Phase II study of temozolomide and cisplatin as primary treatment prior to radiotherapy in newly diagnosed glioblastoma multiforme patients with measurable disease. A study of the Spanish Medical Neuro-Oncology Group (GENOM) |
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Authors: | Carmen Balaña Antonio López-pousa Alfonso Berrocal Ricardo Yaya-tur Ana Herrero Jose-luis García Javier Martín-broto Manuel Benavides Miguel Cerdá-nicolás Rosa Ballester Josep Balart Jaume Capellades |
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Affiliation: | (1) Medical Oncology Services, Institut Catala dOncologia, Hospital Universitari Germans Trias i Pujol, Carretera Canyet sn, Badalona (Barcelona), Spain, 08916;(2) Medical Oncology Services, Hospital Santa Creu i Sant Pau, Barcelona, Spain;(3) Medical Oncology Services, Hospital General de Valencia, Spain;(4) Medical Oncology Services, Instituto Valenciano de Oncología, Valencia, Spain;(5) Medical Oncology Services, Hospital Universitario Miguel Servet, Zaragoza, Spain;(6) Medical Oncology Services, Hospital Ramón y Cajal, Madrid, Spain;(7) Medical Oncology Services, Hospital Son Dureta, Palma de Mallorca, Spain;(8) Medical Oncology Services, Hospital Regional Carlos Haya, Málaga, Spain;(9) Pathology Central Review,Departamento de Patologia, Neuropatologia, Hospital Clínico Universitario, Valencia, Spain;(10) Oncology-Radiotherapy Services, Institut Catala d Oncologia, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain;(11) Oncology-Radiotherapy Services, Hospital Santa Creu i Sant Pau, Barcelona, Spain;(12) Radiology Central Review, Institut Diagnostic de la Imatge, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain |
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Abstract: | This phase II study evaluates the activity of temozolomide and cisplatin administered before radiation therapy in newly diagnosed glioblastoma multiforme patients, in terms of response, time to progression and survival.Patients and methods: Forty patients with measurable disease after surgery, a Karnofsky status> 60, and Barthel Index> 10 were included. They were treated with three cycles of temozolomide 200 mg/m2/day for 5 days and cisplatin 100 mg/m2 on day 1. Conventional focal radiation therapy to 60 Gy was administered after response evaluation.Results: Three patients were not evaluable for central reviewed response but all 40 were evaluable for toxicity, time to progression and survival. Objective responses by Macdonald criteria on an intent to treat basis were 45% including complete response in three patients (7.5%), and partial response in 15 patients (37.5%). Responses were seen in biopsy-only patients (33.4%) as well as in partial surgery patients (52%). Median survival for all patients was 12.5 months. Biopsy-only patients had a median survival of 12.8 months. Grade 3 to 4 neutropenia was the most important toxicity, and occurred in 37.5% of patients. A delay in 18.2% and a dose reduction in 9.6% of cycles were necessary due to myelosuppression on day 28. Two patients had neutropenic fever resulting in one treatment-related death. Eighty-two percent of patients received radiotherapy.Conclusion: This regimen has significant activity, as it induces objective responses even in biopsy-only patients, appearing to improve their median survival. A better combination schedule is needed to improve the toxicity profile. |
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Keywords: | cisplatin chemotherapy glioblastoma pre-radiotherapy temozolomide |
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