Pegylated liposomal doxorubicin in recurrent malignant glioma: Analysis of a case series

Glas, Martin and Koch, Horst and Hirschmann, Birgit and Jauch, Tanja and Steinbrecher, Andreas and Herrlinger, Ulrich and Bogdahn, Ulrich and Hau, Peter (2007) Pegylated liposomal doxorubicin in recurrent malignant glioma: Analysis of a case series. ONCOLOGY, 72 (5-6). pp. 302-307. ISSN 0030-2414,

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Abstract

Background: Recurrent malignant glioma has a dismal prognosis, and therapeutic options are scarce. After previous potentially encouraging reports on liposomal pegylated doxorubicin (PEG-DOX) in this setting, PEG-DOX was applied to patients with recurrent malignant glioma in an institutional series. Methods: In a retrospective analysis, 49 patients with recurrent high-grade glioma (WHO III, n = 18; WHO IV, n = 31) were treated with PEG-DOX (days 1 and 14/28, 20 mg/m(2), n = 26) alone or in combination with temozolomide (days 1-5/28, 200 mg/m(2), n = 23). The response rate, progression-free survival and overall survival were evaluated. Results: The rate of progression-free patients at 6 months after initiation of therapy was 27% (WHO III, 33%; WHO IV, 23%). The median overall survival (mOS) after initiation of PEG-DOX (monotherapy and combination therapy) was 8 months (WHO III, 16 months; WHO IV, 7 months). The mOS after initiation of PEG-DOX monotherapy was 8 months, and after initiation of combination therapy, 10 months. Both regimens were well tolerated, with the main side effect being hematologic toxicity (grade 1-2, 8%; grade 3-4, 18%). Conclusion: These data demonstrate the safety and moderate efficacy of PEG-DOX +/- temozolomide therapy in recurrent malignant glioma. The potential of this nonalkylating chemotherapy should be further explored. Copyright (C) 2008 S. Karger AG, Basel.

Item Type: Article
Uncontrolled Keywords: HIGH-GRADE GLIOMA; PHASE-II TRIAL; GLIOBLASTOMA-MULTIFORME; ANAPLASTIC ASTROCYTOMA; 1ST RELAPSE; TEMOZOLOMIDE; EFFICACY; CRITERIA; malignant glioma; anaplastic astrocytoma; glioblastoma; pegylated liposomal doxorubicin; temozolomide
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Jan 2021 11:14
Last Modified: 13 Jan 2021 11:14
URI: https://pred.uni-regensburg.de/id/eprint/33498

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