Abstract:
BACKGROUND:Glioblastoma multiforme (GBM) is a rare and deadly disease, with a reported average incidence rate of 3.19 cases per 100,000 inhabitants. Fotemustine, a third-generation nitrosourea with an alanine phosphor carrier that facilitates cellular penetration, has been extensively investigated in the setting of recurrent/progressive disease after initial treatment. Fotemustine is usually administered following a schedule consisting of 3 doses every week, followed by maintenance doses administered every 3 weeks. METHODS:In this phase I/II trial, we aimed to assess whether the use of a biweekly regimen allowed administration of higher dose than the standard 100 mg/m dose approved per label indication in a population of patients with recurrent GBM. In this phase I/II trial, fotemustine was administered intravenously over 1 hour every 2 weeks at either 120 or 140 mg/m doses for up to 1 year, until disease progression, unacceptable toxicity, or patient's request to withdraw from the study. The phase I part of the trial was conducted following the classic 3+3 study design. The phase II part of the trial was a single-arm study. The primary efficacy endpoint was the percentage of patients who had not progressed after 24 weeks (PFS-24). RESULTS:Thirty-seven patients were enrolled in this phase I/II trial from August 2006 to November 2011. Treatment was well tolerated in the overall population. Main severe toxicity was grades 3 and 4 thrombocytopenia, which occurred in 4 of 6 patients treated at the 140 mg/m dose level and in 3 of 31 patients treated at 120 mg/m. Median PFS and overall survival were 12.1 (1-40.2) weeks and 19.7 (1-102) weeks, respectively. CONCLUSION:We conclude that fotemustine can be safely administered at 120 mg/m biweekly. The efficacy of such modified schedule and doses should be compared to the biweekly schedule at 80 mg and the standard weekly schedule at 80 to 100 mg/m.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Marinelli A,Lamberti G,Cerbone L,Cordua N,Buonerba C,Peluso G,Di Lorenzo G,De Placido Sdoi
10.1097/MD.0000000000011254subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e11254issue
27eissn
0025-7974issn
1536-5964pii
00005792-201807060-00017journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract::This prospective cohort study was conducted to assess the duration of daytime napping and its effect combined with night sleep deprivation on the risk of developing high HOMA-IR (homeostasis model assessment of insulin resistance) index and disadvantageous changes in glycosylated hemoglobin (HbA1c) levels.A total of 5...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002734
更新日期:2016-02-01 00:00:00
abstract::When the sensory block level (SBL) is ≥T5 or T4, a high incidence of hypotension occurs in parturients after spinal anesthesia. A rapidly ascending SBL is another risk factor for spinal anesthesia-induced hypotension. However, the relationship between the ascension rate of the SBL and spinal anesthesia-induced hypoten...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007184
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Labor pain is one of the most intense pains experienced by women, which leads to an increase in the number of women opting to undergo a cesarean delivery. Pharmacological and nonpharmacological analgesia methods are used to control labor pain. Epidural analgesia is the most commonly used pharmacological anal...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000011120
更新日期:2018-06-01 00:00:00
abstract::This study aims to investigate the changes of cytokines and the effect of programmed death ligand 1 (PD-L1) signaling pathway on T cell function in patients with immune thrombocytopenic purpura (ITP).Totally, 40 untreated ITP patients were recruited and 30 healthy people were recruited as the healthy control. Then who...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017608
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:The RF ablation of ventricular tachycardia (VT) or atrial flutter (AFl) can be unsuccessful due to lack of lesion transmurality. Bipolar ablation (BA) is more successful than unipolar ablation (UA). The purpose of our study was to investigate the long-term effect of BA ablation in patients after failed UA....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019970
更新日期:2020-05-22 00:00:00
abstract::Clinical features, findings of diagnostic studies, results of therapy, and prognostic factors were analyzed in 45 patients with brain abscesses. The number of patients diagnosed yearly has increased since CT scanning became available, but despite the enhanced sensitivity, the time from either onset of symptoms or hosp...
