Page last updated: 2024-10-20

purine and Acute Lymphoid Leukemia

purine has been researched along with Acute Lymphoid Leukemia in 8 studies

1H-purine : The 1H-tautomer of purine.
3H-purine : The 3H-tautomer of purine.
9H-purine : The 9H-tautomer of purine.
7H-purine : The 7H-tautomer of purine.

Research Excerpts

ExcerptRelevanceReference
"Relapse is the leading cause of mortality in children with acute lymphoblastic leukemia (ALL)."1.42Negative feedback-defective PRPS1 mutants drive thiopurine resistance in relapsed childhood ALL. ( Bai, Y; Chen, H; Chen, J; Chen, S; Chen, Y; Ding, J; Ding, L; Du, A; Ferrando, A; Gu, L; Huang, X; Jin, L; Kang, H; Kirschner-Schwabe, R; Li, B; Li, H; Li, W; Liang, H; Lu, G; Lu, H; Ma, X; Shen, S; Tang, J; Tzoneva, G; von Stackelberg, A; Wang, S; Wu, T; Yang, JJ; Yang, M; Zhang, J; Zhou, BB, 2015)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19902 (25.00)18.7374
1990's1 (12.50)18.2507
2000's1 (12.50)29.6817
2010's4 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tzoneva, G2
Dieck, CL1
Oshima, K1
Ambesi-Impiombato, A1
Sánchez-Martín, M1
Madubata, CJ1
Khiabanian, H1
Yu, J1
Waanders, E1
Iacobucci, I1
Sulis, ML1
Kato, M1
Koh, K1
Paganin, M1
Basso, G1
Gastier-Foster, JM1
Loh, ML1
Kirschner-Schwabe, R2
Mullighan, CG1
Rabadan, R1
Ferrando, AA1
Li, B1
Li, H1
Bai, Y1
Yang, JJ1
Chen, Y1
Lu, G1
Ma, X1
Wu, T1
Li, W1
Lu, H1
Ding, L1
Liang, H1
Huang, X1
Yang, M1
Jin, L1
Kang, H1
Chen, S1
Du, A1
Shen, S1
Ding, J1
Chen, H1
Chen, J1
von Stackelberg, A1
Gu, L1
Zhang, J1
Ferrando, A1
Tang, J1
Wang, S1
Zhou, BB1
Hedeland, RL1
Hvidt, K1
Nersting, J1
Rosthøj, S1
Dalhoff, K1
Lausen, B1
Schmiegelow, K1
Mikkelsen, TS1
Sparreboom, A1
Cheng, C1
Zhou, Y1
Boyett, JM1
Raimondi, SC1
Panetta, JC1
Bowman, WP1
Sandlund, JT2
Pui, CH2
Relling, MV2
Evans, WE2
KARAMCHANDANI, PV1
GHARPURE, VV1
NAIDU, VR1
LAW, LW1
TAORMINA, V1
BOYLE, PJ1
Masson, E1
Synold, TW1
Schuetz, JD1
De Abreu, RA1
Lambooy, LH1
Ahment, K1
Brouwer, C1
Keizer-Garritsen, JJ1
Bokkerink, JP1
Trijbels, FJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 1-2 Study of 6-Thioguanine in Combination With Methotrexate and 6-Mercaptopurine During Maintenance Therapy of Childhood, Adolescent, and Adult Lymphoblastic Non-Hodgkin's Lymphoma and Acute Lymphoblastic Leukemia[NCT02912676]Phase 1/Phase 230 participants (Actual)Interventional2016-10-31Completed
Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia[NCT00137111]Phase 3501 participants (Actual)Interventional2000-07-08Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Circulating Leukemia Cells in Peripheral Blood Change From Prior to the Methotrexate Infusion to Three Days After Between Two Arms (4 Hours vs. 24 Hours)

"White blood cell (leukocytes) counts in peripheral blood by Complete Blood Count~Measurement: Percentage change of leukemia cells from baseline" (NCT00137111)
Timeframe: Immediately before the methotrexate infusion and three days after subsequent infusion

InterventionPercent change (Mean)
4 hr-44
24 hr-50

Continuous Complete Remission Since Week 56 Therapy.

CCR was measured from end of week 56 therapy to the date of first treatment failure of any kind (relapse, death, lineage switch, or second malignancy) or to the last date of follow-up. Measurement was determined by Kaplan-Meyer estimate. (NCT00137111)
Timeframe: Median follow up time (range) 4.5 (1 to 7.8) years

InterventionPercentage of participants (Number)
Patients With High Risk of CNS Relapse92.2

Mean Difference of Active Methotrexate Polyglutamates (MTXPG) in Leukemia Cells Between Two Arms (4 Hours vs. 24 Hours).

