25 patients with measurable or evaluable metastatic prostate cancer, p
rogressive after hormonal treatment, were treated weekly with carbopla
tin 150 Mg/m2 intravenously. The weekly schedule allowed higher dose i
ntensity carboplatin administration with respect to the common monthly
cycles. Toxicity was manageable even in elderly patients with extensi
ve bone metastases and consisted primarily of myelosuppression. 4 out
of 24 evaluable patients (17%) had a partial response and 12 (50%) had
disease stabilisation. The median response duration was 7 months. Pro
state-specific antigen and prostatic acid phosphatase serial values sh
owed a correlation with disease response in only 47 and 50% of patient
s, respectively. These results suggest that carboplatin possesses a mo
derate but definite activity in prostate cancer patients.