Literature DB >> 23460318

A phase I trial of arsenic trioxide chemoradiotherapy for infiltrating astrocytomas of childhood.

Kenneth J Cohen1, Iris C Gibbs, Paul G Fisher, Robert J Hayashi, Margaret E Macy, Lia Gore.   

Abstract

BACKGROUND: Arsenic trioxide (ATO) has demonstrated preclinical evidence of activity in the treatment of infiltrating astrocytomas.
METHODS: We conducted a phase I trial of ATO given concomitantly with radiation therapy in children with newly diagnosed anaplastic astrocytoma, glioblastoma, or diffuse intrinsic pontine glioma. Eligible patients received a fixed daily dose of 0.15 mg/kg of ATO once a week, with each subsequent cohort of patients receiving an additional dose per week up to a planned frequency of ATO administration 5 days per week as tolerated. Twenty-four children were enrolled and 21 children were evaluable.
RESULTS: ATO was well tolerated throughout the entire dose escalation, resulting in confirmation of safety when administered 5 days per week during irradiation.
CONCLUSIONS: The recommended dose of ATO during conventional irradiation is 0.15 mg/kg given on a daily basis with each fraction of radiation therapy administered.

Entities:  

Keywords:  arsenic trioxide; astrocytoma; chemoradiotherapy; pediatrics

Mesh:

Substances:

Year:  2013        PMID: 23460318      PMCID: PMC3661102          DOI: 10.1093/neuonc/not021

Source DB:  PubMed          Journal:  Neuro Oncol        ISSN: 1522-8517            Impact factor:   12.300


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