Therapeutic efficacy of transarterial chemo-embolization with a fine-powder formulation of cisplatin for hepatocellular carcinoma.

Abstract

AIM:

To evaluate the efficacy of transarterial chemoembolization (TACE) using a suspension of a fine-powder formulation of cisplatin (DDPH) in lipiodol (LPD) in the treatment of hepatocellular carcinoma (HCC).

METHODS:

The subjects were 262 HCC patients treated with TACE using a DDPH-LPD suspension. The DDPH-LPD suspension was prepared by mixing 50 mg of DDPH into 10 mL of LPD. TACE was repeated when treated lesions relapsed and/or new hepatic lesions were detected. These patients received additional TACE using the same agent. TACE was repeated until complete regression of the tumor was obtained. The primary efficacy endpoint of the current study was the objective early response rate. Secondary efficacy endpoints were progression-free survival (PFS) and overall survival.

RESULTS:

The objective early response rate was 43.6%. Cumulative PFS rates were 56.7% at 6 mo, 23.1% at 12 mo, 13.4% at 18 mo, and 10.5% at 24 mo. The median PFS was 6.6 mo. Cumulative survival rates were 90.6% at 6 mo, 81.9% at 12 mo, 70.5% at 24 mo, and 58.8% at 36 mo. Median survival time was 46.6 mo. All adverse reactions were controllable by temporary suspension of treatment. No serious complications or treatment-related deaths were observed.

CONCLUSION:

TACE using a suspension of DDPH in LPD may be a useful treatment for HCC.

• Authors: Kazuhiro Kasai, Akira Ushio, Yukiho Kasai, Kei Sawara, Yasuhiro Miyamoto, Kanta Oikawa, Yasuhiro Takikawa, Kazuyuki Suzuki
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 19 Issue 14 Pg. 2242-8 ( 2013) ISSN: 2219-2840 [Electronic] United States
• PMID: 23599651 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Antineoplastic Agents
• Powders
• Ethiodized Oil
• Cisplatin

Topics

• Adult
• Aged
• Aged, 80 and over
• Antineoplastic Agents (administration & dosage, adverse effects)
• Carcinoma, Hepatocellular (drug therapy, mortality, pathology)
• Chemistry, Pharmaceutical
• Chemoembolization, Therapeutic (adverse effects)
• Cisplatin (administration & dosage, adverse effects)
• Disease-Free Survival
• Ethiodized Oil (administration & dosage)
• Female
• Humans
• Japan
• Kaplan-Meier Estimate
• Liver Neoplasms (drug therapy, mortality, pathology)
• Male
• Middle Aged
• Multivariate Analysis
• Neoplasm Recurrence, Local
• Powders
• Proportional Hazards Models
• Time Factors
• Treatment Outcome