Children were randomly assigned to receive initial single-agent treatment with HDMTX (1g/m^2) as either a 24-hour infusion or a 4-hour infusion and the outcome measure was the accumulation of MTXPG in leukemia cells. (NCT00137111)
Timeframe: 42 hours after start of high dose methotrexate infusion (HDMTX)

Interventionpmol/1,000,000,000 cells (Mean)
4 hr1688
24 hr2521

Overall Event-free Survival (EFS)

EFS was measured from the start of on-study to the date of first treatment failure of any kind (relapse, death, lineage switch, or second malignancy) or to the last date of follow-up. Failure to enter remission was considered an event at time zero. Measurement was determined by Kaplan-Meyer estimate. (NCT00137111)
Timeframe: Median follow-up time (range) 5.6 (1.3 to 8.9) years

InterventionPercentage of Participants (Number)
Total Therapy87.3

Median Difference in CASP1 Gene Expression in Primary Leukemia Cells of Patients in Glucocorticoid-resistant Cells vs Glucocorticoid-sensitive Cells

Prednisolone sensitivity was measured in primary leukemia cells from bone marrow collected at diagnosis. Expression of CASP1 was determined by HG-U133A microarray. Values given are gene expression values, and the unit is arbitrary units (AU) defined as scaled fluorescence measured on microarray. (NCT00137111)
Timeframe: Pre-treatment

Interventionarbitrary units (Median)
Prednisolone-sensitive cellsPrednisolone-resistant cells
Total Therapy341.3447.9

Median Difference in NLRP3 Gene Expression in Primary Leukemia Cells of Patients in Glucocorticoid-resistant Cells vs. Glucocorticoid-sensitive Cells

Prednisolone sensitivity was measured in primary leukemia cells from bone marrow collected at diagnosis. Expression of NLRP3 was determined by HG-U133A microarray. Values given are gene expression values, and the unit is arbitrary units (AU) defined as scaled fluorescence measured on microarray. (NCT00137111)
Timeframe: Pre-treatment

Interventionarbitrary units (Median)
Prednisolone-sensitive cellsPrednisolone-resistant cells
Total Therapy41.2110.7

Minimal Residual Disease (MRD)

Detection of MRD at end of induction where positive MRD was defined as one or more leukemic cell per 10,000 mononuclear bone-marrow cells (>=0.01%). (NCT00137111)
Timeframe: End of Induction (Day 46 MRD measurement)

Interventionparticipants (Number)
Negative <0.01%Positive >= 0.01%
Total Therapy390102

Reviews

1 review available for purine and Acute Lymphoid Leukemia

ArticleYear
6-mercaptopurine: efficacy and bone marrow toxicity in childhood acute lymphoblastic leukemia. Association with low (thio)purine enzyme activity.
    Advances in experimental medicine and biology, 2000, Volume: 486

    Topics: Antimetabolites, Antineoplastic; Bone Marrow; Child; Humans; Mercaptopurine; Methyltransferases; Pre

2000

Trials

2 trials available for purine and Acute Lymphoid Leukemia

ArticleYear
Shortening infusion time for high-dose methotrexate alters antileukemic effects: a randomized prospective clinical trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011, May-01, Volume: 29, Issue:13

    Topics: Adolescent; Antimetabolites, Antineoplastic; Child, Preschool; Drug Administration Schedule; Humans;

2011
Allopurinol inhibits de novo purine synthesis in lymphoblasts of children with acute lymphoblastic leukemia.
    Leukemia, 1996, Volume: 10, Issue:1

    Topics: Adolescent; Allopurinol; Analysis of Variance; Antimetabolites, Antineoplastic; Antineoplastic Combi

1996

Other Studies

5 other studies available for purine and Acute Lymphoid Leukemia

ArticleYear
Clonal evolution mechanisms in NT5C2 mutant-relapsed acute lymphoblastic leukaemia.
    Nature, 2018, 01-25, Volume: 553, Issue:7689

    Topics: 5'-Nucleotidase; Animals; Cell Proliferation; Clonal Evolution; Disease Models, Animal; Drug Resista

2018
Negative feedback-defective PRPS1 mutants drive thiopurine resistance in relapsed childhood ALL.
    Nature medicine, 2015, Volume: 21, Issue:6

    Topics: Adolescent; Child; Child, Preschool; Exome; Feedback, Physiological; Female; High-Throughput Nucleot

2015
DNA incorporation of 6-thioguanine nucleotides during maintenance therapy of childhood acute lymphoblastic leukaemia and non-Hodgkin lymphoma.
    Cancer chemotherapy and pharmacology, 2010, Volume: 66, Issue:3

    Topics: Antineoplastic Combined Chemotherapy Protocols; Child; Child, Preschool; Cytosol; DNA; Drug Monitori

2010
6-Mercaptopurine in acute lymphocytic leukaemia.
    Journal of the Indian Medical Association, 1956, Feb-01, Volume: 26, Issue:3

    Topics: Humans; Leukemia; Leukemia, Lymphoid; Mercaptopurine; Precursor Cell Lymphoblastic Leukemia-Lymphoma

1956
Response of acute lymphocytic leukemias to the purine antagonist 6-mercaptopurine.
    Annals of the New York Academy of Sciences, 1954, Dec-06, Volume: 60, Issue:2

    Topics: Acute Disease; Humans; Leukemia; Leukemia, Lymphoid; Mercaptopurine; Precursor Cell Lymphoblastic Le

1954