Doxil-induced regression of pleuro-pulmonary metastases in a patient with malignant meningioma.

Abstract:

:Metastatic meningioma is a rare disease, which has no effective chemotherapy. We report on a treatment of this condition with Doxil, a liposomal doxorubicin formulation. A 60-year-old woman with massive pleuro-pulmonary metastases from recurrent cranial meningioma was treated with Doxil (50-37.5 mg/m2) for 18 months with near-complete resolution of metastases and disappearance of pleural fluid. The only significant toxicities observed were stomatitis and hand-foot syndrome, which resolved with dose reduction and increase of dosing intervals. Doxil was cleared very slowly in this patient with a monoexponential half-life of 108 h. The patient remains in near-complete response for 6 months after treatment discontinuation. This is the first report on an effective chemotherapy in a patient with typical metastatic meningioma. The exact mechanism accounting for such an effective drug action is not clear, but may be related to a particularly high microvascular permeability to the liposome carriers in these metastatic lesions.

journal_name

Anticancer Drugs

journal_title

Anti-cancer drugs

authors

Travitzky M,Libson E,Nemirovsky I,Hadas I,Gabizon A

doi

10.1097/00001813-200303000-00009

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

247-50

issue

3

eissn

0959-4973

issn

1473-5741

journal_volume

14

pub_type

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