Page last updated: 2024-10-24

chlorambucil and Enlarged Spleen

chlorambucil has been researched along with Enlarged Spleen in 29 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
"Hairy cell leukemia (HCL) is characterized by leukemic cells with abundant "hairy" cytoplasm, strong cytoplasmic positivity for tartrate-resistant acid phosphatase (TRAP), characteristic immunophenotype and sensitivity to treatment with purine nucleoside analogs."4.87Hairy cell leukemia and variant in Taiwan: report of a variant case and literature review. ( Chang, ST; Chuang, SS; Hsieh, YC; Li, CY; Lin, CN; Lu, CL; Tsao, CJ, 2011)
"Lymphadenopathy, splenomegaly and hepatomegaly were seen in 52 (55%), 63 (66%) and 60 (63%) patients, respectively."1.34Chronic lymphocytic leukemia in India--a clinico-hematological profile. ( Agrawal, N; Choudhary, VP; Kumar, R; Mahapatra, M; Naithani, R; Panigrahi, I; Pati, HP; Saxena, R, 2007)
"Treatment with clarithromycin, ethambutol and rifabutin resulted in improvement of anaemia and general health as well as in regression of lymphadenopathy and splenomegaly."1.31Mycobacterium genavense infection in a patient with long-standing chronic lymphocytic leukaemia. ( Bodmer, T; Krebs, T; Lämmle, B; Zimmerli, S, 2000)
"Bleeding tendency was seen in 17%, infections in 17%, hyperviscosity syndrome in 12%, and cardiac failure in 25% of the patients."1.31Waldenström's macroglobulinemia: clinical course and prognostic factors in 60 patients. Experience from a single hematology unit. ( Angelopoulou, MK; Boussiotis, V; Dimopoulou, MN; Fessas, P; Gribabis, A; Kittas, C; Konstantopoulos, K; Kontopidou, FN; Kyrtsonis, MC; Pangalis, GA; Siakantaris, P; Vaiopoulos, GA; Vassilakopoulos, TP, 2001)
"Prolymphocytic leukemia is characterized by marked splenomegaly, distinctive cellular morphologic characteristics, and a poor clinical course."1.26Treatment of prolymphocytic leukemia. ( Coleman, M; Hollister, D, 1982)
"A method of clinical staging of chronic lymphocytic leukemia (CLL) has been proposed which is based on the concept that CLL is a disease of progressive accumulation of nonfunctioning lymphocytes: stage O, bone marrow and blood lymphocytosis only; stage 1, lymphocytosis with enlarged nodes; stage II, lymphocytosis with enlarged spleen or liver or both; stage III, lymphocytosis with anemia; and stage IV:lymphocytosis with thrombocytopenia."1.25Clinical staging of chronic lymphocytic leukemia. ( Chanana, AD; Cronkite, EP; Levy, RN; Pasternack, BS; Rai, KR; Sawitsky, A, 1975)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-199020 (68.97)18.7374
1990's0 (0.00)18.2507
2000's8 (27.59)29.6817
2010's1 (3.45)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hsieh, YC1
Chang, ST1
Chuang, SS1
Lu, CL1
Tsao, CJ1
Lin, CN1
Li, CY1
Cavard, A1
Lidove, O1
Aflak, F1
Drupt, F1
Goldenberg, P1
Baglin, AC1
Taksin, AL1
Malek-Chehire, N1
Wasserman, MR1
Terré, C1
Blétry, O1
INNES, J1
WANEBO, HJ1
CLARKSON, BD1
Stiefelhagen, P1
Chakravorty, S1
Johnston, R1
Coulter, C1
Bain, BJ1
Agrawal, N1
Naithani, R1
Mahapatra, M1
Panigrahi, I1
Kumar, R1
Pati, HP1
Saxena, R1
Choudhary, VP1
Alfinito, F1
Formisano, S1
Rotoli, B1
Hollister, D1
Coleman, M1
Wirthmüller, R1
Gerhartz, H1
Greco, MM1
Krebs, T1
Zimmerli, S1
Bodmer, T1
Lämmle, B1
Pichon, N1
Debette-Gratien, M1
Cessot, F1
Paraf, F1
Labrousse, F1
Sautereau, D1
Pillegand, B1
Kyrtsonis, MC1
Vassilakopoulos, TP1
Angelopoulou, MK1
Siakantaris, P1
Kontopidou, FN1
Dimopoulou, MN1
Boussiotis, V1
Gribabis, A1
Konstantopoulos, K1
Vaiopoulos, GA1
Fessas, P1
Kittas, C1
Pangalis, GA1
Siemens, HJ1
Gerke, P1
Steinhoff, J1
Roth-Isigkeit, A1
Wagner, K1
Brückner, S1
Rai, KR1
Sawitsky, A1
Cronkite, EP1
Chanana, AD1
Levy, RN1
Pasternack, BS1
Lauria, F1
Foa, R1
Raspadori, D1
Motta, MR1
Tazzari, PL1
Biagini, G1
Preda, P1
Algeri, R1
Tura, S1
Gallagher, CJ1
Gregory, WM1
Jones, AE1
Stansfeld, AG1
Richards, MA1
Dhaliwal, HS1
Malpas, JS1
Lister, TA1
Hermanský, F1
Janele, J1
Smetana, K1
André, R1
Duhamel, G1
Salmon, C1
Najman, A1
Homberg, JC1
Lebacq, E1
Bonhomme, J1
Seligmann, M1
Mihaesco, C1
Clauvel, JP1
Danon, F1
Brouet, JC1
Bouvry, P1
Martine, J1
Clerc, M1
Richards, F1
Spurr, CL1
Pajak, TF1
Blake, DD1
Raben, M1
Hunold, W1
Haak, HL1
de Man, JC1
Hijmans, W1
Speck, B1
Themi, H1
Trepel, F1
Schick, P1
Kaboth, W1
Begemann, H1
Kutti, J1
Han, T1
Sokal, JE1
Lee, SL1
Rosner, F1
Ruberman, W1
Glasberg, S1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment of Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL): DNA Microarray Gene Expression Analysis[NCT00001586]Phase 2105 participants (Actual)Interventional1997-09-30Completed
Phase II Clinical Protocol for the Treatment of Patients With Previously Untreated CLL With Four or Six Cycles of Fludarabine and Cyclophosphamide With Rituximab (FCR) Plus Lenalidomide Followed by Lenalidomide Consolidation/ Maintenance[NCT01723839]Phase 221 participants (Actual)Interventional2012-02-22Completed
A Phase II Trial of Combined Weekly Bortezomib and Tositumomab I-131 in Patients With Relapsed or Refractory Follicular Non-Hodg[NCT00479167]Phase 21 participants (Actual)Interventional2007-05-31Terminated (stopped due to Lack of accrual and interest in study)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With Adverse Events

