Phase II evaluation of topotecan for pediatric central nervous system tumors
β Scribed by Susan M. Blaney; Peter C. Phillips; Roger J. Packer; Richard L. Heideman; Stacey L. Berg; Peter C. Adamson; Jeffrey C. Allen; Stephen E. Sallan; Regina I. Jakacki; Beverly J. Lange; Gregory H. Reaman; Marc E. Horowitz; David G. Poplack; Frank M. Balis
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 473 KB
- Volume
- 78
- Category
- Article
- ISSN
- 0008-543X
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β¦ Synopsis
BACKGROUND.
Topotecan is a topoisomerase I inhibitor that has good penetration across the blood-brain barrier and significant antitumor activity against human brain tumor xenografts. In a Phase I trial in children with refractory cancer, topotecan was well tolerated when administered as a 24-hour infusion. The maximum tolerated dose was 5.5 mg/m' and the dose-limiting toxicity was myelosuppression.
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Background. The outlook for many brain tumors remains poor. Increased dose intensity has been correlated with response rate and survival in many solid tumors. Patients and Methods. Ten children with recurrent or newly diagnosed brain tumors were treated with four sequential courses of highdose sing