Rassnick K M, Ruslander D M, Cotter S M, Al-Sarraf R, Bruyette D S, Gamblin R M, Meleo K A, Moore A S
Harrington Oncology Program, School of Veterinary Medicine, Tufts University , North Grafton, MA 01536, USA.
J Am Vet Med Assoc. 2001 May 1;218(9):1444-8. doi: 10.2460/javma.2001.218.1444.
To evaluate response rate and duration of malignant melanomas in dogs treated with carboplatin.
Retrospective study.
27 client-owned dogs with spontaneously occurring measurable malignant melanomas.
Records of dogs with melanomas treated with carboplatin from October 1989 to June 2000 were reviewed. Carboplatin was administered IV at doses of 300 or 350 mg/m2 of body surface area. Response to treatment and evidence of drug toxicity were determined.
Response to treatment could be evaluated in 25 dogs. Of those, overall response rate was 28%. One dog had a complete response, 6 (24%) dogs had a partial response (> 50% reduction in tumor burden). Median duration of partial response was 165 days. Eighteen dogs had stable disease (n = 9; 36%) or progressive disease (9; 36%). Response to treatment was significantly associated with carboplatin dose on a milligram per kilogram basis (15.1 mg/kg 16.9 mg/lb] of body weight vs 12.6 mg/kg [5.7 mg/lb]). Evidence of gastrointestinal toxicosis could be assessed in 27 dogs. Mean body weight of 5 dogs that developed gastrointestinal toxicosis was significantly less than that of 22 dogs without gastrointestinal toxicosis (9.9 kg [21.8 lb] vs 19.3 kg [42.5 lb]).
Carboplatin had activity against macroscopic spontaneously occurring malignant melanomas in dogs and should be considered as an adjunctive treatment for microscopic local or metastatic tumors. Gastrointestinal toxicosis was associated with body weight. Because small dogs are more likely to have adverse gastrointestinal effects, gastrointestinal protectants should be considered for these patients.
评估用卡铂治疗的犬恶性黑色素瘤的缓解率和缓解持续时间。
回顾性研究。
27只客户拥有的患有自发可测量恶性黑色素瘤的犬。
回顾1989年10月至2000年6月用卡铂治疗黑色素瘤的犬的记录。卡铂以300或350mg/m²体表面积的剂量静脉给药。确定对治疗的反应和药物毒性证据。
可对25只犬评估对治疗的反应。其中,总体缓解率为28%。1只犬完全缓解,6只(24%)犬部分缓解(肿瘤负荷降低>50%)。部分缓解的中位持续时间为165天。18只犬病情稳定(n = 9;36%)或病情进展(9;36%)。以每千克体重毫克数计,对治疗的反应与卡铂剂量显著相关(15.1mg/kg[16.9mg/lb]体重 vs 12.6mg/kg[5.7mg/lb])。可对27只犬评估胃肠道中毒证据。发生胃肠道中毒的5只犬的平均体重显著低于未发生胃肠道中毒的22只犬(9.9kg[21.8lb] vs 19.3kg[42.5lb])。
卡铂对犬的宏观自发恶性黑色素瘤有活性,应被视为微观局部或转移性肿瘤的辅助治疗。胃肠道中毒与体重有关。由于小型犬更易出现不良胃肠道影响,对于这些患者应考虑使用胃肠道保护剂。