doi_10_1182_blood_V13_8_705_705
PublicationCentury 1900
PublicationDate 1958-Aug
PublicationDateYYYYMMDD 1958-08-01
PublicationDate_xml – month: 08
  year: 1958
  text: 1958-Aug
PublicationDecade 1950
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Blood
PublicationTitleAlternate Blood
PublicationYear 1958
Publisher Elsevier Inc
Publisher_xml – name: Elsevier Inc
References Bendich, Russell, Fox (bib2) 1954; 76
Braunsteiner, Friend (bib9) 1954; 100
(bib8) 1956; 11
Murphy, Tan, Ellison, Burchenal (bib3) 1955; 2
Hutchison, D. J.: Unpublished data.
Burchenal, J. H.: Unpublished data.
Burchenal, Murphy, Ellison, Sykes, Tan, Leone, Karnofsky, Craver, Dargeon, Rhoads (bib1) 1953; 8
Clarke, Philips, Sternberg, Stock (bib4) 1954; 60
Burchenal, Krakoff (bib10) 1956; 96
Philips, Sternberg, Hamilton, Clarke (bib7) 1954; 60
References_xml – volume: 96
  start-page: 567
  year: 1956
  ident: bib10
  article-title: Newer agents in the treatment of leukemia
  publication-title: A. M. A. Arch. Int. Med.
  contributor:
    fullname: Krakoff
– volume: 8
  start-page: 965
  year: 1953
  ident: bib1
  article-title: Clinical evaluation of a new antimetabolite, 6-mercaptopurine in the treatment of leukemia and allied diseases
  publication-title: Blood
  contributor:
    fullname: Rhoads
– volume: 2
  start-page: 36
  year: 1955
  ident: bib3
  article-title: Clinical evaluation of 6-chloropurine and thioguanine.
  publication-title: Proc. Am. A. Cancer Research
  contributor:
    fullname: Burchenal
– volume: 60
  start-page: 283
  year: 1954
  ident: bib7
  article-title: The toxic effects of 6-mercaptopurine and related compounds
  publication-title: Ann. New York Acad. Sc.
  contributor:
    fullname: Clarke
– volume: 60
  start-page: 235
  year: 1954
  ident: bib4
  article-title: Effects of 6-mercaptopurine and analogs on experimental tumors
  publication-title: Ann. New York Acad. Sc.
  contributor:
    fullname: Stock
– volume: 76
  start-page: 6073
  year: 1954
  ident: bib2
  article-title: The synthesis and properties of 6-chloropurine and purine
  publication-title: J. Am. Chem. Soc.
  contributor:
    fullname: Fox
– volume: 100
  start-page: 665
  year: 1954
  ident: bib9
  article-title: Viral hepatitis associated with transplantable mouse leukemia. I. Acute hepatic manifestations following treatment with urethane or methylformamide
  publication-title: J. Exper. Med.
  contributor:
    fullname: Friend
– volume: 11
  start-page: 676
  year: 1956
  ident: bib8
  article-title: Clinical Studies Panel of the Cancer Chemotherapy National Service Center. Criteria for the evaluation of response to treatment in acute leukemia
  publication-title: Blood
SSID ssj0014325
Score 1.2059633
Snippet Abstract 1. 6-Chloropurine, an analogue of 6-mercaptopurine, has been shown to produce complete remissions in three and partial remissions in eight of 30...
SourceID crossref
pubmed
elsevier
SourceType Aggregation Database
Index Database
Publisher
StartPage 705
SubjectTerms Leukemia - therapy
Mercaptopurine - analogs & derivatives
Purines
Title Clinical Evaluation of 6-Chloropurine in Leukemia of Adults
URI https://dx.doi.org/10.1182/blood.V13.8.705.705
https://www.ncbi.nlm.nih.gov/pubmed/13560569
Volume 13
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV07T8MwELYqKh4LgvIqj8oDYiJ92IntiCmtqAptmQpii5zYFhWQVtAO_HvOiVNgAYnBUpTITnSO777vfHdG6NynifR5wDyuAL75gGhhzem2J1MueZhQQRKbOzy-Y4N7__YxeKygXpkLY8Mqne4vdHqurd2dlpNmaz6d2hxfMKch7xALephNNK8SQL-wOqtR92E4Wm0m-JQUBxkAebYdXPEhQNatPDq8-dChTdHk7cC2PwzUN-vT30HbDjbiqPiyXVTRWQ3tRRlQ5tcPfIHzQM7cQ15D693yarNXHudWQxtjt4u-h65cMdAXfL2q9Y1nBjOv9wT0fTa3HniNpxke6eUzjCDt08hW6njfR5P-9aQ38NwhCl4K1HDhMWNSRjkRyg-FprqTcjDyhqVgqi3WCwGyCUW4tt5QqZKEB9KkhplUKmpCeoDWslmmjxBWWmommSE0MUDqqCRtpoQwAEAIVYGqo8tScPG8KJUR5xRDkDiXcwxyjkUMMratjlgp3PjHjMegzH_veFhMxddbKOC2gIXH_x3yBG3ZojtFYN8pWlu8LfUZgI1F0nA_UwPg9s3wEyPL0Js
link.rule.ids 315,783,787,27581,27936,27937,45675
linkProvider Elsevier
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3NT9swFH9CrTa4oK3lo2xjPkw7kX7Yie1op1KBOmg5lYqb5cS2qIC0gvbAf89z4jB22SQOlqJEdqzn5L3f7_m9Z4AfMct0LBIeCYPwLUZEi_-c7Uc6F1qkGZM087nD0ys-vo4vbpKbLRjVuTA-rDLo_kqnl9o63OkFafZWi4XP8UVzmooB9aCH-0TzJqIBkTSgOTydX05eNxNiRquDDJA8-w6h-BAi614ZHd6dD1hXdkU_8e0_BuqN9Tn_BLsBNpJhNbPPsGWLFrSHBVLmh2fyk5SBnKWHvAUfTuur7VF9nFsLPk7DLnobfoVioPfk7LXWN1k6wqPRLdL35cp74C1ZFGRiN3c4gvZPh75Sx9MezM7PZqNxFA5RiHKkhuuIO5dzJqg0cSots4NcoJF3PEdT7bFeipBNGiqs94Zqk2Ui0S533OXaMJeyfWgUy8IeAjFWW665oyxzSOqYpn1upHQIQCgzienASS04tapKZaiSYkiqSjkrlLOSCmXsWwd4LVz114orVOb_7nhQLcWftzDEbQlPj9475HfYHs-mEzX5fXX5BXZ8AZ4qyO8rNNaPG_sNgcc6Ow4f1gsn4tKQ
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Clinical+Evaluation+of+6-Chloropurine+in+Leukemia+of+Adults&rft.jtitle=Blood&rft.au=Ellison%2C+Rose+Ruth&rft.au=and%2C+David+A.+Karnofsky&rft.au=Burchenal%2C+Joseph+H.&rft.date=1958-08-01&rft.pub=Elsevier+Inc&rft.issn=0006-4971&rft.eissn=1528-0020&rft.volume=13&rft.issue=8&rft.spage=705&rft.epage=724&rft_id=info:doi/10.1182%2Fblood.V13.8.705.705&rft.externalDocID=S0006497120800615
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0006-4971&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0006-4971&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0006-4971&client=summon