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Lung Cancer ; 39(3): 339-45, 2003 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-12609573

RESUMEN

We performed a phase II study combining 41.8 degrees C whole body hyperthermia with ICE chemotherapy, i.e. ifosfamide (5 g/m(2)), carboplatin (300 mg/m(2)) and etoposide (150 mg/m(2) on days 2 and 3), administered every 4 weeks, for patients with malignant pleural mesothelioma. Of 27 chemonäive, non-metastatic patients enrolled, 25 patients were evaluable for response. Overall response rate was 20% (five partial remissions; 95% CI 8.9-39.1%). Median survival time from the start of treatment for all patients was 76.6 weeks (95% CI 65.4-87.8 weeks). Progression free survival for all patients measured 29.6 weeks (95% CI 24.4-34.7 weeks). One year overall survival was 68% and 2 year overall survival was 20%. Major treatment toxicities included grade 3/4 neutropenia and thrombocytopenia in 74 and 33% of treatment cycles, respectively. One patient died due to sepsis. These promising results are consistent with continued clinical investigation; a phase III clinical trial with whole body hyperthermia as the independent variable has been initiated.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Hipertermia Inducida , Mesotelioma/tratamiento farmacológico , Mesotelioma/terapia , Neoplasias Pleurales/tratamiento farmacológico , Neoplasias Pleurales/terapia , Anciano , Carboplatino , Terapia Combinada , Dexametasona , Supervivencia sin Enfermedad , Etopósido , Femenino , Humanos , Ifosfamida , Infusiones Intravenosas , Masculino , Mesotelioma/patología , Persona de Mediana Edad , Neoplasias Pleurales/patología , Sepsis/inducido químicamente , Resultado del Tratamiento
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