Table 3. Reported outcomes for commonly used treatment options for hairy cell leukemia (primary or relapsed).
Regimen | No. | Objective response rate, % |
Complete remission rate, % |
Comment |
---|---|---|---|---|
Single-agent cladribine (0.1 mg/kg per day for 7 days, continuous infusion) [78, 101] |
349 | 98 | 91 | 96 % of patients were alive after 4 years; relapse rate was 16 % for those who achieved complete remission and 54 % for those who achieved a partial response; outcomes were better in patients who achieved complete remission |
Single-agent cladribine (0.1 mg/kg per day for 7 days, continuous infusion) [104] |
85 | 100 | 79 | 87 % of patients were alive after 12 years; 36 % experienced relapse after 10 years of follow-up |
Single-agent cladribine (0.12 mg/kg per day, 2-hour intravenous bolus for 5 days vs. every week for 6 weeks) [107] |
68 | 95 | 76 | Similar response and survival outcomes with both schedules of cladribine |
64 | 91 | 72 | ||
Single-agent pentostatin (4 mg/m2 intravenously every 2 weeks for 6 months) [94•] |
154 | 79 | 76 | This randomized trial confirmed the superiority of pentostatin over IFN-α; after 9 years of follow-up, 83 % of patients were alive[99] |
Single-agent pentostatin (4 mg/m2 intravenous bolus once every 2 weeks until maximum response or failure) [131] |
238 | 96 | 79 | Estimated 5-year and 10-year overall survival rates of 89 % |
Single-agent cladribine (5.6 mg/m2 intravenously over 2 hours daily for 5 days followed by 375 mg/m2 intravenous rituximab weekly for 8 weeks) [91••] |
31 | 100 | 100 | After a median follow-up period of 2 years, median progression-free and overall survival durations had not been reached |