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Journal of Antimicrobial Chemotherapy doi: 10.1093 jac dkl561. Giles FJ, Garcia-Manero G, Cortes JE, et al. Phase II study of troxacitabine, a novel dioxolane nucleoside analog, in patients with refractory leukemia. J Clin Oncol. 2002; 20: 656-664. Bouffard DY, Jolivet J, Leblond L, et al. Complementary antineoplastic activity of the cytosine nucleoside analogues troxacitabine Troxatyl ; and cytarabine in human leukemia cells. Cancer Chemother Pharmacol. 2003; 52: 497-506. Cheng JC, Matsen CB, Gonzales FA, et al. Inhibition of DNA methylation and reactivation of silenced genes by zebularine. J Natl Cancer Inst. 2003; 95: 399-409. Gutierrez MI, Siraj AK, Bhargava M, et al. Concurrent methylation of multiple genes in childhood ALL: Correlation with phenotype and molecular subgroup. Leukemia. 2003; 17: 18451850. Holleman A, Cheok MH, den Boer ML, et al. Gene-expression patterns in drug-resistant acute lymphoblastic leukemia cells and response to treatment. N Engl J Med. 2004; 351: 533542. Raje N, Kumar S, Hideshima T, et al. Seliciclib CYC202 or R-roscovitine ; , a small-molecule cyclin-dependent kinase inhibitor, mediates activity via down-regulation of Mcl-1 in multiple myeloma. Blood. 2005; 106: 1042-1047. Yasui H, Hideshima T, Hamasaki M, et al. SDX-101, the R-enantiomer of etodolac, induces cytotoxicity, overcomes drug resistance, and enhances the activity of dexamethasone in multiple myeloma. Blood. 2005; 106: 706-712. Ross ME, Zhou X, Song G, et al. Classification of pediatric acute lymphoblastic leukemia by gene expression profiling. Blood. 2003; 102: 2951-2959. Fine BM, Stanulla M, Schrappe M, et al. Gene expression patterns associated with recurrent chromosomal translocations in acute lymphoblastic leukemia. Blood. 2004; 103: 1043-1049. Yeoh EJ, Ross ME, Shurtleff SA, et al. Classification, subtype discovery, and prediction of outcome in pediatric acute lymphoblastic leukemia by gene expression profiling. Cancer Cell. 2002; 1: 133-143. Armstrong SA, Staunton JE, Silverman LB, et al. MLL translocations specify a distinct gene expression profile that distinguishes a unique leukemia. Nat Genet. 2002; 30: 41-47. Mackarehtschian K, Hardin JD, Moore KA, Boast S, Goff SP, Lemischka IR. Targeted disruption of the flk2 flt3 gene leads to deficiencies in primitive hematopoietic progenitors. Immunity. 1995; 3: 147-161. Stirewalt DL, Radich JP. The role of FLT3 in haematopoietic malignancies. Nat Rev Cancer. 2003; 3: 650-665. Gilliland DG, Griffin JD. The roles of FLT3 in hematopoiesis and leukemia. Blood. 2002; 100: 1532-1542. Stone RM, DeAngelo DJ, Klimek V, et al. Patients with acute myeloid leukemia and an activating mutation in FLT3 respond to a small-molecule FLT3 tyrosine kinase inhibitor, PKC412. Blood. 2005; 105: 54-60. Smith BD, Levis M, Beran M, et al. Single-agent CEP-701, a novel FLT3 inhibitor, shows biologic and clinical activity in patients with relapsed or refractory acute myeloid leukemia. Blood. 2004; 103: 3669-3676. O'Farrell AM, Yuen HA, Smolich B, et al. Effects of SU5416, a small molecule tyrosine kinase receptor inhibitor, on FLT3 expression and phosphorylation in patients with refractory acute myeloid leukemia. Leuk Res. 2004; 28: 679-689. Inhibitor CGP57148B selectively inhibits the growth of BCR-ABL-positive cells. Blood 1997; 90: 3691-8. Buchdunger E, Zimmermann J, Mett H, et al. Inhibition of the Abl protein-tyrosine kinase in vitro and in vivo by a 2-phenylaminopyrimidine derivative. Cancer Res 1996; 56: 100-4. le Coutre P, Mologni L, Cleris L, et al. In vivo eradication of human BCR ABL-positive leukemia cells with an ABL kinase inhibitor. J Natl Cancer Inst 1999; 91: 163-8. Hehlmann R, Hochhaus A, Kolb HJ, et al. Interferon-alpha before allogeneic bone marrow transplantation in chronic myelogenous leukemia does not affect outcome adversely, provided it is