Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6B
pubmed:dateCreated
1996-8-7
pubmed:abstractText
The clinical presentation of prostate-hormone refractory tumours in 90% of patients is characterised by sclerotic bone metastasis which is not assessable by classic phase II response criteria. Restriction of investigational study of new agents to the minority of patients, with bidimensionally measurable lesions, assessable by conventional WHO response criteria, has been criticised because such cases may represent a highly selected tumour cell population. To circumvent this problem, a variety of response criteria have been proposed. However, prostate specific antigen (PSA) levels have become an integral component, used singly or in combination with other markers of response evaluation. As a result, different response proportions could also be reported using the same single agent in this category of patients. This study repors a different evaluation of carboplatin activity by using WHO, NPCP modified criteria and PSA post-therapy decline as measures of carboplatin activity. It is suggested that treatment efficacy in this category of patients wold be more correctly measured by the proportion of patients who "fail treatment" after a reasonable number of therapy courses, rather than those achieving a conflicting definition of "objective response". Finally, in hormone refractory prostate cancer PSA post therapy declines may represent a measure of treatment efficacy and can be used as a surrogate end point for clinical phase II trials.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0250-7005
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2825-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:8669872-Adenocarcinoma, pubmed-meshheading:8669872-Aged, pubmed-meshheading:8669872-Aged, 80 and over, pubmed-meshheading:8669872-Antigens, Neoplasm, pubmed-meshheading:8669872-Antineoplastic Agents, pubmed-meshheading:8669872-Antineoplastic Agents, Hormonal, pubmed-meshheading:8669872-Bone Neoplasms, pubmed-meshheading:8669872-Carboplatin, pubmed-meshheading:8669872-Clinical Trials as Topic, pubmed-meshheading:8669872-Drug Resistance, Neoplasm, pubmed-meshheading:8669872-Humans, pubmed-meshheading:8669872-Male, pubmed-meshheading:8669872-Middle Aged, pubmed-meshheading:8669872-Palliative Care, pubmed-meshheading:8669872-Prostate-Specific Antigen, pubmed-meshheading:8669872-Prostatic Neoplasms, pubmed-meshheading:8669872-Salvage Therapy, pubmed-meshheading:8669872-Treatment Outcome, pubmed-meshheading:8669872-Tumor Markers, Biological
pubmed:articleTitle
Assessment of response to carboplatin in patients with hormone-refractory prostate cancer: a critical analysis of drug activity.
pubmed:affiliation
Department of Medical Oncology II, National Institute for Cancer Research Genoa, Italy.
pubmed:publicationType
Journal Article, Clinical Trial