1. Chemotherapy by fotemustine in cerebral metastases of disseminated malignant melanoma
- Author
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Richard Lauvin, Philippe Montcuquet, Moïse Namer, Claude Jacquillat, Jean-Pierre Bizzari, Bruno Audhuy, J. Bonneterre, Pierre Kerbrat, M. Weil, Pierre Fumoleau, Didier Cupissol, Roland Bugat, Edouard Grosshans, Jean-Jacques Bonerandi, Catherine Vilmer, Chantal Prache, Pierre Banzet, Marie-Françoise Avril, and David Khayat
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Nitrosourea ,medicine.medical_treatment ,Antineoplastic Agents ,Toxicology ,Gastroenterology ,Drug Administration Schedule ,Nitrosourea Compounds ,Metastasis ,chemistry.chemical_compound ,Organophosphorus Compounds ,Internal medicine ,Humans ,Multicenter Studies as Topic ,Medicine ,Pharmacology (medical) ,Melanoma ,Aged ,Pharmacology ,Chemotherapy ,Brain Neoplasms ,business.industry ,Remission Induction ,Middle Aged ,medicine.disease ,Surgery ,Clinical trial ,Regimen ,Oncology ,chemistry ,Toxicity ,Drug Evaluation ,Fotemustine ,Female ,Tomography, X-Ray Computed ,business ,medicine.drug - Abstract
A total of 42 patients with cerebral metastases of malignant melanoma were included in this study of the nitrosourea fotemustine. The treatment plan consisted of a l-h i.v. infusion of 100 mg/m2 fotemustine every week for 3-4 weeks, followed by a 4- to 5-week rest period. Responding or stabilised patients then received 100 mg/m2 fotemustine every 3 weeks. Among the 39 evaluable patients, 2 complete responses and 9 partial responses were documented, leading to an overall response rate of 28.2%. Most of the responses were obtained in previously untreated patients and/or those presenting with a single cerebral metastasis. Toxicity was mild and mainly hematological, especially in patients previously treated by polychemotherapeutic regimen. Our study confirms the activity of fotemustine in cerebral metastases of disseminated malignant melanoma.
- Published
- 1990
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