Bleomycin, vincristine, lomustine and dacarbazine (BOLD) in combination with recombinant interferon alpha-2b for metastatic uveal melanoma
| Autor: | Tero Kivelä, Wim H. J. Kruit, L.-M. Parvinen, O Kloke, E. Kumpulainen, Seppo Pyrhönen, Johan Hansson, M Hahka-Kemppinen, Martin Gore, Meri-Sisko Vuoristo, Yves Humblet, Stefan Suciu |
|---|---|
| Přispěvatelé: | Medical Oncology |
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Uveal Neoplasms Cancer Research medicine.medical_specialty Vincristine medicine.medical_treatment Dacarbazine Alpha interferon Interferon alpha-2 Gastroenterology Disease-Free Survival Bleomycin Lomustine Internal medicine Antineoplastic Combined Chemotherapy Protocols medicine Humans Prospective Studies Neoplasm Metastasis Melanoma Aged Chemotherapy business.industry Interferon-alpha Uvea Middle Aged medicine.disease Recombinant Proteins Surgery medicine.anatomical_structure Treatment Outcome Oncology Tolerability Feasibility Studies Female business medicine.drug |
| Zdroj: | European Journal of Cancer, 39, 1115-1120. Elsevier Ltd. |
| ISSN: | 0959-8049 |
| Popis: | This EORTC multicentre study analysed the efficacy and tolerability in patients with metastatic uveal melanoma of BOLD chemotherapy in combination with recombinant interferon alpha-2b. The dose of bleomycin was 15 mg on days 2 and 5, of vincristine 1 mg/m(2) on days 1 and 4, of lomustine 80 mg on day 1, and of dacarbazine (DTIC) 200 mg/m(2) on days 1-5, given every 4 weeks for a minimum of two cycles. Subcutaneous (s.c.) interferon alpha-2b at a dose of 3 x 10(6) IU was initiated on day 8 of the first cycle, and continued at a dose of 6 x 10(6) IU three times per week after 6 weeks. A median of two cycles were administered to 24 patients (median age 60.5 years). None achieved an objective response (0%; 95% Confidence Interval (CI): 0-14), 2 (8.3%) remained stable, 20 showed progression, and 2 (8.3%) were invaluable. The median progression-free survival was 1.9 months (95% CI: 1.8-3.4) and overall survival 10.6 months (95% CI: 6.9-16.4). Overall survival improved with increasingly favourable pretreatment characteristics (median, 14.7 versus 6.9 versus 6.0 months for Helsinki University Central Hospital (HUCH) Working Formulation stages IVBa, IVBb and IVBc, respectively; P=0.018). Grade 3 alopecia and neurotoxicity occurred in 13% of the patients. This multicentre study did not confirm earlier reports that BOLD with human leucocyte or recombinant interferon would induce at least 15% objective responses in metastatic uveal melanoma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect