Abstract
Based on studies of the chemotherapy of human leukemia and late stage animal neoplasms which may be kinetically analogous to disseminated reticulum cell sarcoma, a therapy program was devised using sequential cyclophosphamide‐vincristine followed by weekly methotrexate‐cytosine arabinoside. Each cycle of therapy consisted of cyclophosphamide 1.5 g/m2 on day 0 and vincristine 1.4 mg/m2 on days 1, 8, and 15; subsequently, 8 weekly doses of IV cytosine arabinoside 300 mg/m2 and oral methotrexate 120 mg/m2 over 24 hours were given followed by “Leucovorin rescue.” Fifteen patients received 3 such cycles with intervening 2‐week recovery periods. Nine patients achieved complete remission, and 6 had a partial response. Median remission duration was 10 months. Median survival from onset of disease was 15+ months and from beginning of therapy was 14+ months. Five of 7 patients who have relapsed are dead. Toxic manifestations included neutropenia below 1000/mm3 in 10 patients; of these, there were recurrent episodes of sepsis in one. Alopecia occurred in 10, and reversible neurotoxicity in 8 patients.