discontinued at least 90 days before the procedure. Blood 1999; 94: 3668-77. Bolin RW, Robinson WA, Sutherland J, Hamman RF. Busulfan versus hydroxyurea in long-term therapy of chronic myelogenous leukemia. Cancer 1982; 50: 1683-6. Hehlmann R, Heimpel H, Hasford J, et al. Randomized comparison of busulfan and hydroxyurea in chronic myelogenous leukemia: prolongation of survival by hydroxyurea. Blood 1993; 82: 398-407. Talpaz M, McCredie KB, Mavligit GM, Gutterman JU. Leukocyte interferon-induced myeloid cytoreduction in chronic myelogenous leukemia. Blood 1983; 62: 689-92. Talpaz M, Kantarjian HM, McCredie K, Trujillo JM, Keating MJ, Gutterman JU. Hematologic remission and cytogenetic improvement induced by recombinant human interferon alphaA in chronic myelogenous leukemia. N Engl J Med 1986; 314: 1065-9. Kantarjian HM, Smith TL, O'Brien S, Beran M, Pierce S, Talpaz M. Prolonged survival in chronic myelogenous leukemia after cytogenetic response to interferon-alpha therapy. Ann Intern Med 1995; 122: 254-61. Kloke O, Niederle N, Qiu JY, et al. Impact of interferon alpha-induced cytogenetic improvement on survival in chronic myelogenous leukaemia. Br J Haematol 1993; 83: 399-403. Ohnishi K, Ohno R, Tomonaga M, et al. A randomized trial comparing interferon-alpha with busulfan for newly diagnosed chronic myelogenous leukemia in chronic phase. Blood 1995; 86: 906-16. Ozer H, George SL, Schiffer CA, et al. Prolonged subcutaneous administration of recombinant alpha 2b interferon in patients with previously untreated Philadelphia chromosome-positive chronic-phase chronic myelogenous leukemia: effect on remission duration and survival: Cancer and Leukemia Group B study 8583. Blood 1993; 82: 2975-84. Allan NC, Richards SM, Shepherd PC. UK Medical Research Council randomised, multicentre trial of interferon-alpha n1 for chronic myeloid leukaemia: improved survival irrespective of cytogenetic response. Lancet 1995; 345: 1392-7. The Italian Cooperative Study Group on Chronic Myeloid Leukemia. Interferon alfa-2a as compared with conventional chemotherapy for the treatment of chronic myeloid leukemia. N Engl J Med 1994; 330: 820-5. Chronic Myeloid Leukemia Trialists' Collaborative Group. Interferon alfa versus chemotherapy for chronic myeloid leukemia: a meta-analysis of seven randomized trials. J Natl Cancer Inst 1997; 89: 1616-20. Goldman JM, Druker BJ. Chronic myeloid leukemia: current treatment options. Blood 2001; 98: 2039-42. Talpaz M. Interferon-alfa-based treatment of chronic myeloid leukemia and implications of signal transduction inhibition. Semin Hematol 2001; 38: Suppl 8: 22-7. 72. Guilhot F, Chastang C, Michallet M, et al. Interferon alfa-2b combined with cytarabine versus interferon alone in chronic myelogenous leukemia. N Engl J Med 1997; 337: 223-9. Janossy G, Woodruff RK, Pippard MJ, et al. Relation of "lymphoid" phenotype and response to chemotherapy incorporating vincristine-prednisolone in the acute phase of Ph1 positive leukemia. Cancer 1979; 43: 42634. Walters RS, Kantarjian HM, Keating MJ, et al. Therapy of lymphoid and undifferentiated chronic myelogenous leukemia in blast crisis with continuous vincristine and adriamycin infusions plus high-dose decadron. Cancer 1987; 60: 1708-12. Kantarjian HM, Talpaz M, Keating MJ, et al. Intensive chemotherapy induction followed by interferon-alpha maintenance in patients with Philadelphia chromosome-positive chronic myelogenous leukemia. Cancer 1991; 68: 1201-7. Sacchi S, Kantarjian HM, O'Brien S, et al. Chronic myelogenous leukemia in nonlymphoid blastic phase: analysis of the results of first salvage therapy with three different treatment approaches for 162 patients. Cancer 1999; 86: 2632-41. Clift RA, Buckner CD, Thomas ED, et al. Treatment of chronic granulocytic leukaemia in chronic phase by allogeneic marrow transplantation. Lancet 1982; 2: 621-3. Goldman JM, Baughan AS, McCarthy