Chemotherapy practical achievements

The proportion of ALL in patients older than age 60 years constitutes between 16% and 31% of all adult leukemias. Treatment of adults largely has followed the conventional chemotherapeutic regimes used in childhood ALL. However, the intensification regimens common in childhood are not suitable for this population because of their associated toxic-ities in older patients. The adverse prognostic factor, the Philadelphia chromosome, occurs in 15% to 30% of adults and thus is more common in the over 60 age group.17 Based on the experience achieved in CML, the use of imatinib, a potent inhibitor of the Ph+-associated BCR-ABL tyrosine kinase, is becoming a common practice for these older adults. Results show that the combination of imatinib with conventional chemotherapy has improved remission rates compared with the use of conventional chemotherapy alone,... 

The discovery of rifampicin in 1967 is considered one of the greatest achievements in the history of chemotherapy against tuberculosis. Rifampin was developed in the Lepetit Research Laboratories (Italy) as part of an extensive program of chemical modification of the rifamycins, the natural metabolites of Nocardia mediterranei. All of the studies leading to highly active derivatives were performed on a molecule (rifamycin B) that was itself practically inactive. Systematic structural modifications of most of the functional groups of the rifamycin molecule were... 

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