Phase II study of pemetrexed in combination with carboplatin in patients with malignant pleural mesothelioma (MPM)

被引:106
作者
Castagneto, B. [1 ]
Botta, M. [1 ]
Aitini, E. [2 ]
Spigno, F. [7 ]
Degiovanni, D. [1 ]
Alabiso, O. [4 ]
Serra, M. [3 ]
Muzio, A. [1 ]
Carbone, R. [5 ]
Buosi, R. [4 ]
Galbusera, V. [3 ]
Piccolini, E. [6 ]
Giaretto, L. [1 ]
Rebella, L. [3 ]
Mencoboni, M. [3 ]
机构
[1] Novi Ligure Hosp, Dept Oncol, Novi Ligure, AL USA
[2] Osped C Poma, Dept Oncol, Mantua, Italy
[3] Osped Villa Scassi, Dept Oncol, Genoa, Italy
[4] Osped Maggiore La Carita, Dept Oncol, Novara, Italy
[5] Osped Regionale Aosta, Dept Pneumol, Aosta, Italy
[6] Osped S Spirito, Dept Pneumol, Casale Monferrato, Italy
[7] Univ Genoa, Occupat Med Unit, Genoa, Italy
关键词
chemotherapy; mesothelioma; pemetrexed;
D O I
10.1093/annonc/mdm501
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The aim of this study was to evaluate the activity and toxicity of pemetrexed and carboplatin combination as first-line chemotherapy in malignant pleural mesothelioma (MPM). Patients and methods: Patients with measurable advanced MPM and a zero to two Eastern Cooperative Oncology Group (ECOG) performance status (PS) were enrolled. The schedule was pemetrexed 500 mg/m(2) in combination with carboplatin area under the curve 5, every 21 days. In all, 76 patients were treated. Median age was 65 years; median ECOG PS was zero. Results: Grade 3 hematological toxicity according to World Health Organization criteria was seen in 36 (47.3%) patients; grade 4 hematological toxicity in 5 (6.5%) patients. There were 16 (21%) partial responses and 3 (4%) complete responses, for an overall response rate of 19 (25%) [95% confidence interval (CI) 15.3-34.7]. In all, 29 (39%) (95% CI 28-48) patients reported stable disease. The median survival was estimated at 14 months. Conclusion: This combination of carboplatin and pemetrexed is moderately active and the toxicity is acceptable.
引用
收藏
页码:370 / 373
页数:4
相关论文
共 19 条
[1]   Pemetrexed (ALIMTA), a novel multitargeted antineoplastic agent [J].
Adjei, AA .
CLINICAL CANCER RESEARCH, 2004, 10 (12) :4276S-4280S
[2]   A phase II study evaluating the cisplatin and epirubicin combination in patients with unresectable malignant pleural mesothelioma - For the European Lung Cancer Working Party (ELCWP) [J].
Berghmans, T ;
Lafitte, JJ ;
Paesmans, M ;
Stach, B ;
Berchier, MC ;
Wackenier, P ;
Lecomte, J ;
Collon, T ;
Mommen, P ;
Sculier, JK .
LUNG CANCER, 2005, 50 (01) :75-82
[3]   Activity of chemotherapy and immunotherapy on malignant mesothelioma: a systematic review of the literature with meta-analysis [J].
Berghmans, T ;
Paesmans, M ;
Lalami, Y ;
Louviaux, I ;
Luce, S ;
Mascaux, C ;
Meert, AP ;
Sculier, JP .
LUNG CANCER, 2002, 38 (02) :111-121
[4]   Modified RECIST criteria for assessment of response in malignant pleural mesothelioma [J].
Byrne, MJ ;
Nowak, AK .
ANNALS OF ONCOLOGY, 2004, 15 (02) :257-260
[5]   Cisplatin and gemcitabine in malignant pleural mesothelioma: A phase II study [J].
Castagneto, B ;
Zai, S ;
Dongiovanni, D ;
Muzio, A ;
Bretti, S ;
Numico, G ;
Botta, M .
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 2005, 28 (03) :223-226
[6]   Phase II study of pemetrexed plus carboplatin in malignant pleural mesothelioma [J].
Ceresoli, GL ;
Zucali, PA ;
Favaretto, AG ;
Grossi, F ;
Bidoli, P ;
Del Conte, G ;
Ceribelli, A ;
Bearz, A ;
Morenghi, E ;
Cavina, R ;
Marangolo, M ;
Parra, HJS ;
Santoro, A .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (09) :1443-1448
[7]  
DeVita V. T., 2005, PRINCIPLES PRACTICE
[8]   Overview on ongoing or planned clinical trials in Europe [J].
Favaretto, A .
LUNG CANCER, 2005, 49 :S117-S121
[9]   Factors predictive of survival among 337 patients with mesothelioma treated between 1984 and 1994 by the Cancer and Leukemia Group B [J].
Herndon, JE ;
Green, MR ;
Chahinian, AP ;
Corson, JM ;
Suzuki, Y ;
Vogelzang, NJ .
CHEST, 1998, 113 (03) :723-731
[10]   Phase I clinical and pharmacokinetic study of pemetrexed and carboplatin in patients with malignant pleural mesothelioma [J].
Hughes, A ;
Calvert, P ;
Azzabi, A ;
Plummer, R ;
Johnson, R ;
Rusthoven, J ;
Griffin, M ;
Fishwick, K ;
Boddy, AV ;
Verrill, M ;
Calvert, H .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (16) :3533-3544