Literature DB >> 21074630

A Phase I trial: dose escalation of melphalan in the "BEAM" regimen using amifostine cytoprotection.

Gordon L Phillips1, Steven H Bernstein, Jane L Liesveld, Camille N Abboud, Michael W Becker, Louis S Constine, J J Ifthikharuddin, John E Loughner, Laurie A Milner, David H Vesole, Jonathan W Friedberg.   

Abstract

With the eventual goal of reducing relapse and thus improving overall survival in selected lymphoma patients, a Phase I study was performed using the cytoprotectant amifostine to permit safe dose-augmentation of melphalan in the carmustine (BCNU), etoposide, cytarabine (arabinosylcytosine), and melphalan (BEAM) regimen before autologous hematopoietic stem cell transplantation. Between 30 July 2003 and 25 November 2008, a total of 32 lymphoma patients were entered, of which 28 were evaluable. We found the melphalan dose in BEAM could be safely escalated to at least 260 mg/m², a substantial increase from the usual dose of 140 mg/m² in BEAM while the trial was terminated early due to poor accrual, no maximal tolerated dose or dose-limiting toxicity was found. A Phase II trial is planned. 2011 American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 21074630     DOI: 10.1016/j.bbmt.2010.11.003

Source DB:  PubMed          Journal:  Biol Blood Marrow Transplant        ISSN: 1083-8791            Impact factor:   5.742


  2 in total

1.  High-dose therapy and autologous stem cell transplant for transformed non-Hodgkin lymphoma in the rituximab era.

Authors:  Makiko Ban-Hoefen; Jennifer L Kelly; Steven H Bernstein; Jane Liesveld; Louis Constine; Michael Becker; Laurie Milner; Gordon Phillips; Jonathan W Friedberg
Journal:  Leuk Lymphoma       Date:  2011-12-06

2.  Alterations in Tissue Metabolite Profiles with Amifostine-Prophylaxed Mice Exposed to Gamma Radiation.

Authors:  Amrita K Cheema; Yaoxiang Li; Michael Girgis; Meth Jayatilake; Oluseyi O Fatanmi; Stephen Y Wise; Thomas M Seed; Vijay K Singh
Journal:  Metabolites       Date:  2020-05-21
  2 in total

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