Abstract

Twenty-three children with first on-treatment marrow relapse of lymphoblastic leukaemia (ALL) were randomly assigned to treatment with vincristine (16 patients) or vindesine (7 patients) in an otherwise identical regimen including daunorubicin, prednisolone, asparaginase, VM26 and cytosine. There was no suggestion of any difference between the two groups in terms of frequency of secbnd remission achievement or duration, nor was there in terms of toxicity. Despite small numbers, these findings suggest that vindesine does not offer any obvious therapeutic advantage over vincristine in relapsed ALL, but is well tolerated.

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