Abstract |
To evaluate the clinical efficacy and safety of carboplatin for head and neck cancer, a phase II study was conducted in 21 institutions. Eighty-eight patients were entered into this trial, of which 70 were evaluable. Carboplatin was administered intravenously over 0.5-1 hr at the dose of 400 mg/m2 in good risk cases and 300 mg/m2 in poor risk cases. One patient achieved complete response(CR) and 13 achieved partial response(PR) with an overall response rate of 20%. In terms of response by histology, the response rate was 22% in cases of squamous cell carcinoma. The response rate was 26% in previously untreated patients and 16% in previously treated patients. One CR and 2 PR were achieved in 14 patients with prior cisplatin treatment. Toxicity was observed in 47% of the 70 evaluable patients. Nausea and vomiting were the most common toxicity observed (36%) followed by anorexia in 27%. Concerning hematologic toxicity, thrombocytopenia was noted in 32% and leukopenia in 29%. Elevation of BUN and creatinine was observed in only 2 cases and 1 case, respectively. It was concluded that carboplatin suggested activity similar to cisplatin, and also could be safely used at the outpatient level.
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Authors | Y Inuyama, K Togawa, M Morita, S Takeoda, T Kaneko, S Takemiya, I Ono, Y Nomura, M Okuda, K Kikuchi |
Journal | Gan to kagaku ryoho. Cancer & chemotherapy
(Gan To Kagaku Ryoho)
Vol. 15
Issue 7
Pg. 2131-8
(Jul 1988)
ISSN: 0385-0684 [Print] Japan |
PMID | 3293536
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Organoplatinum Compounds
- Carboplatin
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anorexia
(chemically induced)
- Carboplatin
- Carcinoma, Squamous Cell
(drug therapy)
- Drug Evaluation
- Female
- Head and Neck Neoplasms
(drug therapy)
- Humans
- Infusions, Intravenous
- Leukopenia
(chemically induced)
- Male
- Middle Aged
- Nausea
(chemically induced)
- Organoplatinum Compounds
(administration & dosage, adverse effects, therapeutic use)
- Remission Induction
- Thrombocytopenia
(chemically induced)
- Vomiting
(chemically induced)
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