Table 1

Induction and consolidation therapy

DoseTime, d
Prephase 
    Prednisone 60 mg/m2/d PO Between −7 and −1 
    Methotrexate 15 mg IT Between −7 and −4 
Standard induction, wks 1-2 
    Daunorubicin 50 mg/m2/d IV 1 to 3 
    Cyclophosphamide 750 mg/m2/d IV 
    Vincristine 2 mg IV 1, 8 
    Prednisone 60 mg/m2/d PO 1 to 14 
    L-asparaginase 6000 IU/m2/d IV 8, 10, 12 
    Triple IT  1, 8 
Standard induction, wks 3-4 
    Daunorubicin 30 mg/m2/d IV 15 to 16 
    Cyclophosphamide 750 mg/m2/d IV 15 
    Vincristine 2 mg IV 15, 22 
    L-asparaginase 6000 IU/m2/d IV 20, 22, 24, 26, 28 
    G-CSF lenograstim 150 μg/m2/d SC or IV From 17 
DIV combination* 
    Vincristine 2 mg IV 1, 8, 15, 22 
    Dexamethasone 40 mg PO or IV 1-2, 8-9, 15-16, 22-23 
    Imatinib 800 mg/d PO 1 until SCT 
    Triple IT  1, 8, 15, 22 
HAMI combination 
    Mitoxantrone 10 mg/m2/d, IV 1 to 3 
    Cytarabine 2000 mg/m2/12h, IV 1 to 4 
    Imatinib 600 mg/d PO 1 until SCT 
    Triple IT  8, 15 
    G-CSF filgrastim 5 μg/kg/d SC or IV From 9 
DoseTime, d
Prephase 
    Prednisone 60 mg/m2/d PO Between −7 and −1 
    Methotrexate 15 mg IT Between −7 and −4 
Standard induction, wks 1-2 
    Daunorubicin 50 mg/m2/d IV 1 to 3 
    Cyclophosphamide 750 mg/m2/d IV 
    Vincristine 2 mg IV 1, 8 
    Prednisone 60 mg/m2/d PO 1 to 14 
    L-asparaginase 6000 IU/m2/d IV 8, 10, 12 
    Triple IT  1, 8 
Standard induction, wks 3-4 
    Daunorubicin 30 mg/m2/d IV 15 to 16 
    Cyclophosphamide 750 mg/m2/d IV 15 
    Vincristine 2 mg IV 15, 22 
    L-asparaginase 6000 IU/m2/d IV 20, 22, 24, 26, 28 
    G-CSF lenograstim 150 μg/m2/d SC or IV From 17 
DIV combination* 
    Vincristine 2 mg IV 1, 8, 15, 22 
    Dexamethasone 40 mg PO or IV 1-2, 8-9, 15-16, 22-23 
    Imatinib 800 mg/d PO 1 until SCT 
    Triple IT  1, 8, 15, 22 
HAMI combination 
    Mitoxantrone 10 mg/m2/d, IV 1 to 3 
    Cytarabine 2000 mg/m2/12h, IV 1 to 4 
    Imatinib 600 mg/d PO 1 until SCT 
    Triple IT  8, 15 
    G-CSF filgrastim 5 μg/kg/d SC or IV From 9 

PO indicates per os (orally); IT, intrathecally; IV, intravenously; SC, subcutaneously.

*

Administered at day 15 of the standard induction course in patients with corticoresistant and/or chemoresistant ALL.

Administered after hematologic CR achievement as consolidation in patients with corticosensitive and chemosensitive ALL.

Consisted of 15 mg methotrexate, 40 mg cytarabine, and 40 mg dexamethasone, all administered intrathecally.

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