Here is the number of participants with adverse events. For the detailed list of adverse events see the adverse event module. (NCT00001586)
Timeframe: 13 years, 10.5 months

InterventionParticipants (Number)
Intermediate-high Risk B-Cell Pts18

Change in Gene Expression Post Chemo

Changes in lymphocyte gene expression was measured by deoxyribonucleic acid (DNA) microarray analysis of circulating leukemic cells after completion of study treatment. A change in expression is defined as a >50% increase in circulating leukemic cells or a 30% decrease in circulating leukemic cells. (NCT00001586)
Timeframe: 6 hours post treatment, and 24 hours post treatment

InterventionPercent change in cells (Number)
6 hours post treatment (e.g. ># cells)24 hours post treatment (e.g. > # cells)
Intermediate-high Risk B-Cell Pts3050

Complete Response

Analysis of the Primary Endpoint: The complete responses will be estimated by the number of patients with CR divided by the total number of evaluable patients. (NCT01723839)
Timeframe: 28 day cycle, up to 4 cycles

InterventionPercentage of Participants (Number)
FCR With Lenalidomide45

Overall Response Rate

Analysis of the other Secondary Endpoints: The overall response rate will be estimated by the number of patients with complete and partial responses divided by the total number of evaluable patients. (NCT01723839)
Timeframe: 28 day cycle, up to 6 cycles

InterventionPercentage of Participants (Number)
FCR With Lenalidomide95

Reviews

1 review available for chlorambucil and Enlarged Spleen

ArticleYear
Hairy cell leukemia and variant in Taiwan: report of a variant case and literature review.
    International journal of clinical and experimental pathology, 2011, Jan-05, Volume: 4, Issue:2

    Topics: Acid Phosphatase; Aged; Antigens, CD; Antineoplastic Agents, Alkylating; Biomarkers, Tumor; Bone Mar

2011

Other Studies

28 other studies available for chlorambucil and Enlarged Spleen

ArticleYear
[IgG-secreting lymphoplasmocytoid leukemia revealed by ophthalmologic hyperviscosity symptoms].
    Annales de medecine interne, 2002, Volume: 153, Issue:3

    Topics: Aged; Antibodies, Neoplasm; Antineoplastic Combined Chemotherapy Protocols; Blood Viscosity; Chloram

2002
ANTI-LEUKAEMIC DRUGS.
    The Practitioner, 1964, Volume: 193

    Topics: Busulfan; Chlorambucil; Cyclophosphamide; Humans; Leukemia; Leukemia, Lymphoid; Leukemia, Myeloid; M

1964
ESSENTIAL MACROGLOBULINEMIA. REPORT OF A CASE INCLUDING IMMUNOFLUORESCENT AND ELECTRON MICROSCOPIC STUDIES.
    Annals of internal medicine, 1965, Volume: 62

    Topics: Blood Protein Electrophoresis; Bone Marrow Cells; Chlorambucil; Electrons; Fluorescent Antibody Tech

1965
[Pressure pain in the left epigastrium: blood picture provides diagnosis. Chronic lymphatic leukemia].
    MMW Fortschritte der Medizin, 2003, Sep-25, Volume: 145, Issue:39

    Topics: Antineoplastic Agents; Antineoplastic Agents, Alkylating; Antineoplastic Agents, Hormonal; Chlorambu

2003
Teaching cases from the Royal Marsden and St Mary's Hospitals, case 26: refractory microcytic anaemia.
    Leukemia & lymphoma, 2004, Volume: 45, Issue:7

    Topics: Anemia, Refractory; Antineoplastic Combined Chemotherapy Protocols; Biomarkers; Bleomycin; Blood Sed

2004
Chronic lymphocytic leukemia in India--a clinico-hematological profile.
    Hematology (Amsterdam, Netherlands), 2007, Volume: 12, Issue:3

    Topics: Adult; Age Factors; Aged; Aged, 80 and over; Anemia; Chlorambucil; Female; Hematologic Tests; Hepato

2007
Familial leukemia: uncommon type of chronic lymphocytic leukemia in two sisters.
    Haematologica, 1982, Volume: 67, Issue:3

    Topics: Agammaglobulinemia; Anemia; Chlorambucil; Female; Humans; Leukemia, Lymphoid; Middle Aged; Prednison

1982
Treatment of prolymphocytic leukemia.
    Cancer, 1982, Nov-01, Volume: 50, Issue:9

    Topics: Aged; Chlorambucil; Female; Humans; Leukemia, Lymphoid; Leukocyte Count; Male; Middle Aged; Platelet

1982
[Prolymphocytic leukemia: clinical, cytologic and immunologic findings].
    Medizinische Klinik, 1980, May-23, Volume: 75, Issue:11

    Topics: Aged; B-Lymphocytes; Cell Differentiation; Chlorambucil; Female; Humans; Leukemia, Lymphoid; Lymphoc

1980
[Prognosis in chronic lymphocytic leukemia].
    Minerva medica, 1981, Oct-20, Volume: 72, Issue:40

    Topics: Agammaglobulinemia; Chlorambucil; Hematopoietic Stem Cells; Humans; Leukemia, Lymphoid; Leukocyte Co

1981
Mycobacterium genavense infection in a patient with long-standing chronic lymphocytic leukaemia.
    Journal of internal medicine, 2000, Volume: 248, Issue:4

    Topics: Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Inflammatory Agents; Antibiotics, Antitubercula

2000
[Acute cholestatic hepatitis due to chlorambucil].
    Gastroenterologie clinique et biologique, 2001, Volume: 25, Issue:2

    Topics: Acute Disease; Aged; Antineoplastic Agents, Alkylating; Biopsy, Needle; Chemical and Drug Induced Li

2001
Waldenström's macroglobulinemia: clinical course and prognostic factors in 60 patients. Experience from a single hematology unit.
    Annals of hematology, 2001, Volume: 80, Issue:12

    Topics: Adult; Aged; Aged, 80 and over; Blood Viscosity; Cardiac Output, Low; Chlorambucil; Fatigue; Female;

2001
A prolonged APTT in a patient with a low grade malignant NHL - a case report.
    Haematologica, 2002, Volume: 87, Issue:2

    Topics: Anemia; Antineoplastic Combined Chemotherapy Protocols; Autoantibodies; Blood Coagulation Factors; C

2002
Clinical staging of chronic lymphocytic leukemia.
    Blood, 1975, Volume: 46, Issue:2

    Topics: Adrenal Cortex Hormones; Age Factors; Aged; Anemia; Blood Cell Count; Bone Marrow Examination; Chlor

1975
Clinical staging of chronic lymphocytic leukemia.
    Blood, 1975, Volume: 46, Issue:2

    Topics: Adrenal Cortex Hormones; Age Factors; Aged; Anemia; Blood Cell Count; Bone Marrow Examination; Chlor

1975
Clinical staging of chronic lymphocytic leukemia.
    Blood, 1975, Volume: 46, Issue:2

    Topics: Adrenal Cortex Hormones; Age Factors; Aged; Anemia; Blood Cell Count; Bone Marrow Examination; Chlor

1975
Clinical staging of chronic lymphocytic leukemia.
    Blood, 1975, Volume: 46, Issue:2

    Topics: Adrenal Cortex Hormones; Age Factors; Aged; Anemia; Blood Cell Count; Bone Marrow Examination; Chlor

1975
T-cell prolymphocytic leukaemia: a clinical and immunological study.
    Scandinavian journal of haematology, 1985, Volume: 35, Issue:3

    Topics: Acid Phosphatase; Aged; Antibodies, Monoclonal; B-Lymphocytes; Chlorambucil; Cyclophosphamide; Femal

1985
Follicular lymphoma: prognostic factors for response and survival.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 1986, Volume: 4, Issue:10

    Topics: Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Chlorambucil; Female; Hepatomegaly; Hum

1986
Notes on morphologically less usual forms of chronic lymphadenosis.
    Folia haematologica (Leipzig, Germany : 1928), 1968, Volume: 90, Issue:1

    Topics: Aged; Blood Cell Count; Bone Marrow Examination; Cell Nucleolus; Cell Nucleus; Cell Transformation,

1968
[Autoimmune hemolytic anemia with lymphatic nodules in the bone marrow].
    La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris, 1968, Oct-14, Volume: 44, Issue:42

    Topics: Aged; Anemia, Hemolytic, Autoimmune; Autoantibodies; Bone Marrow; Bone Marrow Examination; Chlorambu

1968
[Gastric localizations of chronic lymphoid leukemia].
    La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris, 1969, Apr-14, Volume: 45, Issue:18

    Topics: Adult; Chlorambucil; Duodenal Neoplasms; Duodenal Ulcer; Gastric Mucosa; Hematemesis; Humans; Hyperp

1969
MU-chain disease in an African patient.
    Blood, 1974, Volume: 43, Issue:4

    Topics: Blood Protein Electrophoresis; Blood Viscosity; Chlorambucil; Chromatography, Gel; Chromium Radioiso

1974
Thymic irradiation. An approach to chronic lymphocytic leukemia.
    The American journal of medicine, 1974, Volume: 57, Issue:6

    Topics: Adult; Agammaglobulinemia; Aged; Blood Platelets; Blood Protein Electrophoresis; Bone Marrow; Bone M

1974
[Letter: Progredient liver cirrhosis in chronic lymphatic leukemia].
    Deutsche medizinische Wochenschrift (1946), 1974, Oct-18, Volume: 99, Issue:42

    Topics: Chlorambucil; Diabetes Complications; Hepatitis B; Humans; Leukemia, Lymphoid; Liver Cirrhosis; Lymp

1974
Further evidence for the lymphocytic nature of leukaemic reticuloendotheliosis (hairy-cell leukaemia).
    British journal of haematology, 1974, Volume: 27, Issue:1

    Topics: Acid Phosphatase; Blood Cell Count; Chlorambucil; Fluorescent Antibody Technique; Histocytochemistry

1974
Kinetics of lymphocytes in chronic lymphocytic leukemia: studies using continuous 3H-thymidine infusion in two patients.
    Blood, 1973, Volume: 42, Issue:4

    Topics: Aged; Autoradiography; Bone Marrow Examination; Chlorambucil; Glucocorticoids; Humans; Injections, I

1973
Platelet production rate in polycythemia vera after myelosuppressive therapy.
    Acta medica Scandinavica, 1972, Volume: 192, Issue:3

    Topics: Aged; Blood Cell Count; Blood Platelets; Busulfan; Cell Division; Cell Survival; Chlorambucil; Chrom

1972
Spontaneous remission of leukemic lymphoproliferative disease.
    Cancer, 1971, Volume: 27, Issue:3

    Topics: Adult; Aged; Chlorambucil; Female; Humans; Leukemia, Lymphoid; Leukocyte Count; Lymphocytes; Lymphom

1971
Mu-chain disease.
    Annals of internal medicine, 1971, Volume: 75, Issue:3

    Topics: Adult; Agammaglobulinemia; Anemia; Bence Jones Protein; Chlorambucil; Female; Fractures, Bone; Heavy

1971