Page last updated: 2024-10-24

chlorambucil and Disease Exacerbation

chlorambucil has been researched along with Disease Exacerbation in 32 studies

Chlorambucil: A nitrogen mustard alkylating agent used as antineoplastic for chronic lymphocytic leukemia, Hodgkin's disease, and others. Although it is less toxic than most other nitrogen mustards, it has been listed as a known carcinogen in the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (Merck Index, 11th ed)
chlorambucil : A monocarboxylic acid that is butanoic acid substituted at position 4 by a 4-[bis(2-chloroethyl)amino]phenyl group. A chemotherapy drug that can be used in combination with the antibody obinutuzumab for the treatment of chronic lymphocytic leukemia.

Research Excerpts

ExcerptRelevanceReference
"The objective was to determine the safety and efficacy of adding a maximally tolerated dose of 2-chlorodeoxyadenosine (2-CdA) to standard chlorambucil (CLB) therapy in previously untreated B-cell chronic lymphocytic leukemia (CLL)."9.09Phase II study of 2-chlorodeoxyadenosine in combination with chlorambucil in previously untreated B-cell chronic lymphocytic leukemia. ( Krook, JE; Levitt, R; Li, CY; Michalak, JC; Schroeder, G; Tefferi, A; Tschetter, LK; Witzig, TE, 1999)
"In polycythemia vera (PV), treatment with chlorambucil and radioactive phosphorus (p32) increases the risk of leukemic transformation from 1% to 13-14%."7.69Leukemogenic risk of hydroxyurea therapy in polycythemia vera, essential thrombocythemia, and myeloid metaplasia with myelofibrosis. ( Fisher, SG; Godwin, J; Nand, S; Stock, W, 1996)
"The objective was to determine the safety and efficacy of adding a maximally tolerated dose of 2-chlorodeoxyadenosine (2-CdA) to standard chlorambucil (CLB) therapy in previously untreated B-cell chronic lymphocytic leukemia (CLL)."5.09Phase II study of 2-chlorodeoxyadenosine in combination with chlorambucil in previously untreated B-cell chronic lymphocytic leukemia. ( Krook, JE; Levitt, R; Li, CY; Michalak, JC; Schroeder, G; Tefferi, A; Tschetter, LK; Witzig, TE, 1999)
" Randomized studies have shown that the risk of thrombosis was significantly reduced in ET with the use of hydroxyurea (HU) and in PV with the use of chlorambucil or 32P."4.80Treatment of polycythaemia vera and essential thrombocythaemia. ( Silverstein, MN; Tefferi, A, 1998)
" In vitro studies of human chronic lymphocytic leukemia cells incubated with theophylline, a phosphodiesterase inhibitor, resulted in downregulation of bcl-2 concomitant with induction of apoptosis."3.70Theophylline, pentostatin (Nipent), and chlorambucil: a dose-escalation study targeting intrinsic biologic resistance mechanisms in patients with relapsed lymphoproliferative disorders. ( Byrd, JC; Flinn, IW; Goodrich, A; Grever, MR; Lucas, MA; Park, K; Shinn, C; Waselenko, JK; Willis, CR, 2000)
"In polycythemia vera (PV), treatment with chlorambucil and radioactive phosphorus (p32) increases the risk of leukemic transformation from 1% to 13-14%."3.69Leukemogenic risk of hydroxyurea therapy in polycythemia vera, essential thrombocythemia, and myeloid metaplasia with myelofibrosis. ( Fisher, SG; Godwin, J; Nand, S; Stock, W, 1996)
"A median of two cycles were given until disease progression or grade 3/4 toxicity."2.71Low-dose continuous chemotherapy for metastatic melanoma: a phase II trial. ( Neville, F; Nystrom, ML; Oliver, RT; Shamash, J; Steele, JP, 2003)
"Although chlorambucil slowed disease progression, there was no effect on overall survival."2.69Chlorambucil in indolent chronic lymphocytic leukemia. French Cooperative Group on Chronic Lymphocytic Leukemia. ( Binet, JL; Cazin, B; Desablens, B; Dighiero, G; Dreyfus, B; Jaubert, J; Leblay, R; Lepeu, G; Leporrier, M; Maloum, K; Navarro, M; Travade, P, 1998)