DM, et al. Marrow transplan. To further confirm the application of the real-time PCR RTProfilerTM, we tested two other well-characterized drugs with known effects on liver toxicity. Acetaminophen APAP ; causes hepatic necrosis, while tetracycline TC ; induces steatosis by triglyceride accumulation. As predicted, the gene expression profiles on these PCR Arrays dramatically differ in cells treated with APAP, TC, or the glitazone drugs. This figure shows that a representative profile for as little as four genes can differentiate between APAP, TC, and Tro treatment and cytomel. [1] Husson MC, Becker A Coord ; . Mdicaments anticancreux. Ed. Mdicales Internationales, 1995. [2] Chevrier R, Sautou V, Pinon V, Demeocq F, Chopineau J. Stability and compatibility of a mixture of the anti-cancer drugs etoposide, cytarabine and daunorubicin for infusion. Pharm Acta Helv 1995; 70: 1418. [3] Dine T, Cazin JC, Gressier B et al. Stability and compatibility of four anthracyclines: doxorubicin, epirubicin, daunorubicin and pirarubicin with PVC infusion bags. Pharm Weekbl Sci Ed 1992; 14 6 ; : 3659. [4] Nyhammar EK, Johansson SG, Siwing BE. Stability of doxorubicin hydrochloride and vincristine sulfate in two portable infusion-pump reservoir. J Health-Syst Pharm 1996; 53: 11713. [5] Rochard EB, Barthes DMC, Courtois PY. Stability of fluorouracil, cytarabine and doxorubicin hydrochloride in ethylene vinyl acetate portable infusion-pump reservoirs. J Hosp Pharm 1992; 49: 61923. [6] Sergeant LE, Kobrinsky NL, Sus CJ, Nazeravich DR. In vitro stability and compatibility of daunorubicin, cytarabine and etoposide. Cancer Treat Rep 1987; 71 12 ; : 118992. [7] Stiles ML, Allen LV Jr. Stability of doxorubicin hydrochloride in portable pump reservoirs. J Hosp Pharm 1991; 48: 19767. [8] Stewart JT, Warren FW, King DT, Verkatesharan TG, Ponder GW, Fox JL. Stability of ondansetron hydrochloride, doxor ubicin hydrochloride and dacarbazine or vincristine sulfate in elastomeric portable infusion devices and polyvinyl chloride bags. J HealthSyst Pharm 1997; 54: 91520. [9] Walker S, Lau D, DeAngelis C et al. Doxorubicin stability in syringes and glass vials and evaluation of chemical contamination. Can J Hosp Pharm 1991; 44: 14351. [10] Wood MJ, Irwin WJ, Scott DK. Stability of doxorubicin, daunorubicin and epirubicin in plastic syringes and minibags. J Clin Pharm Ther 1990; 15: 27989. [11] Wood MJ, Irwin WJ, Scott DK. Photodegradation of doxorubicin, daunorubicin and epirubicin measured by high performance liquid chromatography. J Clin Pharm Ther 1990; 15: 291300. [12] Anduze-Acher V, Jaouen-Hakkou C, Vanheerswynghels S, Cabrol E. Ecoflac" poche pour perfusion en polythylne. Revue de l'ADPHSO 1997; 22 2 ; : 7581. [13] Pharmacope Europenne, Conseil de l'Europe, 3rd edition, 1997 [14] Trissel LA. Avoiding common flaws in stability and compatibility studies on injectable drugs. J Hosp Pharm 1983; 40: 115960 [15] Trissel LA Handbook on injectable drugs. American Society of Hospital Pharmacists, Bethesda, 10th edition, 1998. [16] Beijnen JH, Van der Houwen OAGJ, Underberg WJM. Aspects of degradation kinetics of doxorubicin in aqueous solution. Int J Pharm 1986; 32: 12331. [17] Poochikian GK, Cradock JC, Flora KP. Stability of anthracycline antitumor agents in four infusion fluids. J Hosp Pharm 1981; 38 4 ; : 483-6. [18] Jobet-Hermelin I, Mallevais ML, Jacquot C, Prugnaud JL. Proposition d'une concentration limite acceptable du plastifiant libr par le poly chlorure de vinyle ; dans les solutions injectables aqueuses. J Pharm Clin 1996; 15 2 ; : 1326. Investigating the molecular pathogenesis of adenovirus pneumonia. Proceedings of the National Academy of Sciences, USA 88, 16511655. Grossgebauer, K. 1967 ; . Virusbedingtes Fieber Ergebnisse und Probleme ; . Klinische Wochenschrift 45, 749755. Grossgebauer, K. 1972 ; . Zur Entstehung des Krankheitsfiebers beim vakziniavirusinfizierten