Chemosaturation Percutaneous Hepatic Perfusion: A Systematic Review.
Adv Ther
; 33(12): 2122-2138, 2017 01.
Article
em En
| MEDLINE
| ID: mdl-27798773
ABSTRACT
The Hepatic CHEMOSAT® Delivery System is an innovative medical device for the treatment of patients with unresectable primary liver tumors or unresectable hepatic metastases from solid organ malignancies. This system is used to perform chemosaturation percutaneous hepatic perfusion (CS-PHP), a procedure in which a high dose of the chemotherapeutic agent melphalan is delivered directly to the liver while limiting systemic exposure. In a clinical trial program, CS-PHP with melphalan significantly improved hepatic progression-free survival in patients with unresectable hepatic metastases from ocular or cutaneous melanoma. Clinically meaningful hepatic responses were also observed in patients with hepatocellular carcinoma or neuroendocrine tumors. Furthermore, the results of published studies and case reports demonstrated that CS-PHP with melphalan resulted in favorable tumor response rates in a range of tumor histologies (ocular or cutaneous melanoma, colorectal cancer, and hepatobiliary tumors). Analyses of the safety profile of CS-PHP revealed that the most common adverse effects were hematologic events (thrombocytopenia, anemia, and neutropenia), which were clinically manageable. Taken together, these findings indicate that CS-PHP is a promising locoregional therapy for patients with primary and secondary liver tumors and has a acceptable safety profile. FUNDING:
Delcath Systems Inc., New York, NY, USA.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
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Quimioterapia do Câncer por Perfusão Regional
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Neoplasias Colorretais
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Carcinoma Hepatocelular
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Neoplasias Hepáticas
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Melanoma
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Melfalan
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Antineoplásicos
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article