Effect of paclitaxel/carboplatin salvage chemotherapy in noncutaneous versus cutaneous metastatic melanoma

作者: Wonjin Chang , Su Jin Lee , Silvia Park , Moon Ki Choi , Jung Yong Hong

DOI: 10.1097/CMR.0B013E32835EFD8D

关键词:

摘要: Little is known about the efficacy of salvage chemotherapy for patients with metastatic, noncutaneous melanoma after failure dacarbazine-based chemotherapy. Because high incidence in Korea, we assessed outcomes paclitaxel/carboplatin (PC) metastatic melanoma. We retrospectively analyzed who received intravenous paclitaxel (175 mg/m) plus carboplatin (area under curve 5) on day 1 a 21-day cycle as at Samsung Medical Center (SMC) between February 2009 and 2012. The overall response rate, survival, progression-free survival were evaluated. Thirty-two median age 54 years (range 24-72 years) PC All had been pretreated three systemic chemotherapies. Of 32 patients, 10 (31.3%) cutaneous melanoma, eight (25%) acral mucosal two (6.3%) ocular In to treatment, seven (21.9%) achieved partial 11 (34.4%) stable disease. was 2.53 months all 4.3 controlled disease (partial disease), 1.37 progressive (P=0.0001). 5.2 months. No significant difference noted (P=0.75). may be reasonable therapeutic option heavily patients. Salvage therapy this combination definite clinically meaningful benefits including those

参考文章(27)
Morton Dl, Barth A, Wanek La, Prognostic factors in 1,521 melanoma patients with distant metastases. Journal of The American College of Surgeons. ,vol. 181, pp. 193- 201 ,(1995)
Paul B. Chapman, Lawrence H. Einhorn, Michael L. Meyers, Scott Saxman, Alicia N. Destro, Katherine S. Panageas, Colin B. Begg, Sanjiv S. Agarwala, Lynn M. Schuchter, Marc S. Ernstoff, Alan N. Houghton, John M. Kirkwood, Phase III Multicenter Randomized Trial of the Dartmouth Regimen Versus Dacarbazine in Patients With Metastatic Melanoma Journal of Clinical Oncology. ,vol. 17, pp. 2745- 2751 ,(1999) , 10.1200/JCO.1999.17.9.2745
M.R. Middleton, J.J. Grob, N. Aaronson, G. Fierlbeck, W. Tilgen, S. Seiter, M. Gore, S. Aamdal, J. Cebon, A. Coates, B. Dreno, M. Henz, D. Schadendorf, A. Kapp, J. Weiss, U. Fraass, P. Statkevich, M. Muller, N. Thatcher, Randomized Phase III Study of Temozolomide Versus Dacarbazine in the Treatment of Patients With Advanced Metastatic Malignant Melanoma Journal of Clinical Oncology. ,vol. 18, pp. 158- 166 ,(2000) , 10.1200/JCO.2000.18.1.158
Christine Zimpfer-Rechner, Udo Hofmann, Robert Figl, J??rgen C Becker, Uwe Trefzer, Ivonne Keller, Axel Hauschild, Dirk Schadendorf, Randomized phase II study of weekly paclitaxel versus paclitaxel and carboplatin as second-line therapy in disseminated melanoma: a multicentre trial of the Dermatologic Co-operative Oncology Group (DeCOG). Melanoma Research. ,vol. 13, pp. 531- 536 ,(2003) , 10.1097/00008390-200310000-00012
Colleen C. McLaughlin, Xiao-Cheng Wu, Ahmedin Jemal, Howard J. Martin, Lisa M. Roche, Vivien W. Chen, Incidence of noncutaneous melanomas in the U.S. Cancer. ,vol. 103, pp. 1000- 1007 ,(2005) , 10.1002/CNCR.20866
F. Stephen Hodi, Robert J. Soiffer, Jeffrey Clark, Dianne M. Finkelstein, Frank G. Haluska, Phase II study of paclitaxel and carboplatin for malignant melanoma. American Journal of Clinical Oncology. ,vol. 25, pp. 283- 286 ,(2002) , 10.1097/00000421-200206000-00016
Ravi D. Rao, Shernan G. Holtan, James N. Ingle, Gary A. Croghan, Lisa A. Kottschade, Edward T. Creagan, Judith S. Kaur, Henry C. Pitot, Svetomir N. Markovic, Combination of paclitaxel and carboplatin as second-line therapy for patients with metastatic melanoma†‡ Cancer. ,vol. 106, pp. 375- 382 ,(2006) , 10.1002/CNCR.21611
Annette Pflugfelder, Thomas K. Eigentler, Ulrike Keim, Benjamin Weide, Ulrike Leiter, Kristian Ikenberg, Mark Berneburg, Claus Garbe, Effectiveness of Carboplatin and Paclitaxel as First- and Second-Line Treatment in 61 Patients with Metastatic Melanoma PLoS ONE. ,vol. 6, pp. e16882- ,(2011) , 10.1371/JOURNAL.PONE.0016882
Ronald P. Rapini, Loren E. Golitz, Robert O. Greer, Edmund A. Krekorian, Todd Poulson, Primary malignant melanoma of the oral cavity. A review of 177 cases Cancer. ,vol. 55, pp. 1543- 1551 ,(1985) , 10.1002/1097-0142(19850401)55:7<1543::AID-CNCR2820550722>3.0.CO;2-F