DEFEROXAMINE FOLLOWED BY CYCLOPHOSPHAMIDE, ETOPOSIDE, CARBOPLATIN, THIOTEPA, INDUCTION REGIMEN IN ADVANCED NEUROBLASTOMA - PRELIMINARY-RESULTS

被引:70
作者
DONFRANCESCO, A
DEBERNARDI, B
CARLI, M
MANCINI, A
NIGRO, M
DESIO, L
CASALE, F
BAGNULO, S
HELSON, L
DEB, G
机构
[1] IST GIANNINA GASLINI, GENOA, ITALY
[2] PEDIAT CLIN, PADUA, ITALY
[3] PEDIAT CLIN, BOLOGNA, ITALY
[4] PEDIAT CLIN, NAPLES, ITALY
[5] PEDIAT CLIN, BARI, ITALY
关键词
DEFEROXAMINE; NEUROBLASTOMA; CYTOXAN; ETOPOSIDE; CARBOPLATIN; THIOTEPA; D-CECAT; IRON CHELATION;
D O I
10.1016/0959-8049(95)00068-T
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Based upon phase I and II studies of deferoxamine alone and in combination with cytotoxic agents cyclophosphamide, etoposide, carboplatin, and thiotepa (D-CECaT), we initiated a single arm multicentre trial in 1992 for advanced neuroblastoma. 57 of 65 patients who entered the trial were evaluable. Following 4 courses of the D-CECaT, almost all the patients underwent surgery. Toxicity was moderate and mainly reversible myelosuppression. The post-surgically defined responses in stage 3 high risk, stage 4 moderate risk and stage 4 high risk patients included 24 complete responses, 26 partial responses, and 3 minor responses, and 4 patients had progressive disease. These patients are being followed to determine the impact of this programme on their overall survival.
引用
收藏
页码:612 / 615
页数:4
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