Dibromodulcitol (DBD), DTIC, and actinomycin-D in disseminated malignant melanoma A phase I-II clinical trial
Autor: | Michael K. Samson, Glenn Cummings, Laurence H. Baker, Charles D. Haas |
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Rok vydání: | 1985 |
Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Gastrointestinal Diseases medicine.medical_treatment Gastroenterology chemistry.chemical_compound Mitolactol Internal medicine Antineoplastic Combined Chemotherapy Protocols Chlorozotocin medicine Humans Melanoma Objective response Aged Chemotherapy business.industry Middle Aged medicine.disease Hematologic Diseases Dacarbazine Clinical trial Phase i ii Metastatic malignant melanoma Oncology chemistry Dactinomycin Drug Evaluation Female business Median survival |
Zdroj: | American Journal of Clinical Oncology. 8:167-171 |
ISSN: | 0277-3732 |
Popis: | Thirty-seven fully assessable patients with metastatic malignant melanoma were administered DTIC, actinomycin-D, and dibromodulcitol (DBD) on a q 3- to 4-week schedule. Doses of actinomycin-D and DTIC were 1.25 mg/m2 and 750 mg/m2, respectively, on day 1. DBD was progressively escalated in five dose levels in succeeding patients from an initial 90 mg/m2 daily, days 3-7, to a dose-limiting 230 mg/m2. Two complete and nine partial responses were observed for an overall response rate of 30%. Median duration of response was 18 weeks. Major toxicities observed were hematologic and gastrointestinal. Median survival of all patients was 30 weeks and did not differ significantly from our earlier trials of DTIC and actinomycin-D +/- chlorozotocin. Although the observed objective response rate was higher than our previous efforts in this disease, the addition of DBD failed to significantly impact on the survival of the entire treatment group. Further investigation of this chemotherapy combination does not appear warranted. |
Databáze: | OpenAIRE |
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