"Disease progression was significantly more frequent in patients presenting an immunological event or an M component."2.41Treatment of splenic marginal zone B-cell lymphoma: an analysis of 81 patients. ( Arcache, J; Arnaud, P; Berger, F; Callet-Bauchu, E; Coiffier, B; Dumontet, C; Felman, P; Hequet, O; Salles, G; Thieblemont, C, 2002)
"We report on a case of Waldenström's macroglobulinemia (WM) treated with splenic re-irradiation."1.38Splenic re-irradiation for waldenstrőm's macroglobulinemia. ( Han, W; Wei, Z; Yanxia, Y; Ying, X; Yuhua, J, 2012)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (15.63)18.2507
2000's15 (46.88)29.6817
2010's12 (37.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Pejsa, V1
Lucijanic, M1
Jonjic, Z1
Prka, Z1
Vukorepa, G1
Palmisano, F1
Lorusso, V1
Spinelli, MG1
Dell'Orto, PG1
Montanari, E1
Else, M2
Wade, R2
Oscier, D2
Catovsky, D2
Vidal, L1
Gurion, R1
Ram, R1
Raanani, P1
Bairey, O1
Robak, T1
Gafter-Gvili, A1
Shpilberg, O1
Taylor, F1
Gear, R1
Hoather, T1
Dobson, J1
Friedman, DR1
Weinberg, JB1
Barry, WT1
Goodman, BK1
Volkheimer, AD1
Bond, KM1
Chen, Y1
Jiang, N1
Moore, JO1
Gockerman, JP1
Diehl, LF1
Decastro, CM1
Potti, A1
Nevins, JR1
Proctor, SJ2
Lennard, AL1
Jackson, GH2
Jones, GL1
Lewis, J1
Wilkinson, J1
White, J1
Sieniawski, M1
McKay, P1
Culligan, D1
Lucraft, HH2
Dreyling, M1
Polliack, A2
Tadmor, T2
Bejar, J1
Attias, D1
Pentsova, E1
Rosenblum, M1
Holodny, A1
Palomba, ML1
Omuro, A1
Wei, Z1
Yanxia, Y1
Ying, X1
Han, W1
Yuhua, J1
Skowronska, A1
Parker, A1
Ahmed, G1
Oldreive, C1
Davis, Z1
Richards, S2
Dyer, M1
Matutes, E1
Gonzalez, D1
Taylor, AM1
Moss, P1
Thomas, P1
Stankovic, T1
Hapgood, G1
Mooney, E1
Dinh, HV1
Gin, D1
McLean, C1
Ting, SB1
Thieblemont, C1
Felman, P1
Berger, F1
Dumontet, C1
Arnaud, P1
Hequet, O1
Arcache, J1
Callet-Bauchu, E1
Salles, G1
Coiffier, B1
Akpek, EK1
Jabs, DA1
Tessler, HH1
Joondeph, BC1
Foster, CS1
Nystrom, ML1
Steele, JP1
Shamash, J1
Neville, F1
Oliver, RT1
Manoharan, A1
Hebert, LA1
Rovin, BH1
Agarwal, AK1
Spetie, DN1
Levin, M1
Libster, D1
Johnson, PW1
Radford, JA1
Cullen, MH1
Sydes, MR1
Walewski, J1
Jack, AS1
MacLennan, KA1
Stenning, SP1
Clawson, S1
Smith, P1
Ryder, D1
Hancock, BW1
Taylor, PR1
White, JM1
Prescott, RJ1
Angus, B1
Galloway, MJ1
Lessells, AM1
Summerfield, GP1
Dearden, C1
Milligan, D1
Hamblin, T1
Deslandes, E1
Chevret, S1
Demko, S1
Summers, J1
Keegan, P1
Pazdur, R1
Nand, S1
Stock, W1
Godwin, J1
Fisher, SG1
Dighiero, G1
Maloum, K1
Desablens, B1
Cazin, B1
Navarro, M1
Leblay, R1
Leporrier, M1
Jaubert, J1
Lepeu, G1
Dreyfus, B1
Binet, JL1
Travade, P1
Saletti, P1
Zucca, E1
Gueneau, M1
Peccatori, F1
Cavalli, F2
Martinelli, G1
Tefferi, A2
Levitt, R1
Li, CY1
Schroeder, G1
Tschetter, LK1
Michalak, JC1
Krook, JE1
Witzig, TE1
Silverstein, MN1
Byrd, JC1
Grever, MR1
Waselenko, JK1
Willis, CR1
Park, K1
Goodrich, A1
Lucas, MA1
Shinn, C1
Flinn, IW1
Carde, P1
Diehl, V1
Franklin, J1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Chronic Lymphocytic Leukemia Trial 4: A Randomized Comparison of Chlorambucil, Fludarabine and Fludarabine Plus Cyclophosphamide[NCT00004218]Phase 30 participants Interventional1999-10-31Completed
A UKLG Randomised Trial of Initial Chemotherapy for Advanced Stage Hodgkins Disease[NCT00003421]Phase 3800 participants (Anticipated)Interventional1998-06-30Completed
Phase III Randomized Study to Investigate the Use of Acalabrutinib in the Treatment of Patients With Early Stage CLL With High Risk of Early Disease Progression[NCT04178798]Phase 322 participants (Actual)Interventional2019-12-09Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

6 reviews available for chlorambucil and Disease Exacerbation

ArticleYear
Blastoid variant of mantle cell lymphoma of the female urethra mimicking a caruncle: A rare but highly aggressive subtype case with literature review.
    Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, 2019, Mar-29, Volume: 91, Issue:1

    Topics: Aged, 80 and over; Antineoplastic Agents, Alkylating; Chlorambucil; Diagnosis, Differential; Disease

2019
Chlorambucil for the treatment of patients with chronic lymphocytic leukemia (CLL) - a systematic review and meta-analysis of randomized trials.
    Leukemia & lymphoma, 2016, Volume: 57, Issue:9

    Topics: Antineoplastic Agents, Alkylating; Antineoplastic Combined Chemotherapy Protocols; Chlorambucil; Dis

2016
The role of an all-oral chemotherapy containing lomustine (CCNU) in advanced,fs progressive Hodgkin lymphoma: a patient-friendly palliative option which can result in long-term disease control.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2010, Volume: 21, Issue:2

    Topics: Administration, Oral; Antineoplastic Combined Chemotherapy Protocols; Chlorambucil; Disease Progress

2010
Treatment of splenic marginal zone B-cell lymphoma: an analysis of 81 patients.
    Clinical lymphoma, 2002, Volume: 3, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antineoplastic Agents; Antineoplastic Combin

2002
Treatment of polycythaemia vera and essential thrombocythaemia.
    Bailliere's clinical haematology, 1998, Volume: 11, Issue:4

    Topics: Adult; Aged; Aspirin; Chlorambucil; Disease Progression; Female; Hemorrhage; Humans; Hydroxyurea; In

1998
Is escalated BEACOPP a standard therapy for advanced Hodgkin's disease?
    The hematology journal : the official journal of the European Haematology Association, 2000, Volume: 1, Issue:4

    Topics: Antineoplastic Combined Chemotherapy Protocols; Bleomycin; Chlorambucil; Clinical Trials, Phase III

2000

Trials

9 trials available for chlorambucil and Disease Exacerbation

ArticleYear
The long-term outcome of patients in the LRF CLL4 trial: the effect of salvage treatment and biological markers in those surviving 10 years.
    British journal of haematology, 2016, Volume: 172, Issue:2

    Topics: Aged; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Biomarkers, Tumor; Chlo

2016
Biallelic ATM inactivation significantly reduces survival in patients treated on the United Kingdom Leukemia Research Fund Chronic Lymphocytic Leukemia 4 trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012, Dec-20, Volume: 30, Issue:36

