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DRUG:

cladribine

i
Other names: 2-CdA, 2-Chlorodeoxyadenosine, Chlorodeoxyadenosine, Intocel, Leustatine, N-l-Leucyl-doxorubicin
Company:
Generic mfg.
Drug class:
Purinergic receptor P1 agonist
2d
Weekly Cladribine Followed by Rituximab for the Treatment of Hairy Cell Leukemia. (PubMed, EJHaem)
However, interpretation of these findings is limited by the non-randomized design and differences in rituximab exposure between groups, which may have contributed to the observed outcomes and limited definitive conclusions. Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.
Journal
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BRAF (B-raf proto-oncogene)
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BRAF V600E • BRAF V600
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Rituxan (rituximab) • cladribine
14d
Hairy Cell Leukemia: Clinical Characteristics and Outcomes from a Single Center in the Middle East and North Africa. (PubMed, J Blood Med)
Treatment regimens included Cladribine alone or with Rituximab, yielding high response rates and minimal toxicity. In this multiethnic Middle Eastern and North African cohort, HCL predominantly affected middle-aged men and was often incidentally detected. Cladribine-based therapy achieved durable remissions with excellent survival, highlighting consistent efficacy across diverse populations.
Journal
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BRAF (B-raf proto-oncogene) • PAX5 (Paired Box 5) • ITGAE (Integrin Subunit Alpha E)
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BRAF V600E • BRAF V600
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Rituxan (rituximab) • cladribine
14d
DUSP1 is a Key Driver of Disease Persistence and Potential Therapeutic Target in Hairy Cell Leukemia. (PubMed, Blood Adv)
Standard treatment with purine analogs (i.e. cladribine) induces long-term remissions, but up to 25% of patients relapse early...The functional importance of DUSP1 was corroborated by demonstrating that BMSC-induced protection from cell death could be overcome through DUSP1 inhibition. Our results might set the stage for future clinical testing of DUSP1 inhibition to eliminate minimal residual disease (MRD) and prevent disease relapse in HCL.
Journal
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DUSP1 (Dual Specificity Phosphatase 1)
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BRAF V600E • BRAF V600
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cladribine
21d
Langerhans Cell Histiocytosis Associated With Chronic Myeloid Leukemia: A Pediatric Case Report. (PubMed, Cancer Rep (Hoboken))
This rare association of CML with LCH expands the recognized spectrum of LCH-associated malignancies. It underscores the importance of long-term surveillance in LCH patients, with particular vigilance for secondary malignancies. It also highlights the need for further research into possible biological relationships between histiocytic and myeloid neoplasms.
Journal
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ABL1 (ABL proto-oncogene 1)
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imatinib • cladribine • vinblastine
1m
Prognostic impact of ASXL1 mutations in acute myeloid leukemia treated with lower intensity therapy. (PubMed, Cancer)
Collectively, these findings suggest that ASXL1MUT AML may be more appropriately classified as intermediate risk in the context of LIT+VEN-based therapy, with the depth of impact influenced by the specific LIT backbone.
Retrospective data • Journal
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TP53 (Tumor protein P53) • FLT3 (Fms-related tyrosine kinase 3) • ASXL1 (ASXL Transcriptional Regulator 1)
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TP53 mutation • FLT3-ITD mutation • RAS mutation • ASXL1 mutation
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Venclexta (venetoclax) • cytarabine • cladribine
2ms
Enrollment open
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cladribine • fludarabine IV • busulfan
2ms
Cladribine With Low-Dose Cytarabine and Venetoclax Alternating With Azacitidine and Venetoclax for Newly Diagnosed Acute Myeloid Leukemia. (PubMed, Am J Hematol)
The combination produced a high rate of remissions, translating into favorable outcomes for older patients with newly diagnosed AML. Trial Registration: ClinicalTrials.gov idetifier: NCT03586609.
Journal
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TP53 (Tumor protein P53)
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TP53 wild-type
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Venclexta (venetoclax) • cytarabine • azacitidine • cladribine
2ms
Successful treatment of hairy cell leukemia with TP53 abnormality using cladribine combined with low-dose rituximab: a case report and literature review. (PubMed, Anticancer Drugs)
This case suggests that the combination of cladribine and low-dose rituximab may be an effective therapeutic strategy for classical HCL with TP53 abnormality, enabling deep molecular response and reversal of associated bone marrow fibrosis. Further prospective studies are warranted to validate these findings.
Journal
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BRAF (B-raf proto-oncogene) • TP53 (Tumor protein P53)
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TP53 mutation • BRAF V600E • BRAF V600 • TP53 deletion
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Rituxan (rituximab) • cladribine
2ms
RG1121403: Venetoclax and CLAG-M for the Treatment of Acute Myeloid Leukemia and High-Grade Myeloid Neoplasms (clinicaltrials.gov)
P1/2, N=62, Recruiting, University of Washington | Trial completion date: Dec 2027 --> Dec 2028 | Trial primary completion date: Dec 2026 --> Dec 2027
Trial completion date • Trial primary completion date
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Venclexta (venetoclax) • cytarabine • mitoxantrone • cladribine • Starasid (cytarabine ocfosfate)
2ms
042011: LCH-IV International Collaborative Treatment Protocol for Children and Adolescents with Langerhans Cell Histiocytosis (2024-512676-36-00)
P2/3, N=1124, Active, not recruiting, St. Anna Childrens Cancer Research Institute GmbH | Not yet recruiting --> Active, not recruiting
Enrollment closed
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cytarabine • methotrexate • cladribine • melphalan • fludarabine IV • mercaptopurine • vinblastine • prednisolone
2ms
New trial
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TP53 (Tumor protein P53) • SF3B1 (Splicing Factor 3b Subunit 1)
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TP53 mutation • SF3B1 mutation • Chr del(5q)
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cytarabine • azacitidine • cladribine • melphalan • busulfan
3ms
Enrollment change • Minimal residual disease
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Venclexta (venetoclax) • Imbruvica (ibrutinib) • cytarabine • Gazyva (obinutuzumab) • cyclophosphamide • etoposide IV • midostaurin • Vanflyta (quizartinib) • Mylotarg (gemtuzumab ozogamicin) • daunorubicin • idarubicin hydrochloride • mitoxantrone • cladribine • fludarabine IV • thiotepa • busulfan • Grafapex (treosulfan)