The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Hydroxyurea: effects on hemoglobin F production in patients with sickle cell anemia [see comments]
Open accessAbstract
Patients with sickle cell anemia were treated with daily doses of hydroxyurea, to assess pharmacokinetics, toxicity, and increase in fetal hemoglobin (Hb) production in response to the drug. Plasma hydroxyurea clearances were not a useful guide to maximum tolerated doses of the drug. The mean daily single oral dose that could be maintained for at least 16 weeks was 21 mg/kg (range, 10 to 35 mg/kg). Among 32 patients, last HbF levels were 1.9% to 26.3% (mean, 14.9%) with increases in HbF over initial values of 1.4% to 20.2% (mean, 11.2%). The most significant predictors of last HbF were last plasma hydroxyurea level, initial white blood count and initial HbF concentration. Last HbF was not related to beta globin haplotype or alpha globin gene number. No serious toxicity was encountered. Clinically significant bone marrow depression was avoided, and chromosome abnormalities after 2 years of treatment were no greater than those observed before treatment. The period of observation has been too short to evaluate the risk of carcinogenesis. Patient's red cells developed striking macrocytosis. Median red cell Hb concentrations did not change. Hb concentrations increased, on average 1.2 g/dL, but serum erythropoietin levels increased. Patients' body weights increased, and some returned to work or school, but no conclusions regarding therapeutic efficacy could be drawn from this uncontrolled open-label study.
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Cites
Pain in Sickle Cell Disease: Rates and Risk Factors
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Self-citationEstimation of Small Percentages of Fœtal Hæmoglobin
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Hematologic Responses of Patients with Sickle Cell Disease to Treatment with Hydroxyurea
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Self-citationLevels of Fetal Hemoglobin Necessary for Treatment of Sickle Cell Disease
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Cited by
Rees, D. C., Williams, T. N., & Gladwin, M. T. (2010) · The Lancet · doi:10.1016/s0140-6736(10)61029-x · Cited by 2,504
Effect of hydroxyurea on the frequency of painful crises in sickle cell anemia
Charache, S., Terrin, M. L., Moore, R. D., Dover, G. J., Barton, F. B., Eckert, S. V., McMahon, R. P., & Bonds, D. R. (1995) · New England Journal of Medicine · doi:10.1056/nejm199505183322001 · Cited by 2,340
Self-citationPathogenesis and Treatment of Sickle Cell Disease
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Fetal hemoglobin in sickle cell anemia: determinants of response to hydroxyurea
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Metadata
- Authors
- Charache, S., Dover, G., Moore, R., Eckert, S., Ballas, S., Koshy, M., Milner, P., Orringer, E., Phillips, G. J., & Platt, O.
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 1992-05-15
- Volume
- 79
- Issue
- 10
- Pages
- 2555-2565
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W3093093377
- Cited by
- 438
- References
- 33
- FWCI
- 10.78
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Charache, S., Dover, G., Moore, R., Eckert, S., Ballas, S., Koshy, M., Milner, P., Orringer, E., Phillips, G. J., & Platt, O. (1992). Hydroxyurea: effects on hemoglobin F production in patients with sickle cell anemia [see comments]. Blood. https://doi.org/10.1182/blood.v79.10.2555.2555
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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