    Topics: Aged; Alleles; Antineoplastic Combined Chemotherapy Protocols; Ataxia Telangiectasia Mutated Protein

2012
Low-dose continuous chemotherapy for metastatic melanoma: a phase II trial.
    Melanoma research, 2003, Volume: 13, Issue:2

    Topics: Administration, Oral; Adult; Aged; Antimetabolites, Antineoplastic; Antineoplastic Agents, Alkylatin

2003
Comparison of ABVD and alternating or hybrid multidrug regimens for the treatment of advanced Hodgkin's lymphoma: results of the United Kingdom Lymphoma Group LY09 Trial (ISRCTN97144519).
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2005, Dec-20, Volume: 23, Issue:36

    Topics: Adolescent; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Bleomycin; Chlorambucil; Co

2005
The addition of oral idarubicin to a chlorambucil/dexamethasone combination has a significant impact on time to treatment failure but none on overall survival in patients with low grade non-Hodgkin's lymphoma: Results of the Scotland and Newcastle Lymphom
    Leukemia & lymphoma, 2006, Volume: 47, Issue:11

    Topics: Administration, Oral; Adolescent; Adult; Aged; Chlorambucil; Dexamethasone; Disease Progression; Dru

2006
The prognostic significance of a positive direct antiglobulin test in chronic lymphocytic leukemia: a beneficial effect of the combination of fludarabine and cyclophosphamide on the incidence of hemolytic anemia.
    Blood, 2008, Feb-15, Volume: 111, Issue:4

    Topics: Aged; Anemia, Hemolytic; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Chlo

2008
FDA drug approval summary: alemtuzumab as single-agent treatment for B-cell chronic lymphocytic leukemia.
    The oncologist, 2008, Volume: 13, Issue:2

    Topics: Aged; Alemtuzumab; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antibodies, Neoplasm;

2008
Chlorambucil in indolent chronic lymphocytic leukemia. French Cooperative Group on Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 1998, May-21, Volume: 338, Issue:21

    Topics: Aged; Antineoplastic Agents, Alkylating; Antineoplastic Combined Chemotherapy Protocols; Chlorambuci

1998
Phase II study of 2-chlorodeoxyadenosine in combination with chlorambucil in previously untreated B-cell chronic lymphocytic leukemia.
    American journal of clinical oncology, 1999, Volume: 22, Issue:5

    Topics: Antineoplastic Combined Chemotherapy Protocols; Chlorambucil; Cladribine; Disease Progression; Femal

1999

Other Studies

17 other studies available for chlorambucil and Disease Exacerbation

ArticleYear
Progressive multifocal leukoencephalopathy developing after obinutuzumab treatment for chronic lymphocytic leukemia.
    Annals of hematology, 2019, Volume: 98, Issue:6

    Topics: Antibodies, Monoclonal, Humanized; Antineoplastic Agents, Immunological; Antineoplastic Combined Che

2019
Ofatumumab in previously untreated chronic lymphocytic leukaemia. No clear advantages when added to chlorambucil.
    Prescrire international, 2015, Volume: 24, Issue:165

    Topics: Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antineoplastic Combined Chemotherapy Prot

2015
Chlorambucil and prednisolone chemotherapy for dogs with inoperable mast cell tumours: 21 cases.
    The Journal of small animal practice, 2009, Volume: 50, Issue:6

    Topics: Animals; Antineoplastic Agents, Alkylating; Antineoplastic Agents, Hormonal; Antineoplastic Combined

2009
A genomic approach to improve prognosis and predict therapeutic response in chronic lymphocytic leukemia.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2009, Nov-15, Volume: 15, Issue:22

    Topics: Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Murine-Derived; Anti

2009
Chlorambucil in indolent mantle cell lymphoma--just another old drug for a new disease?
    Leukemia & lymphoma, 2011, Volume: 52, Issue:3

    Topics: Antineoplastic Agents, Alkylating; Antineoplastic Agents, Hormonal; Chlorambucil; Disease Progressio

