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NITROGEN MUSTARD THERAPY

1946/10/05 by L. Jacobson · 2 citations
Biochemistry, Genetics and Molecular Biology · #Retinoids in leukemia and cellular processes

paper · doi:10.1001/jama.1946.02870400011003

openalex publication_date 1946/10/05 · openalex created_date 2016/06/24 · openalex updated_date 2026/07/30

Abstract

The work of three groups of investigators on the therapeutic effects of the nitrogen mustards was recently summarized.<sup>1</sup>The first clinical application of these compounds was initiated by Gilman, Goodman and others,<sup>2</sup>who administered<i>tris</i>(β-chloroethyl) amine hydrochloride intravenously to a group of 6 patients in the terminal stages of a variety of neoplastic diseases. They observed a striking effect on hemopoietic tissue including the regression of lymphadenopathy in a case of lymphosarcoma. Independently in Chicago we initiated a clinical investigation of another nitrogen mustard, methyl-<i>bis</i>(β-choloroethyl) amine hydrochloride,<sup>3</sup>on patients with neoplastic diseases of the hemopoietic system on whom prolonged observation as to the therapeutic efficacy of the drug could be made. <h3>MATERIAL AND METHODS</h3> The chemistry of this drug has been discussed in detail elsewhere.<sup>4</sup>When placed in aqueous solution it undergoes a series of transformation, of which the first transformation product, an

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