Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2007-2-27
pubmed:abstractText
The purpose of the study was to evaluate the safety, efficacy, and pharmacokinetics of pixantrone (BBR2778) when substituted for etoposide in the ESHAP regimen in patients with aggressive relapsed or refractory non-Hodgkin's lymphoma. Nineteen patients received protocol therapy, consisting of pixantrone 80 mg/m2 over 1 h on day 1, methylprednisolone 500 mg on days 1 - 5, cisplatin 25 mg/m2 on days 1 - 4, and cytarabine 2000 mg/m2 on day 5. Cycles were repeated every 21 days, in the outpatient setting. Dose limiting toxicity, consisting of bone marrow suppression, occurred at the first dose level (80 mg/m2), which was defined as the recommended dose. Grade 3 and 4 toxicities were mainly hematologic. Only one patient had grade 4 febrile neutropenia. No significant decreases in ejection fraction greater than 20% occurred. Overall response rate was 58%, with 37% complete and 21% partial responses. Six of the 11 responders (55%) underwent stem cell transplant. Median time to progression and overall median survival were 5.7 months and 14.5 months, respectively. There is no significant interaction between pixantrone and the combined drugs. The recommended dose of pixantrone in combination with methylprednisolone, cytarabine, and cisplatin (PSHAP) is 80 mg/m2. PSHAP is an active salvage regimen and should be further evaluated as a pretransplant cytoreductive regimen.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1042-8194
pubmed:author
pubmed:issnType
Print
pubmed:volume
48
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
374-80
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:17325899-Adult, pubmed-meshheading:17325899-Aged, pubmed-meshheading:17325899-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:17325899-Cisplatin, pubmed-meshheading:17325899-Cytarabine, pubmed-meshheading:17325899-Female, pubmed-meshheading:17325899-Humans, pubmed-meshheading:17325899-Isoquinolines, pubmed-meshheading:17325899-Lymphoma, B-Cell, pubmed-meshheading:17325899-Lymphoma, Follicular, pubmed-meshheading:17325899-Lymphoma, Large B-Cell, Diffuse, pubmed-meshheading:17325899-Male, pubmed-meshheading:17325899-Methylprednisolone, pubmed-meshheading:17325899-Middle Aged, pubmed-meshheading:17325899-Neoplasm Recurrence, Local, pubmed-meshheading:17325899-Prospective Studies, pubmed-meshheading:17325899-Remission Induction, pubmed-meshheading:17325899-Salvage Therapy, pubmed-meshheading:17325899-Treatment Outcome
pubmed:year
2007
pubmed:articleTitle
A phase I/II trial of pixantrone (BBR2778), methylprednisolone, cisplatin, and cytosine arabinoside (PSHAP) in relapsed/refractory aggressive non-Hodgkin's lymphoma.
pubmed:affiliation
National Cancer Centre, Singapore.
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Multicenter Study, Clinical Trial, Phase II, Clinical Trial, Phase I