High-dose carmustine for high-grade gliomas in childhood.

Abstract:

:Carmustine (BCNU) has proved to be of value against a variety of primary brain tumors. This agent exhibits a steep dose-response curve in in vitro and animal tumor models and has been proposed for use in high-dose chemotherapy as a single agent or in combination. We conducted a phase II study to assess high-dose BCNU in children with high-grade gliomas. A total of 13 children with high-grade gliomas were treated in a phase II study using high-dose BCNU (800 mg/m2) followed by autologous bone marrow transplantation. Eight patients were newly diagnosed, and five were treated at the time of tumor recurrence. Seven patients had diffuse intrinsic brain-stem gliomas. The response was assessed at 1 month after treatment. Only one objective effect was observed. Five patients had stable disease and seven progressed. The immediate toxicity was mild; however, one patient developed fatal respiratory distress at 50 days after treatment with high-dose BCNU. Dose escalation of BCNU does not seem beneficial in children with high-grade gliomas.

authors

Bouffet E,Khelfaoui F,Philip I,Biron P,Brunat-Mentigny M,Philip T

doi

10.1007/s002800050586

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

376-9

issue

4

eissn

0344-5704

issn

1432-0843

journal_volume

39

pub_type

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