2011
Richter syndrome in chronic lymphocytic leukaemia manifesting only as tumorous hepatomegaly.
    British journal of haematology, 2011, Volume: 155, Issue:2

    Topics: Adrenal Cortex Hormones; Aged; Antibodies, Monoclonal, Murine-Derived; Antineoplastic Combined Chemo

2011
Chemotherapy-related magnetic resonance imaging abnormalities mimicking disease progression following intraventricular liposomal cytarabine and high dose methotrexate for neurolymphomatosis.
    Leukemia & lymphoma, 2012, Volume: 53, Issue:8

    Topics: Aged; Antineoplastic Agents; Autopsy; Brain; Brain Injuries; Chlorambucil; Cytarabine; Disease Progr

2012
Splenic re-irradiation for waldenstrőm's macroglobulinemia.
    Radiation oncology (London, England), 2012, Apr-12, Volume: 7

    Topics: Aged; Antineoplastic Agents; Chlorambucil; Combined Modality Therapy; Cyclophosphamide; Disease Prog

2012
Leukaemia cutis in chronic lymphocytic leukaemia following varicella zoster virus reactivation.
    Internal medicine journal, 2012, Volume: 42, Issue:12

    Topics: Aged; Antineoplastic Agents, Alkylating; Chlorambucil; Disease Progression; Herpes Zoster; Humans; L

2012
Successful treatment of serpiginous choroiditis with alkylating agents.
    Ophthalmology, 2002, Volume: 109, Issue:8

    Topics: Adult; Aged; Antineoplastic Agents, Alkylating; Chlorambucil; Choroiditis; Cyclophosphamide; Disease

2002
Long-term maintenance therapy with weekly chlorambucil in patients with symptomatic or progressive follicular lymphoma.
    Leukemia & lymphoma, 2004, Volume: 45, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Agents, Alkylating; Chlorambucil; Disease Progression

2004
Cyclophosphamide or chlorambucil therapy is indicated in idiopathic membranous nephropathy with strong risk factors for progression.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2005, Volume: 45, Issue:4

    Topics: Chlorambucil; Creatinine; Cyclophosphamide; Disease Progression; Drug Therapy, Combination; Glomerul

2005
Allergic reaction to chlorambucil in chronic lymphocytic leukemia presenting with fever and lymphadenopathy.
    Leukemia & lymphoma, 2005, Volume: 46, Issue:8

    Topics: Aged; Chlorambucil; Disease Progression; Drug Hypersensitivity; Female; Fever; Humans; Leukemia, Lym

2005
Assessing surrogacy from the joint modelling of multivariate longitudinal data and survival: application to clinical trial data on chronic lymphocytic leukaemia.
    Statistics in medicine, 2007, Dec-30, Volume: 26, Issue:30

    Topics: Antineoplastic Agents, Alkylating; Biomarkers; Biometry; Cell Count; Chlorambucil; Data Interpretati

2007
Leukemogenic risk of hydroxyurea therapy in polycythemia vera, essential thrombocythemia, and myeloid metaplasia with myelofibrosis.
    American journal of hematology, 1996, Volume: 52, Issue:1

    Topics: Acute Disease; Anemia, Refractory, with Excess of Blasts; Busulfan; Cell Transformation, Neoplastic;

1996
ChlVPP/ABV-VP16 hybrid regimen for advanced Hodgkin's disease: a study in 36 patients.
    Leukemia & lymphoma, 1999, Volume: 33, Issue:3-4

    Topics: Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Bleomycin; Chlorambucil; Disease Progre

1999
Theophylline, pentostatin (Nipent), and chlorambucil: a dose-escalation study targeting intrinsic biologic resistance mechanisms in patients with relapsed lymphoproliferative disorders.
    Seminars in oncology, 2000, Volume: 27, Issue:2 Suppl 5

    Topics: Antibiotics, Antineoplastic; Antineoplastic Agents, Alkylating; Antineoplastic Combined Chemotherapy

2000