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Correspondence
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Volume 344:1166-1168 April 12, 2001 Number 15
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Fludarabine for Chronic Lymphocytic Leukemia

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To the Editor: Rai et al. (Dec. 14 issue)1 report the results of a long-term, multicenter, randomized trial comparing fludarabine with chlorambucil in previously untreated patients with advanced chronic lymphocytic leukemia (CLL). In their study the treatments were repeated monthly for a maximum of 12 cycles unless patients had progressive disease, a complete remission, or a response that plateaued over two months of treatment. The hematologic toxicity of fludarabine is well established, and most prior studies have reported that fludarabine can be given for a maximum of six cycles.2,3,4,5 In our experience, we have not been able to administer more . . . [Full Text of this Article]

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