New chemotherapeutic agents for non-Hodgkin's lymphomas

Hematol Oncol Clin North Am. 1991 Oct;5(5):1027-51.

Abstract

Combination chemotherapy regimens achieve complete remissions in 60% to 80% of patients with non-Hodgkin's lymphomas; however, the majority of patients will relapse, and resistant disease remains a problem. Attempts to identify new, effective chemotherapy agents have primarily focused on the development of analogues that, unfortunately, have uniformly failed to provide a substantial therapeutic advantage. Drugs with a unique mechanism of action are more likely to be successful; among these are the purine analogues (e.g., fludarabine, 2'-deoxycoformycin, 2-chlorodeoxyadenosine) and agents that can reverse clinical drug resistance. The number of patients who can be cured can be increased only by incorporating new agents into front-line regimens through carefully designed clinical trials.

Publication types

  • Review

MeSH terms

  • Antimetabolites, Antineoplastic / therapeutic use
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cisplatin / therapeutic use
  • Humans
  • Lymphoma, Non-Hodgkin / drug therapy*
  • Pentostatin / therapeutic use
  • Vidarabine Phosphate / analogs & derivatives
  • Vidarabine Phosphate / therapeutic use

Substances

  • Antimetabolites, Antineoplastic
  • Antineoplastic Agents
  • Vidarabine Phosphate
  • fludarabine phosphate
  • Pentostatin
  • Cisplatin