Table 4.
Regimen | Phase of therapy | Chemotherapeutic agents and doses per phase, mg/m2 | IT doses, n | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Cycl | VCR | P or D | Doxo | MTX | Cyta | Etop | Ifos | |||
BFM | V | 400 | — | D: 40 | — | — | — | — | — | 1 |
A | — | 1.5* | D: 50 | — | 1000 | 600 | 200 | 4000 | 1 | |
B | 1000 | 1.5* | D: 50 | 50 | 1000 | — | — | — | 1 | |
AA | — | 1.5 | D: 50 | — | 5000 | 600 | 200 | 4000 | 2† | |
BB | 1000 | 1.5 | D: 50 | 50 | 5000 | — | — | — | 2† | |
CC | — | 3* | D: 100 | — | — | 12 000 | 500 | — | 1† | |
LMB | COP | 300 | 1 | P: 420 | — | — | — | — | — | 1† |
COPAD | 1500 | 4 | P: 360 | 60 | — | — | — | — | 0 | |
COPADM | 1500 | 2 | P: 300 | 60 | 3000-8000‡ | — | — | — | 2† | |
COPADM2 | 3000 | 2 | P: 300 | 60 | 8000 | — | — | — | 3 | |
CYM | — | — | — | — | 3000 | 500 | — | — | 2 | |
CYVE | — | — | — | — | 8000§ | 12 250 | 800 | — | 1-2§ | |
m1 | 1000 | 2 | P: 300 | 60 | 8000 | — | — | — | 1 | |
m2 | — | — | — | — | — | 500 | 450 | — | 0 |
Cycl, cyclophosphamide; Cyta, cytarabine; D, dexamethasone; Etop, etoposide; Ifos, ifosfamide; IT, intrathecal; P, prednisone.
Vincristine is omitted from the BFM R1 regimen and is replaced by vindesine in the CC phase of therapy.
Additional IT therapy is administered to patients with CNS involvement in the BFM regimen, as well as for patients in LMB group C.
Dose of MTX is 3000 mg/m2 for patients in group B and 8000 mg/m2 for patients in group C in LMB.
High-dose MTX and an additional dose of intrathecal chemotherapy is given to patients with CNS involvement during 1st CYVE phase only.