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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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| Dokumentenart | Artikel | ||||||||||||||||||||||||||||||||||||
| Titel eines Journals oder einer Zeitschrift | BMC cancer | ||||||||||||||||||||||||||||||||||||
| Verlag: | BMC | ||||||||||||||||||||||||||||||||||||
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| Ort der Veröffentlichung: | LONDON | ||||||||||||||||||||||||||||||||||||
| Band: | 9 | ||||||||||||||||||||||||||||||||||||
| Seitenbereich: | S. 308 | ||||||||||||||||||||||||||||||||||||
| Datum | 2009 | ||||||||||||||||||||||||||||||||||||
| Institutionen | Medizin > Lehrstuhl für Neurochirurgie Medizin > Lehrstuhl für Neurologie Medizin > Lehrstuhl für Pathologie Medizin > Lehrstuhl für Strahlentherapie | ||||||||||||||||||||||||||||||||||||
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| Stichwörter / Keywords | METASTATIC BREAST-CARCINOMA; HIGH-GRADE GLIOMA; MALIGNANT GLIOMA; O-6-METHYLGUANINE-DNA METHYLTRANSFERASE; RESPONSE CRITERIA; RECURRENT GLIOMA; EFFICACY; CHEMOTHERAPY; TOXICITY; MODEL; | ||||||||||||||||||||||||||||||||||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||||||||||||||||||||||||||||||||||
| Status | Veröffentlicht | ||||||||||||||||||||||||||||||||||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||||||||||||||||||||||||||||||||||
| An der Universität Regensburg entstanden | Unbekannt / Keine Angabe | ||||||||||||||||||||||||||||||||||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-293079 | ||||||||||||||||||||||||||||||||||||
| Dokumenten-ID | 29307 |
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