Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1990-9-7
pubmed:abstractText
From August 1985 to November 1989 we conducted a trial of intraperitoneal (IP) carboplatin including a dose-escalation design in 25 women with advanced gynecologic malignancies. All had extensive prior therapy with cisplatin (median cumulative dose, 525 mg/m2). Carboplatin was administered IP in 2 L of 1.5% dextrose with a 4-hour dwell time every 4 weeks for six cycles at a starting dose of 200 mg/m2. Patients with reduced creatinine clearance (30 to 60 cc/min) were escalated more slowly than those with high (greater than 60 cc/min) clearance. Thrombocytopenia was dose-limiting and often more severe in patients with compromised renal function; there was no local drug toxicity. The median time of follow-up is 25 months. Complete responses (CRs) were documented in six of 23 assessable patients (26%) by repeat laparotomy, and an additional 11 patients (48%) had no disease evident by noninvasive restaging. Five of the CRs and six of the patients with no clinically evident disease have relapsed from 3 to 40 months after therapy. Six patients (26%) are alive and free of disease 8 to 47 (median, 20) months after therapy. IP carboplatin is effective against relapsed ovarian cancer, even after prior cisplatin therapy.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0732-183X
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
1335-41
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:2199620-Adenocarcinoma, pubmed-meshheading:2199620-Adult, pubmed-meshheading:2199620-Aged, pubmed-meshheading:2199620-Antineoplastic Agents, pubmed-meshheading:2199620-Carboplatin, pubmed-meshheading:2199620-Cisplatin, pubmed-meshheading:2199620-Creatinine, pubmed-meshheading:2199620-Drug Evaluation, pubmed-meshheading:2199620-Female, pubmed-meshheading:2199620-Follow-Up Studies, pubmed-meshheading:2199620-Humans, pubmed-meshheading:2199620-Infusions, Parenteral, pubmed-meshheading:2199620-Kidney, pubmed-meshheading:2199620-Middle Aged, pubmed-meshheading:2199620-Organoplatinum Compounds, pubmed-meshheading:2199620-Ovarian Neoplasms, pubmed-meshheading:2199620-Peritoneal Cavity, pubmed-meshheading:2199620-Remission Induction, pubmed-meshheading:2199620-Survival Rate, pubmed-meshheading:2199620-Thrombocytopenia
pubmed:year
1990
pubmed:articleTitle
Intraperitoneal carboplatin: favorable results in women with minimal residual ovarian cancer after cisplatin therapy.
pubmed:affiliation
Rita and Stanley H. Kaplan Cancer Center, Department of Medicine, New York University Medical Center.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't