Abstract |
To evaluate the efficacy of cisplatin, gemcitabine, and treosulfan (CGT) in 91 patients with pretreated relapsed AJCC stage IV cutaneous malignant melanoma. Patients in relapse after first-, second-, or third-line therapy received 40 mg m(-2) intravenous (i.v.) cisplatin, 1000 mg m(-2) i.v. gemcitabine, and 2500 mg m(-2) i.v. treosulfan on days 1 and 8. Cisplatin, gemcitabine, and treosulfan therapy was repeated every 5 weeks until progression of disease occurred. A maximum of 11 CGT cycles (mean, two cycles) was administered per patient. Four patients (4%) showed a partial response; 15 (17%) patients had stable disease; and 72 (79%) patients progressed upon first re-evaluation. Overall survival of all 91 patients was 6 months (2-year survival rate, 7%). Patients with partial remission or stable disease exhibited a median overall survival of 11 months (2-year survival rate, 36%), while patients with disease progression upon first re-evaluation had a median overall survival of 5 months (2-year survival rate, 0%). Treatment with CGT was efficient in one-fifth of the pretreated relapsed stage IV melanoma patients achieving disease stabilisation or partial remission with prolonged but limited survival.
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Authors | J Atzpodien, K Terfloth, M Fluck, M Reitz |
Journal | British journal of cancer
(Br J Cancer)
Vol. 97
Issue 10
Pg. 1329-32
(Nov 19 2007)
ISSN: 0007-0920 [Print] England |
PMID | 17971774
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Deoxycytidine
- treosulfan
- Busulfan
- Cisplatin
- Gemcitabine
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Antineoplastic Combined Chemotherapy Protocols
(adverse effects, therapeutic use)
- Busulfan
(administration & dosage, adverse effects, analogs & derivatives)
- Cisplatin
(administration & dosage, adverse effects)
- Deoxycytidine
(administration & dosage, adverse effects, analogs & derivatives)
- Disease Progression
- Disease-Free Survival
- Dose-Response Relationship, Drug
- Drug Administration Schedule
- Female
- Follow-Up Studies
- Humans
- Injections, Intravenous
- Male
- Maximum Tolerated Dose
- Melanoma
(drug therapy, secondary)
- Middle Aged
- Neoplasm Staging
- Neoplasms, Unknown Primary
(drug therapy)
- Recurrence
- Remission Induction
- Skin Neoplasms
(drug therapy)
- Survival Rate
- Treatment Outcome
- Gemcitabine
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