Summary
Cisplatin was given intravenously to 35 evaluable patients with unresectable malignant mesothelioma on Southwest Oncology Group (SWOG) Study 8418. Five patients (14.3%) achieved partial response with median response duration of six months (range 2–12 months); eleven patients (31.4%) had stable disease of median duration of 5.5. months (range 2–21 months). Median survival for all patients was 7.5 months, 9 months for responders. Toxicity was as expected except that 12 patients (34.2%) discontinued cisplatin because of side effects. Cisplatin has moderate activity in mesothelioma and further studies with platinum analogues should be pursued.
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Zidar BL, Pugh RP, Schiffer LM, Raju RN, Vaidya KA, Bloom RL, Horne D, Baker LH: Treatment of six cases of mesothelioma with doxorubicin and cisplatinum. Cancer 52:1788–1791, 1983
Samson MK, Wasser LP, Borden EC, Wanebo HJ, Creech RH, Phillips M, Baker LH: Randomized comparison of cyclophosphamide, imidazole carboxamide, and adriamycin versus cyclophosphamide and adriamycin in patients with advanced stage malignant mesothelioma: A sarcoma intergroup study. J Clin Oncol 5:86–91, 1987
Mintzer DM, Kelsen D, Frimmer D, Heelan R, Gralla R: Phase II Trial of high-dose cisplatinum in patients with malignant mesothelioma. Cancer Treat Rep 69:711–712, 1985
Markman M, Cleary S, Pfeifle C, Howell SB: Cisplatinum administration by the intracavitary route as treatment for malignant mesothelioma. Cancer 58(1):18–21, 1986
Pfeifle CE, Howell SB, Markman M: Intracavitary cisplatinum chemotherapy for mesothelioma. Cancer Treat Rep 69(2):205–207, 1985
Aisner J, Sigman LM: The role of chemotherapy in the treatment of malignant mesothelioma. In: Antman K, Aisner J (ed) Asbestos-Related Malignancy. Grune and Stratton, Inc. 1987. pp 385–401.
Chahinian AP, Antman K, Aisner J, Propert K, Modeas C, Ellison RR, Stoll DB, Green M: Cisplatin with adriamycin or mitomycin for malignant mesothelioma: A randomized Phase II Trial (Abstr). Proc Am Soc Clin Oncol 6:183(#721), 1987
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Zidar, B.L., Green, S., Pierce, H.I. et al. A phase II evaluation of cisplatin in unresectable diffuse malignant mesothelioma: A Southwest Oncology Group Study. Invest New Drugs 6, 223–226 (1988). https://doi.org/10.1007/BF00175403
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DOI: https://doi.org/10.1007/BF00175403