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Beier, Christoph P. ; Schmid, Christina ; Gorlia, Thierry ; Kleinletzenberger, Christine ; Beier, Dagmar ; Grauer, Oliver ; Steinbrecher, Andreas ; Hirschmann, Birgit ; Brawanski, Alexander ; Dietmaier, Christopher ; Jauch-Worley, Tanja ; Kölbl, Oliver ; Pietsch, Torsten ; Proescholdt, Martin A. ; Rümmele, Petra ; Muigg, Armin ; Stockhammer, Günther ; Hegi, Monika ; Bogdahn, Ulrich ; Hau, Peter

RNOP-09: pegylated liposomal doxorubicine and prolonged temozolomide in addition to radiotherapy in newly diagnosed glioblastoma--a phase II study

Beier, Christoph P., Schmid, Christina, Gorlia, Thierry, Kleinletzenberger, Christine, Beier, Dagmar, Grauer, Oliver, Steinbrecher, Andreas, Hirschmann, Birgit, Brawanski, Alexander, Dietmaier, Christopher, Jauch-Worley, Tanja, Kölbl, Oliver, Pietsch, Torsten, Proescholdt, Martin A., Rümmele, Petra, Muigg, Armin, Stockhammer, Günther, Hegi, Monika , Bogdahn, Ulrich und Hau, Peter (2009) RNOP-09: pegylated liposomal doxorubicine and prolonged temozolomide in addition to radiotherapy in newly diagnosed glioblastoma--a phase II study. BMC cancer 9, S. 308.

Veröffentlichungsdatum dieses Volltextes: 16 Jan 2014 11:37
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.29307


Zusammenfassung

Background: Although Temozolomide is effective against glioblastoma, the prognosis remains dismal and new regimens with synergistic activity are sought for. Methods: In this phase-I/II trial, pegylated liposomal doxorubicin (Caelyx (TM), PEG-Dox) and prolonged administration of Temozolomide in addition to radiotherapy was investigated in 63 patients with newly diagnosed glioblastoma. In phase-I, ...

Background: Although Temozolomide is effective against glioblastoma, the prognosis remains dismal and new regimens with synergistic activity are sought for. Methods: In this phase-I/II trial, pegylated liposomal doxorubicin (Caelyx (TM), PEG-Dox) and prolonged administration of Temozolomide in addition to radiotherapy was investigated in 63 patients with newly diagnosed glioblastoma. In phase-I, PEG-Dox was administered in a 3-by-3 dose-escalation regimen. In phase-II, 20 mg/m(2) PEG-Dox was given once prior to radiotherapy and on days 1 and 15 of each 28-day cycle starting 4 weeks after radiotherapy. Temozolomide was given in a dose of 75 mg/m(2) daily during radiotherapy (60 Gy) and 150-200 mg/m(2) on days 1-5 of each 28-day cycle for 12 cycles or until disease progression. Results: The toxicity of the combination of PEG-Dox, prolonged administration of Temozolomide, and radiotherapy was tolerable. The progression free survival after 12 months (PFS-12) was 30.2%, the median overall survival was 17.6 months in all patients including the ones from Phase-I. None of the endpoints differed significantly from the EORTC26981/NCIC-CE.3 data in a post-hoc statistical comparison. Conclusion: Together, the investigated combination is tolerable and feasible. Neither the addition of PEG-Dox nor the prolonged administration of Temozolomide resulted in a meaningful improvement of the patient's outcome as compared to the EORTC26981/NCIC-CE.3 data



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC cancer
Verlag:BMC
Ort der Veröffentlichung:LONDON
Band:9
Seitenbereich:S. 308
Datum2009
InstitutionenMedizin > Lehrstuhl für Neurochirurgie
Medizin > Lehrstuhl für Neurologie
Medizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Strahlentherapie
Identifikationsnummer
WertTyp
17664483PubMed-ID
10.1186/1471-2407-9-308DOI
Klassifikation
NotationArt
AdolescentMESH
AdultMESH
AgedMESH
Central Nervous System Neoplasms/radiotherapyMESH
Combined Modality TherapyMESH
Dacarbazine/analogs & derivativesMESH
Doxorubicin/analogs & derivativesMESH
Drug Administration ScheduleMESH
Drug Therapy, CombinationMESH
Drug-Related Side Effects and Adverse ReactionsMESH
FemaleMESH
Glioblastoma/radiotherapyMESH
HumansMESH
MaleMESH
Middle AgedMESH
Polyethylene Glycols/adverse effectsMESH
Young AdultMESH
Stichwörter / KeywordsMETASTATIC BREAST-CARCINOMA; HIGH-GRADE GLIOMA; MALIGNANT GLIOMA; O-6-METHYLGUANINE-DNA METHYLTRANSFERASE; RESPONSE CRITERIA; RECURRENT GLIOMA; EFFICACY; CHEMOTHERAPY; TOXICITY; MODEL;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenUnbekannt / Keine Angabe
URN der UB Regensburgurn:nbn:de:bvb:355-epub-293079
Dokumenten-ID29307

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