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Mitoxantrone in malignant pleural mesothelioma: a study by the EORTC Lung Cancer Cooperative Group
F J van Breukelen1, K Mattson, G Giaccone
1Spaarne Ziekenhuis, Haarlem, The Netherlands.
Abstract:
46 patients with malignant pleural mesothelioma were entered in a phase II study of mitoxantrone 14 mg/m2 every 3 weeks. Histology was confirmed by a pathology panel. None of the patients had received previous chemotherapy. Toxicity was mainly mild gastrointestinal and haematological side-effects. Out of 34 patients evaluated for response, only 1 partial response was recorded. Mitoxantrone at this dose and schedule has marginal activity in malignant mesothelioma.
Insights
This phase II study investigated mitoxantrone for malignant pleural mesothelioma. The chemotherapy showed marginal activity, with only one partial response observed in 34 evaluated patients.
Area of Science:
- Oncology
- Medical Research
Background:
- Malignant pleural mesothelioma is a rare and aggressive cancer.
- Effective chemotherapy options for this condition are limited.
Purpose of the Study:
- To evaluate the efficacy and toxicity of mitoxantrone in patients with malignant pleural mesothelioma.
Main Methods:
- A phase II clinical trial was conducted involving 46 patients.
- Patients received mitoxantrone at a dose of 14 mg/m2 every 3 weeks.
- Histological confirmation and prior chemotherapy status were assessed.
Main Results:
- 34 patients were evaluated for response.
- Only one partial response was recorded.
- Toxicity was primarily mild gastrointestinal and hematological side effects.
Conclusions:
- Mitoxantrone, at the tested dose and schedule, demonstrates marginal activity against malignant pleural mesothelioma.
- Further research may be needed to explore alternative treatments or combinations.
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