A PHASE-II STUDY OF INTRAVENOUS CARBOPLATIN FOR THE TREATMENT OF RECURRENT GLIOMAS

Citation
Re. Warnick et al., A PHASE-II STUDY OF INTRAVENOUS CARBOPLATIN FOR THE TREATMENT OF RECURRENT GLIOMAS, Journal of neuro-oncology, 19(1), 1994, pp. 69-74
Citations number
15
Categorie Soggetti
Neurosciences,Oncology
Journal title
ISSN journal
0167594X
Volume
19
Issue
1
Year of publication
1994
Pages
69 - 74
Database
ISI
SICI code
0167-594X(1994)19:1<69:APSOIC>2.0.ZU;2-6
Abstract
Thirty-two patients with recurrent glioma who had previously received radiation therapy and chemotherapy with nitrosoureas were treated with intravenous carboplatin every 3 weeks, starting at a dose of 350 mg/m (2), with a dose escalation of 25 mg/m(2) every 6 weeks until a level 4 hematologic toxicity was reached. Of the 28 patients who could be ev aluated for a response, 50% demonstrated a response or had stabilizati on of their disease after two infusions of carboplatin. Their median t ime to tumor progression and median duration of survival were 19 weeks and 38 weeks. Thrombocytopenia was the major toxicity and was severe in one-third of the patients. No neurologic or renal toxicities were n oted. Carboplatin has demonstrated activity against recurrent gliomas in patients who have already had extensive chemotherapy Increasing the dose of carboplatin may improve the rate of response and the duration of progression-free survival in patients with recurrent glioma.