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A phase II study of weekly Edatrexate (10-EDAM) in metastatic melanoma: A National Cancer Institute of Canada Clinical Trials Group Study
Authors:Verma, S.   Quirt, I. C.   Eisenhauer, E. A.   Iscoe, N. A.   Young, V. J.   Bodurtha, A. J.   Davidson, J.
Affiliation:1The Ontario Cancer Treatment and Research and Research Foundation (OCTRF), Ottawa Regional Cancer Centre Ottawa;
22The Princess Margaret Hospital Toronto;
3The National Cancer Institute of Canada Clinical Trials Group Kingston
4OCTRF, Toronto-Bayview Cancer Centre Toronto, Ontario
5The Nova Scotia Cancer Treatment and Research Foundation Halifax, Nova Scotia, Canada
Abstract:
BACKGROUND: Phase I and II clinical trials have demonstrated acceptabletoxicity and promising activity of Edatrexate (10-EDAM). Theobjective of this multicentre phase II study was to determinethe efficacy and toxicity of this agent in patients with metastaticmelanoma. PATIENTS AND METHODS: Sixteen previously untreated patients with metastatic melanomareceived 10-EDAM, 80 mg/m2/week intravenously. Patients wereevaluated for response and toxicity. RESULTS: There were no objective responses. The median dose intensityof 10-EDAM actually delivered was 56.25 mg/m2/week (70% of projected).Mucositis of any degree was encountered in 93.8% of patients.Grade 3 or 4 mucositis, skin rash, nausea, abdominal pain, neutropenia,thrombocytopenia, anemia and hyperbilirubinemia each were encounteredin 1–2 patients. There was 1 toxic death due to 10-EDAM. CONCLUSION: 10-EDAM is an inactive agent in metastatic melanoma.
Keywords:
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