Suzuki R, Hara M, Shindoh J, Matsumoto S, Noda Y, Gonda H, Tanaka H, Taki F, Takagi K
Dept. of Internal Medicine II, Nagoya University Hospital.
Gan To Kagaku Ryoho. 1992 May;19(5):647-52.
We studied the effects of Cepharanthin (CEP) on bone marrow suppression induced by chemotherapy in 18 primary lung cancer patients (14 NSCLC, 4 SCLC). NSCLC patients received IP (IFM+CDDP) therapy and SCLC patients received ION (IFM+VCR+ACNU) therapy. For the control, we chose the first course and we administered CEP (1 mg/kg) during the second course. The rate of leukopenia and neutropenia was significantly lower during the CEP course than during the control (p less than 0.01). The recovery rate (at 3 weeks) of leukopenia and neutropenia was significantly higher during the CEP course than during the control (p less than 0.05). But, obvious effects of CEP for lymphopenia and thrombocytopenia were not obtained. Side effects by CEP were not observed in this study. These data suggest that the large dose of CEP contributes to the prevention of leukopenia, especially neutropenia, in patients who receive a sufficient amount of anticancer drugs.
我们研究了千金藤素(CEP)对18例原发性肺癌患者(14例非小细胞肺癌、4例小细胞肺癌)化疗所致骨髓抑制的影响。非小细胞肺癌患者接受IP(异环磷酰胺+顺铂)治疗,小细胞肺癌患者接受ION(异环磷酰胺+长春新碱+阿糖胞苷)治疗。作为对照,我们选取了第一个疗程,并在第二个疗程给予CEP(1毫克/千克)。在CEP疗程期间,白细胞减少和中性粒细胞减少的发生率显著低于对照期(p<0.01)。在CEP疗程期间,白细胞减少和中性粒细胞减少的恢复率(3周时)显著高于对照期(p<0.05)。但是,未观察到CEP对淋巴细胞减少和血小板减少有明显效果。本研究未观察到CEP的副作用。这些数据表明,大剂量CEP有助于预防接受足量抗癌药物治疗患者的白细胞减少,尤其是中性粒细胞减少。