journal_title:Medicine
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The prognostic significance of systemic atherothrombosis in heart failure (HF) with preserved ejection fraction (HFpEF) remains unclear. This study aimed to investigate the relation between the presence of polyvascular disease (PVD) and cardiovascular outcomes in HFpEF patients.A total of 510 consecutive HFpEF patient...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015959
更新日期:2019-07-01 00:00:00
abstract::Peripartum cardiomyopathy (PPCM) is the development of heart failure during late pregnancy to months postpartum with potential fatal outcome. However, the disease is not well-studied in Asia.We aimed to investigate the epidemiology and clinical outcomes of PPCM in Taiwan.Electronic medical records were retrieved from ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008374
更新日期:2017-10-01 00:00:00
abstract:RATIONALE:Vascular complications of transradial percutaneous coronary intervention (PCI) are rare and usually occur at the access site below the elbow. However, vessels along the tract of the wire or catheter can be injured at any point, causing various types of bleeding complications. PATIENT CONCERNS:A 57-year-old m...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021205
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the prognostic implication of asphericity (ASP); spatial irregularity; of pretherapeutic F 2-deoxy-2-fluoro-D-glucose (F FDG) tumor uptake in patients with invasive ductal carcinoma (IDC) of the breast. METHODS:One hundred thirty-one female IDC patients (mean age = 48.1...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/MD.0000000000008438
更新日期:2017-11-01 00:00:00
abstract::Idiopathic chronic eosinophilic pneumonia (CEP) is a rare disorder of unknown cause with nonspecific respiratory and systemic symptoms but rather characteristic peripheral alveolar infiltrates on imaging, developing mainly in women and in atopic subjects. The disorder is highly responsive to oral corticosteroid therap...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/00005792-199809000-00001
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the function of percutaneous vertebroplasty (PVP) treatment to pain relief and life quality for patients with spinal tumors. METHODS:Articles about the researches on the treatment of spinal tumors by PVP in PubMed, Embase, and the Chinese Biomedical Literature database from January 1, 2015 to Dec...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000009575
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Many observational studies have reported an association between weight fluctuation and all-cause mortality. However, the conclusions obtained from these studies have been unclear. OBJECTIVE:The current meta-analysis aimed to clarify the association between weight fluctuation and all-cause mortality. DATA S...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017513
更新日期:2019-10-01 00:00:00
abstract::CD34 is a transmembrane phosphoglycoprotein that was first identified on hematopoietic stem and progenitor cells. CD34 is known as an optimum marker for microvascular density studies and it is positively stained in pathological and physiologic vessels. The use of CD34 for the prognosis, diagnosis, and treatment of neo...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000002830
更新日期:2016-02-01 00:00:00
abstract::The aim of this study was to compare bone mineral densities (BMDs) and body composition between Southeast Asia college students and Chinese college students, in order to provide a certain reference enhancing college students' physical fitness.A total of 1694 Chinese college students (294 men and 1400 women, aged 18-22...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004724
更新日期:2016-09-01 00:00:00
abstract:OF BACKGROUND DATA:There is growing interest in identifying nutritional biomarkers associated with poor outcomes of elective spine surgery. Prealbumin and transferrin are both biomarkers of nutritional status that can be obtained from clinical laboratories. However, associations of preoperative measures of these nutrit...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014741
更新日期:2019-03-01 00:00:00
abstract::Disseminated intravascular coagulation (DIC) is a life-threatening condition that frequently occurs in patients with hematologic malignancies. Currently, recombinant human soluble thrombomodulin (rTM) is a therapeutic DIC drug that is manufactured and sold in Japan only. We evaluated the efficacy of rTM compared to th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012981
更新日期:2018-11-01 00:00:00
abstract::[In the article "The High Prevalence of Hypovitaminosis D in China: A Multicenter Vitamin D Status Survey", which appeared in Volume 94, Issue 8 of Medicine, several corrections were required regarding various manufacturer locations. The article has since been corrected online.]. ...
