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Nimustine Treatment of 11 Cases of Canine Histiocytic Sarcoma.

Abstract
The objective of this retrospective study was to report treatment outcomes in dogs with histiocytic sarcoma (HS) that were treated with nimustine (ACNU). This study evaluated data from 11 dogs including 5 with macroscopic tumors that were treated in the primary setting and 6 that underwent aggressive local therapy while being treated in the adjuvant setting. The median ACNU starting dose was 25 mg/m2 (range, 20-30 mg/m2; 3- to 5-wk intervals, 1-8 administrations). The median overall survival in the primary and adjuvant settings was 120 days (median progression-free survival [PFS], 63 days) and 400 days (median PFS, 212 days), respectively. Neutropenia was observed in eight cases (grade 1, n = 1; grade 2, n = 2; grade 3, n = 2; grade 4, n = 3) with nadir neutrophil count at 1 wk after ACNU administration. Mild gastrointestinal toxicity (grade 1-2) was observed in three cases. ACNU was well tolerated and showed a similar outcome to that seen for lomustine, which is a drug commonly used to treat canine HS, in terms of overall survival and PFS in the current study population. Further investigations will need to be undertaken to definitively determine if ACNU is an appropriate alternative to lomustine for the treatment of HS.
AuthorsHiroyuki Tani, Sena Kurita, Ryo Miyamoto, Harumi Sawada, Aki Fujiwara-Igarashi, Masaki Michishita, Daigo Azakami, Daisuke Hasegawa, Kyoichi Tamura, Makoto Bonkobara
JournalJournal of the American Animal Hospital Association (J Am Anim Hosp Assoc) 2020 May/Jun Vol. 56 Issue 3 Pg. 146 ISSN: 1547-3317 [Electronic] United States
PMID32182105 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents
  • Nimustine
Topics
  • Animals
  • Antineoplastic Agents (adverse effects, therapeutic use)
  • Dog Diseases (drug therapy)
  • Dogs
  • Female
  • Histiocytic Sarcoma (drug therapy, mortality, veterinary)
  • Male
  • Neutropenia (chemically induced, veterinary)
  • Nimustine (adverse effects, therapeutic use)
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome

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