Kaninchen. Archiv fur die gesamte Virusforschung W 38, 357365. Horwitz, M. S. 1996 ; . Adenoviruses. In Fields Virology, vol. 2, pp. 21492171. Edited by B. N. Fields, D. M. Knipe & P. M. Howley. Philadelphia : LippincottRaven. Kato, N. 1967 ; . Nonhemagglutinating complement-fixing V antigen of parainfluenza 1 virus HVJ ; . I. The production of nonhemagglutinating V antigen in chick embryos infected with HVJ. Virology 31, 2936. Kato, N. & Hara, H. 1961 ; . The toxic effect on rabbits of influenza virus given intravenously. British Journal of Experimental Pathology 42, 145152. Kato, N., Matsumoto, T., Maeno, K. & Okada, A. 1961 ; . A new strain CGBF and cytoxan.
Cytarabine is used to treat leukaemias, and gemcitabine is used in solid cancers such as ovarian or in combination with cisplatin to treat non-small cell lung cancer. Nucleoside analog, in patients with refractory leukemia. J Clin Oncol. 2002; 20: 656-664. Kantarjian HM, O'Brien SM, Keating M, et al. Results of decitabine therapy in the accelerated and blastic phases of chronic myelogenous leukemia. Leukemia. 1997; 11: 1617-1620. O'Brien S, Kantarjian H, Keating M, et al. Homoharringtonine therapy induces responses in patients with chronic myelogenous leukemia in late chronic phase. Blood. 1995; 86: 3322-3226. Kantarjian HM, Talpaz M, Smith TL, et al. Homoharringtonine and low-dose cytarabine in the management of late chronic-phase myelogenous leukemia. J Clin Oncol. 2000; 18: 3513-3521. Peters DG, Hoover RR, Gerlach MJ, et al. Activity and dacarbazine. In a recent article, Bishop et al' state that high-dose cytarabine has not previously been used as induction for untreated acute myeloid leukemia AML ; . In fact, high-dose cytarabine has been used by itself: with am~acrine, ~ with daunorubicin4 in this role. Addiand tionally, doses of cytarabine significantly above those considered standard had previously been used by other groups for initial induction' with daunorubicin. The report by Bishop et all builds on these previous experiences and clearly supports a role for high-dose cytarabine as initial therapy, as we and other groups have reported. John D. Shepherd Michael J. Barnett LeukemidBone Marrow Transplantation Program of British Columbia Vancouver, British Columbia Canada Gordon L. Phillips Markey Cancer Center University o Kentucky f Lexington, KY. Intrathecal cytarabine is effective treatment and prophylaxis of central nervous system leukemia and lymphoma and daclizumab. Abdominal M8822 1 ; - see Neoplasm, connective tissue, uncertain behavior embryonal mixed ; M9080 1 ; - see also Neoplasm, by site, uncertain behavior liver M9080 3 ; 155.0 endodermal sinus M9071 3 ; specified site - see Neoplasm, by site, malignant unspecified site female 183.0 male 186.9 epithelial benign M8010 0 ; - see Neoplasm, by site, benign malignant M8010 3 ; - see Neoplasm, by site, malignant Ewing's M9260 3 ; - see Neoplasm, bone, malignant fatty - see Lipoma fetal, causing disproportion 653.7 causing obstructed labor 660.1 fibroid M8890 0 ; - see Leiomyoma G cell M8153 1 ; malignant M8153 3 ; pancreas 157.4 specified site NEC - see Neoplasm, by site, malignant unspecified site 157.4 specified site - see Neoplasm, by site, uncertain behavior unspecified site 235.5 giant cell type ; M8003 1 ; - see also Neoplasm, by site, unspecified nature bone M9250 1 ; 238.0 malignant M9250 3 ; - see Neoplasm, bone, malignant chondromatous M9230 0 ; - see Neoplasm, bone, benign malignant M8003 3 ; - see Neoplasm, by site, malignant peripheral gingiva ; 523.8 soft parts M9251 1 ; - see also Neoplasm, connective tissue, uncertain behavior malignant M9251 3 ; - see Neoplasm, connective tissue, malignant tendon sheath 727.02 glomus M8711 0 ; - see also Hemangioma, by site jugulare M8690 1 ; 237.3 malignant M8690 3 ; 194.6 gonadal stromal M8590 1 ; - see Neoplasm, by site, uncertain behavior granular