Skip to main content
Log in

Phase II trial of cisplatinum and etoposide in brain metastases of solid tumors

  • Published:
Journal of Neuro-Oncology Aims and scope Submit manuscript

Abstract

Fourteen patients with brain metastases (BM) of solidtumors received intravenous cisplatinum, 40 mg/m2/day, and etoposide,150 mg/m2/day, for 3 days every 3 weeks.Primary tumors were lung (8 patients), breast (4),colon (1), and stomach (1). Two patients responded(1 complete response in a poorly differentiated lungcancer patient and 1 partial response in abreast cancer patient). The overall response rate was14%, with a median survival of 6 months.Main toxicity was grade 3–4 neutropenia that occurredin 36% of patients. There were no toxic-relateddeaths. Chemotherapy as a single therapeutic regimen seemsnot to be an effective treatment for BMfrom relatively resistant solid tumors. Moreover, it producesrather high, although not life-threatening, hematologic toxicity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Buckner J: Surgery, radiation therapy and chemotherapy for metastatic tumors to the brain. Curr Opin Oncol 4: 518–524, 1992

    Google Scholar 

  2. Posner J: Management of central nervous system metastasis. Semin Oncol 4: 81–91, 1977

    Google Scholar 

  3. Zimm S, Wampler GL, Stalbein D, Hazra T, Young HF: Intracerebral metastasis in solid tumor patients: Natural history and results of treatment. Cancer 48: 384–394, 1981

    Google Scholar 

  4. Duran RE, Goldie JH: Interaction of etoposide and cisplatin in an in vitrotumor model. Cancer Treat Rep 71: 673–679, 1987

    Google Scholar 

  5. Litterst CL, Le Roy AF, Guarino AM: Disposition and distribution of platinum following parenteral administration of cisdichlorodiamino platinum to animals. Cancer Treat Rep 63: 1485–1493, 1979

    Google Scholar 

  6. Holthuis JJM, Postmus PE, Oort WVJ, Hulshoff B, Verleun H, Sleijfer DT, Mulder NH: Pharmacokinetics of high dose of etoposide. Eur J Cancer Oncol 22: 1149, 1986

    Google Scholar 

  7. Kiya K, Uozumi T, Ogasawara H, Sugiyama K, Hotta T, Mikami T, Kurisu K: Penetration of etoposide into human malignant brain tumors after intravenous and oral administration. Cancer Chemother Pharmacol 26: 339–342, 1992

    Google Scholar 

  8. Cocconi B, Lottici R, Biosagni G, Bacchi M, Tonato M, Passalacqua R, Boni C, Belsanti V, Bassi P: Combination therapy with platinum and etoposide of brain metastasis from breast carcinoma. Cancer Invest 8: 327–334, 1990

    Google Scholar 

  9. Kleisbauer JP, Guerin JC, Arnaud A, Poirier R, Vesco D: Chimiothérapie par cisplatine à forte dose dans les métastases cérébrales des cancers du poumon. Bull Cancer Paris 77: 661–665, 1990

    Google Scholar 

  10. Kolaric K, Roth A, Jelieie I, Matkovic A: Phase II clinical trial of cis dichlorodiamine platinum in metastatic brain tumors. J Cancer Clin Oncol 104: 287–293, 1982

    Google Scholar 

  11. Posmus PC, Haaxma Reiche H, Sleifer DT, Kirkpatrick A, Mclie JE: High dose etoposide for brain metastases of small cell lung cancer. A phase II study. Br J Cancer 523: 254–256, 1989

    Google Scholar 

  12. Miller AB, Hoogstraten B, Staquet M, Winkler A: Reporting results of cancer treatment. Cancer 47: 20–214, 1981

    Google Scholar 

  13. Kaplan GL, Meier P: Non parametric estimations for incomplete observations. Am Statist Ass J 53: 457–481, 1958

    Google Scholar 

  14. Simon R: Confidence interval for reporting results of clinical trials. Ann Intern Med 69: 269–273, 1986

    Google Scholar 

  15. Vlasveld LT, Beynen JH, Boogerd W, Ten Bokkel Huinink WW, Rodenhuis S: Complete remission of brain metastases of ovarian cancer following high-dose carboplatin: A case report and pharmacokinetic study. Cancer Chemother Pharmacol 25: 382–383, 1990

    Google Scholar 

  16. Boogerd W, Dalesio O, Bais EM, Van der Sande JJ: Response of brain metastases from breast cancer to systemic chemotherapy. Cancer 69: 972–980, 1992

    Google Scholar 

  17. Grau JJ, Estapé J, Daniels M, Mañé JM: BCNU Plus teniposide as a first line chemotherapy for brain metastases regardless of their origin. Int J Cancer 4: 961–964, 1994

    Google Scholar 

  18. Jacquillat C, Khayat D, Banzet P, Weil M, Avril MF, Fumoleau P, et al.: Chemotherapy by fotemustine in cerebral metastases of disseminated malignant melanoma. Cancer Chemother Pharmacol 25: 163–266, 1990

    Google Scholar 

  19. Lange OF, Scheef W, Haase KD: Palliative radio-chemotherapy with ifosfamide and BCNU for breast cancer patients with cerebral metastases. Cancer Chemother Pharmacol 26 (suppl): 78–80, 1990

    Google Scholar 

  20. Robinet G, Bouva S, Clavier J, Richard P, Rouhart F, Mocquard Y, Goas JY: Chimiothérapie par cisplatine et 5-fluorouracil dans les métastases cérébrales inopérables des cancers broncopulmonaires. Bull Cancer 78: 831–837, 1991

    Google Scholar 

  21. Rosner D, Nemoto T, Pickren J, Lane W: Management of brain metastases from breast cancer by combination chemotherapy. J Neur Oncol 1: 131–137, 1983

    Google Scholar 

  22. Rustin GJS, Newlands ES, Bagshawe KD, Begent RHJ, Crawford M: Successful management of metastatic and primary germ cell tumors in the brain. Cancer 57: 2108–2113, 1986

    Google Scholar 

  23. Borgelt B, Gelber R, Kramer S, et al.: The palliation of brain metastases: Final results of the first two studies by the Radiation Therapy Oncology Group. Int J Radiat Oncol Biol Phys 6: 1–9, 1980

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Viñolas, N., Graus, F., Mellado, B. et al. Phase II trial of cisplatinum and etoposide in brain metastases of solid tumors. J Neurooncol 35, 145–148 (1997). https://doi.org/10.1023/A:1005835430489

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1005835430489

Navigation