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introduction of HD-MTX containing regimen

  • Folate antagonists like aminopterin and methotrexate (MTX) were early antineoplastic agents.
  • MTX induced remission in childhood acute lymphoblastic leukemia (ALL) and is still used in the treatment of hematologic malignancies.
  • MTX was the first drug to cure cancer when given alone and is a key treatment for malignant gestational trophoblastic disease.
  • MTX is used in the treatment of various malignant conditions and has anti-inflammatory and immunomodulating properties.