cell M9580 0 ; - see also Neoplasm, connective tissue, benign malignant M9580 3 ; - see Neoplasm, connective tissue, malignant granulosa cell M8620 1 ; 236.2 malignant M8620 3 ; 183.0 granulosa cell-theca cell M8621 1 ; 236.2 malignant M8621 3 ; 183.0 Grawitz's hypernephroma ; M8312 3 ; 189.0 hazard-crile M8350 3 ; 193 hemorrhoidal - see Hemorrhoids hilar cell M8660 0 ; 220 Hrthle cell benign ; M8290 0 ; 226 malignant M8290 3 ; 193 hydatid see also Echinococcus ; 122.9 hypernephroid M8311 1 ; - see also Neoplasm, by site, uncertain behavior interstitial cell M8650 1 ; - see also Neoplasm, by site, uncertain behavior benign M8650 0 ; - see Neoplasm, by site, benign malignant M8650 3 ; - see Neoplasm, by site, malignant islet cell M8150 0 ; malignant M8150 3 ; pancreas 157.4. Cyclosporine A CsA ; inhibits P-glycoprotein Pgp ; mediated cellular export of anthracyclines at clinically achievable concentrations. This randomized controlled trial was performed to test the benefit of CsA addition to treatment with cytarabine and daunorubicin DNR ; in patients with poor-risk acute myeloid leukemia AML ; . A total of 226 patients were randomly assigned to sequential treatment with cytarabine and infusional DNR with or without intravenous CsA. Remitting patients received one course of consolidation chemotherapy that included DNR with or without CsA as assigned during induction. Addition of CsA significantly reduced the frequency of resistance to in and dactinomycin.

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With oral topotecan achieved a CR. The lower threshold dose for clinical response was 1.1 mg m2 day, suggesting a dose-response relationship. The results of the present study may be compared with results reported for other single chemotherapeutic agents, e.g., cytarabine, azacytidine, and decitabine 25, 2729 ; . For example, approximately 15% of MDS and CMML patients treated with low-dose cytarabine either alone 28, 29 ; or in combination with granulocyte macrophage colony-stimulating factor 27 ; achieved a CR, whereas a CR rate of 9% has been reported for azacytidine 25 ; , and a CR rate of 20% has been reported for decitabine 30 ; . Although the current study was not designed to evaluate the efficacy of oral topotecan in MDS patients, the preliminary data suggest that oral topotecan might potentially be a valuable agent in the treatment of MDS and CMML. An intermittent dosing of topotecan may be better tolerated in the setting of a protracted exposure and possibly also more readily combined with other agents, particularly if the oral formulation of topotecan is used. Because topotecan is an Sphase-specific drug, it may be more active when administered over a prolonged period of time. Compared with i.v. administration, an oral formulation provides convenience for prolonged outpatient treatment, potentially leading to improved quality of life for patients. This may be particularly important for patients with multiple comorbidities. These considerations are further supported by the results of the current study, in which fewer patients treated at the MTD level experienced febrile episodes and severe gastrointestinal toxicity when compared with patients treated with the MTD of i.v. topotecan 8 ; . The results of this dose-seeking study demonstrate that at doses inducing responses in patients with MDS and CMML, oral topotecan is well tolerated and suitable for outpatient management of patients with hematological malignancies. For future Phase II studies in patients with hematological malignancies, we recommend a dose of 1.4 mg m2 day of oral topotecan for 3 cycles consisting of 5 consecutive days on and 2 days off treatment, followed by 2 4 weeks of rest between courses. Azacitidine is cross-resistant with cytosine arabinoside cytarabine or ara-c ; if resistance is due to the deletion of deoxycytidine kinase activity and dalteparin.
