Therapy courses
| . | Drug . | Dose . | Day . | ||||
|---|---|---|---|---|---|---|---|
| 1 . | 2 . | 3 . | 4 . | 5 . | |||
| Prephase V* | Prednisone, orally/iv | 30 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Course A | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Ifosfamide, iv, 1 h | 800 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h† | 500 mg/m2 | x | |||||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
| Cytarabine, iv, 1 h | 150 mg/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 100 mg/m2 | x | x | ||||
| Course B | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h† | 500 mg/m2 | x | |||||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
| Doxorubicin, iv, 1 h | 25 mg/m2 | x | x | ||||
| Course AA | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Ifosfamide, iv, 1 h | 800 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h1-155 | 5 g/m2 | x | |||||
| Methotrexate, it‡ | 6 mg | x | x | ||||
| Cytarabine, it‡ | 15 mg | x | x | ||||
| Prednisolone, it‡ | 5 mg | x | x | ||||
| Vincristine, iv | 1.5 mg/m21-154 | x | |||||
| Cytarabine, iv, 1 h | 150 mg/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 100 mg/m2 | x | x | ||||
| Course BB | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h1-155 | 5 g/m2 | x | |||||
| Methotrexate, it‡ | 6 mg | x | x | ||||
| Cytarabine, it‡ | 15 mg | x | x | ||||
| Prednisolone, it‡ | 5 mg | x | x | ||||
| Vincristine, iv | 1.5 mg/m21-154 | x | |||||
| Doxorubicin, iv, 1 h | 25 mg/m2 | x | x | ||||
| Course CC | Dexamethasone, orally/iv | 20 mg/m2 | x | x | x | x | x | 
| Vindesine, iv | 3 mg/m21-154 | x | |||||
| Cytarabine, iv, 3 h | 2 g/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 150 mg/m2 | x | x | x | |||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
| . | Drug . | Dose . | Day . | ||||
|---|---|---|---|---|---|---|---|
| 1 . | 2 . | 3 . | 4 . | 5 . | |||
| Prephase V* | Prednisone, orally/iv | 30 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Course A | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Ifosfamide, iv, 1 h | 800 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h† | 500 mg/m2 | x | |||||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
| Cytarabine, iv, 1 h | 150 mg/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 100 mg/m2 | x | x | ||||
| Course B | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h† | 500 mg/m2 | x | |||||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
| Doxorubicin, iv, 1 h | 25 mg/m2 | x | x | ||||
| Course AA | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Ifosfamide, iv, 1 h | 800 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h1-155 | 5 g/m2 | x | |||||
| Methotrexate, it‡ | 6 mg | x | x | ||||
| Cytarabine, it‡ | 15 mg | x | x | ||||
| Prednisolone, it‡ | 5 mg | x | x | ||||
| Vincristine, iv | 1.5 mg/m21-154 | x | |||||
| Cytarabine, iv, 1 h | 150 mg/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 100 mg/m2 | x | x | ||||
| Course BB | Dexamethasone, orally/iv | 10 mg/m2 | x | x | x | x | x | 
| Cyclophosphamide, iv, 1 h | 200 mg/m2 | x | x | x | x | x | |
| Methotrexate, iv, 24 h1-155 | 5 g/m2 | x | |||||
| Methotrexate, it‡ | 6 mg | x | x | ||||
| Cytarabine, it‡ | 15 mg | x | x | ||||
| Prednisolone, it‡ | 5 mg | x | x | ||||
| Vincristine, iv | 1.5 mg/m21-154 | x | |||||
| Doxorubicin, iv, 1 h | 25 mg/m2 | x | x | ||||
| Course CC | Dexamethasone, orally/iv | 20 mg/m2 | x | x | x | x | x | 
| Vindesine, iv | 3 mg/m21-154 | x | |||||
| Cytarabine, iv, 3 h | 2 g/m2 | x x1-153 | x x1-153 | ||||
| Etoposide, iv, 1 h | 150 mg/m2 | x | x | x | |||
| Methotrexate, it‡ | 12 mg | x | |||||
| Cytarabine, it‡ | 30 mg | x | |||||
| Prednisolone, it‡ | 10 mg | x | |||||
iv indicates intravenously; it, intrathecally; h, hour.
Amendment July 1993: cyclophosphamide day 1, 2 only, dexamethasone instead of prednisone, see text.
10% of dose within 0.5 h, 90% of dose iv over 23.5 hours, leucovorin rescue 12 mg/m2 iv at hours 48 and 54.
2 hours after beginning of MTX iv infusion, doses were adjusted for children < 3 years of age.
12 hours apart.
10% of dose within 0.5 hours; 90% iv over 23.5 hours; leucovorin rescue (raceme folinic acid) iv 30 mg/m2 at hour 42; 15 mg/m2 at hours 48 and 54.
Maximum dose 2 mg for vincristine, 5 mg/m2 for vindesine.