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[Phase II study of carboplatin in head and neck cancer].

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.
AuthorsY Inuyama, K Togawa, M Morita, S Takeoda, T Kaneko, S Takemiya, I Ono, Y Nomura, M Okuda, K Kikuchi
JournalGan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 15 Issue 7 Pg. 2131-8 (Jul 1988) ISSN: 0385-0684 [Print] Japan
PMID3293536 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Organoplatinum Compounds
  • Carboplatin
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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