Table 1.
Clinical outcome of consecutive treatments in our HCL patient
Line of treatment | Regimen | Dosage | Date | Treatment duration | Response | Progression-free survival | Grade III/IV toxicity |
---|---|---|---|---|---|---|---|
1 | Splenectomy | – | 05/1982 | – | PR | 12 months | None |
2 | Interferon-α | 1.5 × 106 U/week | 06/1983–06/1986 | 36 months | PR | 36 months | None |
3 | Pentostatin | 4 mg/m² | 07/1986–03/1987 | 8 monthsa | CR | 163 months | Recurrent infectious complications due to prolonged neutropenia |
4 | Interferon-α | 4.5–9 × 106 U/week | 01/2000–11/2007 | 95 months | PR | 95 months | None |
5 | Cladribine | 0.14 mg/kg/day | 11/2007 | 5 days (1 cycle) | CR | 49 months | Recurrent infectious complications due to prolonged neutropenia |
6 | Interferon-α | 4.5 × 106 U/week | 12/2011–08/2014 | 33 months | PR | 33 months | None |
CR complete remission. A complete remission was defined as the morphological absence of hairy cells in blood and bone marrow in combination with complete resolution of cytopenia and organomegaly
PR partial remission. A partial remission was defined as a complete resolution of cytopenia in combination with at least 50 % decrease in organomegaly and hairy cell infiltration of the bone marrow
a4 mg/m² per week x3, then every other week x3, then once monthly x6