Table 1.

Clinical Characteristics of the Patients

Patient No. Sex/ Age-150Lymphocyte Count/μL Stage-151Treatment Received-152Time Since Last Treatment DNA-PK Activity-153
Untreated patients  
U1  F/51 80,700  B    6.9  
U2  F/59  28,800    5.3  
U3  F/84  83,100  B    9.8  
U4 F/64  76,200  B    3.4  
U5  F/65  31,000 C    2.2  
U6  M/81  49,900  A    2.2 
U7  M/59  48,300  A    1.7  
U8  M/85 58,500  B    1.9  
U9  M/50  40,200    22.8  
U10  M/92  53,500  A    14.9 
U11  F/71  29,800  A    44.5  
U12  M/66 136,400  B    0.9  
U13  F/69  49,900    3.4  
U14  M/74  35,600  A    2.9 
U15  F/52  42,000  B    5.8  
U16 F/52  110,400  B    1.2 
Treated patients with resistance to NMs  
T1  M/53  57,500  C  CLB, CYC, CHOP  12 mo  19.0  
T2  F/78  233,500  C  Fluda  On treatment  13.0  
T3  F/59  74,800  C  CLB, CYC, Fluda 6 mo  13.4  
T4  F/87  77,800  C  CLB  On treatment  16.9  
T5  F/82  32,700  C  CLB, CYC  On treatment  12.7  
T6  F/72  128,100  C  CLB  On treatment  32.5  
T7  F/56  102,100  B  CLB, CYC On treatment  28.3  
T8  F/60  158,500  C  CLB, CYC  On treatment  26.3  
T9  M/63  104,700  CLB, CYC  3 mo  16.2  
T10  M/86  58,100  CLB  On treatment  28.8  
T11  F/76  127,300  CLB  On treatment  55.8  
T12  F/70  61,900  CLB  12 mo  35.6  
T13  M/54  127,300  C  CLB 1 mo  32.3  
T14  M/76  167,800  B  CLB, CVP, Fluda  12 mo  20.7  
T15  M/69  398,500  C  CLB, CVP, Fluda  3 mo  19.4  
T16  M/77  88,400  B  CLB 5 mo  25.6  
T17  M/66  31,300  B  CLB, CYC, Fluda On treatment  34.9  
T18  M/52  56,700  B  CLB, CHOP CLB  On treatment  14.9 
Patient No. Sex/ Age-150Lymphocyte Count/μL Stage-151Treatment Received-152Time Since Last Treatment DNA-PK Activity-153
Untreated patients  
U1  F/51 80,700  B    6.9  
U2  F/59  28,800    5.3  
U3  F/84  83,100  B    9.8  
U4 F/64  76,200  B    3.4  
U5  F/65  31,000 C    2.2  
U6  M/81  49,900  A    2.2 
U7  M/59  48,300  A    1.7  
U8  M/85 58,500  B    1.9  
U9  M/50  40,200    22.8  
U10  M/92  53,500  A    14.9 
U11  F/71  29,800  A    44.5  
U12  M/66 136,400  B    0.9  
U13  F/69  49,900    3.4  
U14  M/74  35,600  A    2.9 
U15  F/52  42,000  B    5.8  
U16 F/52  110,400  B    1.2 
Treated patients with resistance to NMs  
T1  M/53  57,500  C  CLB, CYC, CHOP  12 mo  19.0  
T2  F/78  233,500  C  Fluda  On treatment  13.0  
T3  F/59  74,800  C  CLB, CYC, Fluda 6 mo  13.4  
T4  F/87  77,800  C  CLB  On treatment  16.9  
T5  F/82  32,700  C  CLB, CYC  On treatment  12.7  
T6  F/72  128,100  C  CLB  On treatment  32.5  
T7  F/56  102,100  B  CLB, CYC On treatment  28.3  
T8  F/60  158,500  C  CLB, CYC  On treatment  26.3  
T9  M/63  104,700  CLB, CYC  3 mo  16.2  
T10  M/86  58,100  CLB  On treatment  28.8  
T11  F/76  127,300  CLB  On treatment  55.8  
T12  F/70  61,900  CLB  12 mo  35.6  
T13  M/54  127,300  C  CLB 1 mo  32.3  
T14  M/76  167,800  B  CLB, CVP, Fluda  12 mo  20.7  
T15  M/69  398,500  C  CLB, CVP, Fluda  3 mo  19.4  
T16  M/77  88,400  B  CLB 5 mo  25.6  
T17  M/66  31,300  B  CLB, CYC, Fluda On treatment  34.9  
T18  M/52  56,700  B  CLB, CHOP CLB  On treatment  14.9 

Response to therapy to date for the untreated patients is as follows: U1, U2, U3, U6, U7, U8, U10, U11, U13, and U16 have not received any treatment. U4 was treated for 8+ months and had an excellent response to CLB (normalization of lymphocyte count, lymphadenopathy: pretreatment node size of 3 to 4 cm vposttreatment node size of ≤0.5 cm). U5 and U12 were treated for 8+ and 36 months, respectively, and had a complete response to CLB (normalization of lymphocyte count, disappearance of lymphadenopathy, and no other evidence of disease). U9 had no response to chlorambucil as previously defined24 (lymphocyte count >35,000 and no decrease in lymphadenopathy after 6 months of chlorambucil treatment). U14 was treated with CLB for 3 months. He had an excellent response as evidenced by a normalization of his lymphocyte count, disappearance of lymphadenopathy and splenomegaly, but his platelet count did not return to normal (95,000/μL). U15 did not tolerate CLB treatment because of nausea and vomiting. She took 30% to 40% of the first two courses (CLB 20 mg and 12 mg every day ×5 every 4 weeks). She took only 1 day of the third course of CLB 4 mg daily. Despite this she showed a partial response as evidenced by a decrease in the size of a large cervical lymph node mass (9 × 9 cm to <3 × 3 cm).

F0-150

Sex: M, male; F, female; age in years.

F0-151

Staging is according to Binet et al.22 

F0-152

CYC, cyclosphosphamide; Fluda, fludarabine.

F0-153

DNA-PK activity is expressed in arbitrary units. For each sample, the results represent the mean of at least two experiments with variability of <15%.