Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-12-21
pubmed:abstractText
Sarcomas represent a rare and heterogeneous disease and the prognosis of patients remains poor, with a disease-free survival at 5 years of less than 10%. Only a few chemotherapeutic agents, such as doxorubicin and ifosfamide, have been identified to be active with response rates above 20%. The concept of angiostatic therapy in combination with proapoptotic biomodulators and chemotherapeutics has not been evaluated in these patients. Therefore, the efficacy of low-dose trofosfamide in combination with the peroxisome proliferator-activated receptor-gamma-agonist, pioglitazone, and the selective cyclooxygenase-2 inhibitor, rofecoxib, was evaluated in a pilot study. Six patients with advanced sarcoma received a combination of oral pioglitazone plus rofecoxib and, after 14 days, oral trofosfamide. The therapy was administered continuously daily. Four patients received the triple combination as maintenance therapy; three of them achieved stabilization of disease. Two patients received the combination as relapse therapy; however, it failed to stop disease progression. Side effects were generally mild and hospitalization was not necessary. This new triple combination of low-dose trofosfamide, pioglitazone, and rofecoxib may represent a feasible new alternative in the palliative treatment of sarcoma patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1341-9625
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
438-40
pubmed:meshHeading
pubmed-meshheading:16369750-Adult, pubmed-meshheading:16369750-Angiogenesis Inhibitors, pubmed-meshheading:16369750-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:16369750-Bone Neoplasms, pubmed-meshheading:16369750-Cyclophosphamide, pubmed-meshheading:16369750-Female, pubmed-meshheading:16369750-Humans, pubmed-meshheading:16369750-Lactones, pubmed-meshheading:16369750-Male, pubmed-meshheading:16369750-Middle Aged, pubmed-meshheading:16369750-Neovascularization, Pathologic, pubmed-meshheading:16369750-Palliative Care, pubmed-meshheading:16369750-Pilot Projects, pubmed-meshheading:16369750-Sarcoma, pubmed-meshheading:16369750-Soft Tissue Neoplasms, pubmed-meshheading:16369750-Sulfones, pubmed-meshheading:16369750-Thiazolidinediones, pubmed-meshheading:16369750-Treatment Outcome
pubmed:year
2005
pubmed:articleTitle
A new therapeutic approach in patients with advanced sarcoma.
pubmed:affiliation
University of Heidelberg, Department of Internal Medicine V, Im Neuenheimer Feld 410, D-69120 Heidelberg, Germany. Bernd.Kasper@med.uni-heidelberg.de
pubmed:publicationType
Journal Article, Case Reports