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Hypofractionated stereotactic radiotherapy with the hypoxic sensitizer AK-2123 (sanazole) for reirradiation of brain metastases: a preliminary feasibility report.

Abstract
Reirradiation is a challenging field in the treatment of recurrent brain metastases. Because of the elevated risk of radiation toxicity due to previous irradiation, only a limited dose is prescribed. To enhance radiosensitivity, in the present analysis six patients received hypofractionated stereotactic radiotherapy (hSRT) with daily oral administration of the hypoxic sensitizer AK-2123 (sanazole) for progressive brain metastases after previous radiotherapy. The patients received daily oral administration of 1.0 g/day sanazole up to 2 h before radiotherapy. Three partial and three stable responses were observed, with no sanazole-related toxicity, except for a case of mild nausea. Brain failure with subsequent death occurred in one patient. The other patients maintained good performance status until disease progression in other lesions. hSRT with a hypoxic radiation sensitizer appears to have the potential to enhance the efficacy of radiotherapy.
AuthorsHideya Yamazaki, Satoaki Nakamura, Takuya Nishimura, Naohiro Kodani, Takuji Tsubokura, Takuya Kimoto, Hiroya Sihomi, Norihiro Aibe, Ken Yoshida, Masahiko Koizumi, Tsutomu Kagiya
JournalAnticancer research (Anticancer Res) Vol. 33 Issue 4 Pg. 1773-6 (Apr 2013) ISSN: 1791-7530 [Electronic] Greece
PMID23564833 (Publication Type: Journal Article)
Chemical References
  • Radiation-Sensitizing Agents
  • Triazoles
  • AK 2123
Topics
  • Administration, Oral
  • Adult
  • Aged
  • Brain Neoplasms (drug therapy, radiotherapy, secondary)
  • Breast Neoplasms (drug therapy, pathology, surgery)
  • Combined Modality Therapy
  • Cranial Irradiation
  • Dose Fractionation, Radiation
  • Feasibility Studies
  • Female
  • Humans
  • Lung Neoplasms (drug therapy, pathology, surgery)
  • Male
  • Middle Aged
  • Prognosis
  • Radiation-Sensitizing Agents (administration & dosage)
  • Radiosurgery
  • Triazoles (administration & dosage)

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