GOALS OF WORK: There is a need for an effective and nontoxic chemotherapy for palliative indication in non-Hodgkin's lymphoma (NHL) patients who relapse after conventional or high-dose chemotherapy. The aim of this study was to investigate the feasibility and efficacy of peroral chemotherapy in the palliative treatment of NHL patients. PATIENTS AND METHODS: Seventeen NHL patients were treated with peroral trofosfamide (Ixoten) with an initial dose of 50 mg three times daily. The median age of the patients was 62 years (range: 45-78). Most of the patients had received multiple courses of combination chemotherapy. MAIN RESULTS: The overall response rate (complete remission and partial remission) was 53% (95% confidence interval 29-77), and median response duration was 7 months. Cross-resistance was not observed between trofosfamide and chlorambucil. Grade 1-3 hematological toxicity occurred in 16 patients. Other side effects, including mild or moderate nausea, neurotoxicity, alopecia and fatigue, did not require dose adjustments. No fatal complications occurred. CONCLUSION: Trofosfamide as a palliative regimen is feasible and effective in NHL patients even following previous heavy treatment.
GOALS OF WORK: There is a need for an effective and nontoxic chemotherapy for palliative indication in non-Hodgkin's lymphoma (NHL) patients who relapse after conventional or high-dose chemotherapy. The aim of this study was to investigate the feasibility and efficacy of peroral chemotherapy in the palliative treatment of NHLpatients. PATIENTS AND METHODS: Seventeen NHLpatients were treated with peroraltrofosfamide (Ixoten) with an initial dose of 50 mg three times daily. The median age of the patients was 62 years (range: 45-78). Most of the patients had received multiple courses of combination chemotherapy. MAIN RESULTS: The overall response rate (complete remission and partial remission) was 53% (95% confidence interval 29-77), and median response duration was 7 months. Cross-resistance was not observed between trofosfamide and chlorambucil. Grade 1-3 hematological toxicity occurred in 16 patients. Other side effects, including mild or moderate nausea, neurotoxicity, alopecia and fatigue, did not require dose adjustments. No fatal complications occurred. CONCLUSION:Trofosfamide as a palliative regimen is feasible and effective in NHLpatients even following previous heavy treatment.
Authors: Matthias Kroiss; Timo Deutschbein; Wiebke Schlötelburg; Cristina L Ronchi; Bruno Neu; Hans-Helge Müller; Marcus Quinkler; Stefanie Hahner; Anke Heidemeier; Martin Fassnacht Journal: Horm Cancer Date: 2016-03-09 Impact factor: 3.869
Authors: Hanno M Witte; Armin Riecke; Thomas Mayer; Tobias Bartscht; Dirk Rades; Hendrik Lehnert; Hartmut Merz; Sebastian Fetscher; Harald Biersack; Niklas Gebauer Journal: J Cancer Res Clin Oncol Date: 2018-10-16 Impact factor: 4.553