journal_title:Medicine
pub_type: 杂志文章,已发布勘误
doi:10.1097/01.md.0000463679.39876.03
更新日期:2015-03-01 00:00:00
abstract::This study aims to analyze the characteristics of F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG PET/CT) for cerebral alveolar echinococcosis (CAE).Twenty-five CAE patients underwent F-FDG PET/CT, and the diagnosis was confirmed by clinical and surgical pathology. The F-FDG PET/CT results...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011801
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The cancer of the splenic flexure of the colon is a rare medical entity with severe morbidity because of its insidious onset. METHODS:We present the case of a 59-year-old male patient with dull left upper quadrant pain, leukocytosis, and anemia. A splenic abscess described as an air-fluid level with splenoc...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000004941
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Atopic dermatitis (AD) is a chronically relapsing inflammatory skin disease that affects the quality of life in patients with AD. Since there is limitation of conventional treatment of AD, complementary treatment is required to treat AD symptoms more effectively and safely Soshiho-tang (SSHT) is a traditiona...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000015479
更新日期:2019-05-01 00:00:00
abstract::We created a model to predict the development of liver carcinogenesis in patients with chronic hepatitis B (CHB) undergoing entecavir (ETV) therapy and to validate the accuracy using an independent dataset.A total of 328 CHB subjects were analyzed. Subjects were randomly assigned into 2 groups: the training group (n =...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004832
更新日期:2016-09-01 00:00:00
abstract::This study aimed to discuss the risk factors of perioperative blood transfusion after the application of proximal femoral nail antirotation (PFNA) in the treatment of elderly patients with femoral intertrochanteric fracture (FIF). Moreover, this study also aimed to analyze the causes of perioperative blood transfusion...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019726
更新日期:2020-04-01 00:00:00
abstract::Although the optimal treatment for femur shaft fracture is intramedullary nailing fixation, nonunion still occurs. We determined the oligotrophic nonunion rate among femur fractures managed operatively and identified risk factors for reoperation. This was a retrospective clinical study. The data of the patients betwee...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016559
更新日期:2019-07-01 00:00:00
abstract::Internet gaming disorder (IGD) contributes to poor quality of life (QOL) and cognitive dysfunction and is increasingly recognized as a social problem in various countries. However, no evidence exists to determine whether QOL and cognitive dysfunction stabilize after appropriate management. The present study addressed ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005695
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:This article describes a child with a life-threatening multiorgan failure with disseminated intravascular coagulation (DIC) and massive complement consumption. To our knowledge this therapeutic approach was for the first time effectively applied in a pediatric patient. PATIENT CONCERNS:A 14-month-old boy was...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014105
更新日期:2019-01-01 00:00:00
abstract::To evaluate the effectiveness of retrograde autologous priming (RAP) based on miniaturized cardiopulmonary bypass (CPB) circuit in children undergoing open heart surgery.We performed a retrospective analysis of all patients (≤15 kg) who underwent open heart surgery with CPB in our center from January 1, 2017, to July ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018801
更新日期:2020-01-01 00:00:00
abstract::Cutaneous ulceration from sickle cell disease negatively impacts quality of life. Topical sodium nitrite has previously been shown to reduce the size of sickle leg ulcers. This study examined how topical sodium nitrite impacted the quality of life scores in patients with sickle leg ulcers.We prospectively collected da...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/MD.0000000000012614
更新日期:2018-11-01 00:00:00
abstract::There have been few reports on 2 tumor necrosis factor alpha inhibitors, infliximab and adalimumab, with respect to patient preference and efficacy in ulcerative colitis (UC).We used questionnaires to evaluate the preference and reasons for drug choice between infliximab and adalimumab in UC patients naive to antitumo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007800
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Intracerebral hemorrhage (ICH) is correlated with high rate of death and poor outcome. Leukocytes participate in secondary brain injury in ICH. It is still not clear that whether leukocytosis can predict outcome in ICH. This study was performed to summarize that current evidences about the association betwee...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016281
更新日期:2019-07-01 00:00:00