Phase-II Study with the Combination of Cisplatin and Doxorubicin in Advanced Malignant Mesothelioma of the Pleura

作者：H. Henß, H.H. Fiebig, Johannes Schildge, Heidwolf Arnold, J. Hasse · 发表于：Onkologie · 年份：2009 · DOI：10.1159/000216501 · 被引用次数：30 · 研究领域：Occupational and environmental lung diseases、Cancer Research and Treatments、Pleural and Pulmonary Diseases

The effectiveness of combination chemotherapy with doxorubicin and cisplatin was studied in patients with advanced malignant pleuramesothelioma. 19 patients were treated intravenously with cisplatin 60 mg/m2/day on days 1 and 2, and with adriamycin 40 mg/m2 on day 3 every 4 weeks. 8/19 patients (46%) responded to chemotherapy; 2 achieved complete remissions (CR), and 6 went into partial remissions (PR). Median duration of response was 222 days. Median survival time of all patients was 370 days compared to a median survival of 273 days in a historical control group consisting of 30 patients treated by surgery only. Substantial toxicity was observed, mainly gastrointestinal. We conclude that the combination of cisplatin and adriamycin is effective in malignant pleuramesothelioma. However, the duration of treatment is limited by gastrointestinal toxicity.