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Friday, June 13, 2008

Fwd: Cisplatin and vinorelbine first-line chemotherapy in non-resectable malignant pleural mesothelioma.



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From: HubMed - mesothelioma cancer <rssfwd@rssfwd.com>
Date: Wed, Jun 11, 2008 at 11:46 PM
Subject: Cisplatin and vinorelbine first-line chemotherapy in non-resectable malignant pleural mesothelioma.
To: mesothelioma77@gmail.com


[1]Br J Cancer. 2008 Jun 10;
Sørensen JB, Frank H, Palshof T

The aim was to evaluate the activity of cisplatin and vinorelbine in previously untreated, inoperable patients having histologically verified malignant pleural mesothelioma (MPM), normal organ function, and performance status 0-2. Treatment was vinorelbine 25 mg m(-2) i.v. weekly and cisplatin 100 mg m(-2) i.v. every 4 weeks with hydration and standard prophylactic antiemetic treatment. Patients gave written informed consent. Characteristics of 54 consecutive patients were: males 85%, epithelial subtype 74%, IMIG stages III and IV 35 and 46%, performance status 0, 1, and 2, 26, 69, and 6%, and median age 63 years (31-78 years). CTC grade 3 or 4 toxicity occurred with respect to leukocytopenia (48% of patients, grade 4 in 13%), nausea (13%), neurotoxicity (11%), nephrotoxicity (4%), and other toxicities (9%). There were no toxic deaths. The median number of cycles was four. The fraction of patients alive at 1-, 2-, and 3-years were 61, 31, and 4%, respectively, and median survival and median time to progression were 16.8 months (0.5 to 46.4 +months) and 7.2 months (1.6 to 40.6 + months). There were two CRs and 14 PRs (response rate 29.6%). Cisplatin and intravenous vinorelbine is a highly active regimen in MPM with a response rate and survival comparable to the most active regimens so far reported.British Journal of Cancer advance online publication, 10 June 2008; doi:10.1038/sj.bjc.6604421 www.bjcancer.com.



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Source: http://www.hubmed.org/display.cgi?uids=18542078
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