Chapter 3. Hidden Markov Models and Discriminative Training of the state transition probability matrix A and the output probability matrix B, i.e Apart from the HMM structure described in this section, some researchers prefer dealing with another structure in which outputs are generated by transitions into states and not by states. That is to say, the output ot is produced at each time step t while the transition from state qt-1 to qt is being made. The advantage of this HMM structure is concerned with its flexibility to introduce the possibility of null transitions that change state but result in no output. This is useful for modelling an observation sequence that has fewer output segments than the number of HMM states. However, as described in [46], these two HMM structures are entirely equivalent and interchangeable, and the formulae used to compute probabilities in one structure can also be adapted to another structure. The formulations of the HMM in the following sections are based on the structure described in this section in which outputs are produced by states and cytarabine!
76 ; Bouron-Morin B., Douillet P., Ouillon S., Chevillon C., Fichez R., 2001. Modlisation numrique du transport de vase et de sable dans le lagon sud-ouest de Nouvelle-Caldonie. 27eme Colloque de l'Union des Ocanographes de France, Villeneuve d'Asq, 5-7 sept. 2001. 77 ; Bouvet G. Ferraris J., 2001. Tldtection et SIG: Recherche d'indicateur cosystmique par la caractrisation des habitats: application au lagon sud-ouest de Nouvelle-Caldonie. 5me Forum Halieumtrique, Lorient, 26-28 juin 2001. 78 ; Bozec Y.M., Ferraris J., Gascuel D., Kulbicki M., 2002 -Structure trophique des peuplements de poissons rciaux : recherche d'un indicateur de perturbations anthropiques. Congrs international de Limnologie & Ocanographie, Paris, 9-12 sept-2002. 79 ; Bozec Y.-M., Kulbicki M., & Lalo F., 2001. Assessing coral reef fish density using line transect sampling. International Conference on Distance Sampling, St-andrews, Scotland, aot 2001. 80 ; Breau L., Fernandez J.M., Fichez R., Magand O., Miramand P. Fichet D., 2000. Bioaccumulation of terrigeneous metals in some bivalves of the south-west lagoon of New Caledonia. 9th International Coral Reef Symposium, Bali, Indonesia, 23-27 octobre 2000. 81 ; Bujan S., Douillet P., Fichez R., Grenz C., 1999. Hydrodynamique d'un lagon ctier tropical : temps de rsidence et variabilit saisonnire du systme plagique du lagon sud-ouest de Nouvelle-Caldonie. 4ime Congrs de Limnologie & Oceanographie AFL-UOF ; , Bordeaux, 7-10 Sept 1999. 82 ; Bujan S., Pinazo C., Douillet P., Grenz C., Fichez R., 2000. A 3D coupled physical-biogeochemical model to simulate influences of major hydrodynamic forcing on the evolution of pelagic ecosystem in the southwest lagoon of New Caledonia. 9th International Coral Reef Symposium, Bali, Indonesia, 23-27 octobre 2000. 83 ; Bujan, S., Grenz C., Fichez R., Douillet P., 1999. Contribution of occasional freshwater inputs on a coastal subtropical ecosystem, impact on nutrient and phytoplankton biomass described through a biogeochemical simulation model. ASLO 1999 meeting, Santa Fe, USA, 1-5 Fevrier 1999. 84 ; Chevillon C., 2000. The use of seabed acoustic classification RoxAnn ; in indentifying the distribution of coral structures. International Coral Reef Initiative ICRI ; , Noumea, New Caledonia, 22-24 May 2000 and damiana.
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