Phase II trial of temozolomide in children with recurrent high-grade glioma

作者: Antonio Ruggiero , Graziella Cefalo , ML Garre , Maura Massimino , Cesare Colosimo

DOI: 10.1007/S11060-005-9011-2

关键词: ToxicityMedicineChemotherapyGastroenterologyGliomaSurgeryInternal medicineTemozolomidePhases of clinical researchRefractoryRadiation therapyBrain stem tumor

摘要: Summary Purpose: The objective of the study was to evaluate efficacy and toxicity Temozolomide (TMZ) administered for 5 consecutive days in three daily dosing children with recurrent or refractory high-grade glioma. Patients methods: Twenty-four patients a median age 10.5 years were enrolled onto this open-label, multicenter, phase II study. previously treated surgical resection (17 24), radiotherapy (19 24) chemotherapy (18 24). Therapy orally times day at dose 200 mg/m 2 /d5 naive patients. In heavily pretreated starting 150 /d5. Results: A total 95 cycles administered. progression free-survival (PFS) 3 months entire group while disease stabilization obtained 7 (29.1%), all supratentorial tumors. No CR PR observed. TMZ treatment showed limited toxicity. Thrombocytopenia most common hematological adverse effect.Our data suggest marginal activity

参考文章(37)
EJ Estlin, , L Lashford, S Ablett, L Price, R Gowing, A Gholkar, J Kohler, IJ Lewis, B Morland, CR Pinkerton, MCG Stevens, M Mott, R Stevens, DR Newell, D Walker, C Dicks-Mireaux, H McDowell, P Reidenberg, P Statkevich, A Marco, V Batra, M Dugan, ADJ Pearson, Phase I study of temozolomide in paediatric patients with advanced cancer British Journal of Cancer. ,vol. 78, pp. 652- 661 ,(1998) , 10.1038/BJC.1998.555
Joel M. Reid, Matthew M. Ames, David C. Stevens, Joseph Rubin, Pharmacokinetics of 3-methyl-(triazen-1-yl)imidazole-4-carboximide following administration of temozolomide to patients with advanced cancer. Clinical Cancer Research. ,vol. 3, pp. 2393- 2398 ,(1997)
N M Bleehen, E S Newlands, S M Lee, N Thatcher, P Selby, A H Calvert, G J Rustin, M Brampton, M F Stevens, Cancer Research Campaign phase II trial of temozolomide in metastatic melanoma. Journal of Clinical Oncology. ,vol. 13, pp. 910- 913 ,(1995) , 10.1200/JCO.1995.13.4.910
Christian Fizames, François Lavelle, John A. Slack, David Chubb, John A. Hickman, Robert Stone, Simon P. Langdon, Colin Goddard, Ghousia Baig, Neil W. Gibson, Edward Lunt, Christopher Newton, Malcolm F. G. Stevens, Lisa Vickers, Antitumor Activity and Pharmacokinetics in Mice of 8-Carbamoyl-3-methyl-imidazo[5,1-d]-1,2,3,5-tetrazin-4(3H)-one (CCRG 81045; M & B 39831), a Novel Drug with Potential as an Alternative to Dacarbazine Cancer Research. ,vol. 47, pp. 5846- 5852 ,(1987)
David G. Poplack, Philip A. Pizzo, Principles and Practice of Pediatric Oncology ,(1989)
J L Finlay, J M Boyett, A J Yates, J H Wisoff, J M Milstein, J R Geyer, S J Bertolone, P McGuire, J M Cherlow, M Tefft, Randomized phase III trial in childhood high-grade astrocytoma comparing vincristine, lomustine, and prednisone with the eight-drugs-in-1-day regimen. Childrens Cancer Group Journal of Clinical Oncology. ,vol. 13, pp. 112- 123 ,(1995) , 10.1200/JCO.1995.13.1.112
H S Friedman, R E McLendon, T Kerby, M Dugan, S H Bigner, A J Henry, D M Ashley, J Krischer, S Lovell, K Rasheed, F Marchev, A J Seman, I Cokgor, J Rich, E Stewart, O M Colvin, J M Provenzale, D D Bigner, M M Haglund, A H Friedman, P L Modrich, DNA mismatch repair and O6-alkylguanine-DNA alkyltransferase analysis and response to Temodal in newly diagnosed malignant glioma. Journal of Clinical Oncology. ,vol. 16, pp. 3851- 3857 ,(1998) , 10.1200/JCO.1998.16.12.3851
I. F. Pollack, James M. Boyett, Jonathan L. Finlay, Chemotherapy for high-grade gliomas of childhood. Childs Nervous System. ,vol. 15, pp. 529- 544 ,(1999) , 10.1007/S003810050541
Anna Riccardi, Giorgio Mazzarella, Graziella Cefalo, Maria Luisa Garr�, Maura Massimino, Carlo Barone, Alessandro Sandri, Vita Ridola, Antonio Ruggiero, Stefano Mastrangelo, Ilaria lazzareschi, Massimo Caldarelli, Giulio Maira, Enrico Madon, Riccardo Riccardi, Pharmacokinetics of temozolomide given three times a day in pediatric and adult patients Cancer Chemotherapy and Pharmacology. ,vol. 52, pp. 459- 464 ,(2003) , 10.1007/S00280-003-0677-X
Fred Epstein, Shlomi Constantini, Practical decisions in the treatment of pediatric brain stem tumors. Pediatric Neurosurgery. ,vol. 24, pp. 24- 34 ,(1996) , 10.1159/000121011