Feasibility and Toxicity of Interval-Compressed Chemotherapy in Asian Children and Young Adults with Sarcoma

Jia Hui Huang, Shu Huey Chen, Yu Mei Liao, Yu Chien Kao, Wan Ling Ho, Hsi Chang, Min Lan Tsai, Hsin Lun Lee, Chia Chun Kuo, Sung Hui Tseng, Chia Yau Chang, Kevin Li Chun Hsieh, Long Sheng Lu, Yin Ju Chen, Jeng Fong Chiou, Tsung Han Hsieh, Yun Ru Liu, Wayne Hsu, Wei Tang Li, Yu Chung WuWei Ciao Wu, Jinn Li Wang, Jia Jia Tsai, Keita Terashima, Chikako Kiyotani, Tai Tong Wong, James S. Miser, Yen Lin Liu*

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

摘要

Twelve Asian patients with sarcoma received interval-compressed (ic-) chemotherapy scheduled every 14 days with a regimen of vincristine (2 mg/m2), doxorubicin (75 mg/m2), and cyclophosphamide (1200–2200 mg/m2) (VDC) alternating with a regimen of ifosfamide (9000 mg/m2) and etoposide (500 mg/m2) (IE), with filgrastim (5–10 mcg/kg/day) between cycles. Carboplatin (800 mg/m2) was added for CIC-rearranged sarcoma. The patients were treated with 129 cycles of ic-VDC/IE with a median interval of 19 days (interquartile range [IQR], 15–24 days. Median nadirs (IQR) were neutrophil count, 134 (30–396) × 106/L at day 11 (10–12), recovery by day 15 (14–17) and platelet count, 35 (23–83) × 109/L at day 11 (10–13), recovery by day 17 (14–21). Fever and bacteremia were observed in 36% and 8% of cycles, respectively. The diagnoses were Ewing sarcoma (6), rhabdomyosarcoma (3), myoepithelial carcinoma (1), malignant peripheral nerve sheath tumor (1), and CIC-DUX4 Sarcoma (1). Seven of the nine patients with measurable tumors responded (one CR and six PR). Interval-compressed chemotherapy is feasible in the treatment of Asian children and young adults with sarcomas.

原文英語
文章編號668
期刊Journal of Personalized Medicine
13
發行號4
DOIs
出版狀態已出版 - 14 04 2023
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© 2023 by the authors.

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