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Correspondence
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Volume 345:1500-1501 November 15, 2001 Number 20
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Treatment of Hairy-Cell Leukemia

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To the Editor: Kreitman et al. (July 26 issue)1 report that an anti-CD22 recombinant immunotoxin (BL22) induced complete remissions in 11 of 16 patients with hairy-cell leukemia that was resistant to cladribine. Although BL22 represents an exciting new approach to the treatment of this disease, the results need to be interpreted cautiously, given the potential life-threatening toxicity of this agent (the hemolytic–uremic syndrome developed in two patients).

When a single course of cladribine was administered by continuous intravenous infusion for seven days to 349 patients with hairy-cell leukemia at Scripps Clinic, 319 patients (91 percent) had an initial complete response, . . . [Full Text of this Article]

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