Table 5.

El Salvador, Guatemala, Honduras II treatment protocol: continuation therapy for standard-risk acute lymphocytic leukemia (ALL).

Weeks 1-3 Methotrexate 40 mg/m2 IM weekly 
 Mercaptopurine 75 mg/m2 PO daily 
Week 4 Dexamethasone 8 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Week 5 Methotrexate 40 mg/m2 IM 
 Mercaptopurine 75 mg/m2 PO daily 
 Vincristine 1.5 mg/m2 IV 
Week 6 Methotrexate 40 mg/m2 IV/IM 
 Mercaptopurine 75 mg/m2 PO daily 
Weeks 7-11 Repeat induction and consolidation 
Weeks 12-14 Methotrexate 40 mg/m2 IV/IM 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 15 Methotrexate 2 g/m2 IV 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Weeks 16-18 Methotrexate 40 mg/m2 IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 19 Dexamethasone 8 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Week 20 Methotrexate 40 mg/m2 IV/IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Weeks 21-23 Methotrexate 40 mg/m2 IV/IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 24 Methotrexate 2 g/m2 IV 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Chemotherapy schedule given between weeks 16 and 24 is repeated during the first year (a total of six doses of high-dose methotrexate are administered during continuation) 
Triple IT given on weeks 1, 2, 3, 7, 10, 12, 15, 24, 31, 36, 39, 43, 47, 55 
Dexamethasone and vincristine stop after week 100 
Continuation therapy extended 3 years for boys 
Weeks 1-3 Methotrexate 40 mg/m2 IM weekly 
 Mercaptopurine 75 mg/m2 PO daily 
Week 4 Dexamethasone 8 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Week 5 Methotrexate 40 mg/m2 IM 
 Mercaptopurine 75 mg/m2 PO daily 
 Vincristine 1.5 mg/m2 IV 
Week 6 Methotrexate 40 mg/m2 IV/IM 
 Mercaptopurine 75 mg/m2 PO daily 
Weeks 7-11 Repeat induction and consolidation 
Weeks 12-14 Methotrexate 40 mg/m2 IV/IM 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 15 Methotrexate 2 g/m2 IV 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Weeks 16-18 Methotrexate 40 mg/m2 IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 19 Dexamethasone 8 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Week 20 Methotrexate 40 mg/m2 IV/IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
 Vincristine 1.5 mg/m2 IV 
Weeks 21-23 Methotrexate 40 mg/m2 IV/IM weekly 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Week 24 Methotrexate 2 g/m2 IV 
 Mercaptopurine 75 mg/m2 PO daily x 7 
Chemotherapy schedule given between weeks 16 and 24 is repeated during the first year (a total of six doses of high-dose methotrexate are administered during continuation) 
Triple IT given on weeks 1, 2, 3, 7, 10, 12, 15, 24, 31, 36, 39, 43, 47, 55 
Dexamethasone and vincristine stop after week 100 
Continuation therapy extended 3 years for boys 
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