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米索硝唑用于成年患者幕上恶性脑胶质瘤放疗的随机双盲研究

Misonidazole in radiotherapy of supratentorial malignant brain gliomas in adult patients: a randomized double-blind study.

出版信息

Eur J Cancer Clin Oncol. 1983 Jan;19(1):39-42. doi: 10.1016/0277-5379(83)90395-4.

DOI:10.1016/0277-5379(83)90395-4
PMID:6343091
Abstract

The effect of misonidazole on the duration of the free interval (time to recurrence) and total survival of adults bearing malignant supratentorial brain gliomas was measured in a randomized double-blind study. Radiotherapy consisted of 9 X 3.5 Gy fractions given on alternate days during 3 weeks followed by 6 X 3-Gy fractions delivered in 2 weeks. Misonidazole, 1.3 g/m2, administrated 4 hr before the 9 first irradiations to 82 patients, had no effect on the duration of the free interval or total survival compared with 81 controls. The two groups were comparable in respect to the main prognostic factors: median age, performance status or tumour location. The overall tolerance of misonidazole was good.

摘要

在一项随机双盲研究中,测定了米索硝唑对患有幕上恶性脑胶质瘤的成年人的无瘤间期(复发时间)和总生存期的影响。放疗包括在3周内隔日给予9次3.5 Gy分割剂量,随后在2周内给予6次3 Gy分割剂量。82例患者在首次9次照射前4小时给予1.3 g/m²的米索硝唑,与81例对照组相比,米索硝唑对无瘤间期或总生存期没有影响。两组在主要预后因素方面具有可比性:中位年龄、功能状态或肿瘤位置。米索硝唑的总体耐受性良好。

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1
Misonidazole in radiotherapy of supratentorial malignant brain gliomas in adult patients: a randomized double-blind study.米索硝唑用于成年患者幕上恶性脑胶质瘤放疗的随机双盲研究
Eur J Cancer Clin Oncol. 1983 Jan;19(1):39-42. doi: 10.1016/0277-5379(83)90395-4.
2
[Postoperative radiotherapy of astrocytomas grade 3 and 4 with the radiosensitizer misonidazole. -End results of a multicentric controlled German study].[使用放射增敏剂米索硝唑对3级和4级星形细胞瘤进行术后放疗。——一项德国多中心对照研究的最终结果]
Strahlentherapie. 1982 Aug;158(8):466-9.
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Split course multiple daily fractionated radiotherapy schedule combined with misonidazole for the management of grade III and IV gliomas. A pilot feasibility study of the Radiotherapy Group of the EORTC.分割疗程每日多次分割放疗方案联合米索硝唑治疗Ⅲ级和Ⅳ级胶质瘤。欧洲癌症研究与治疗组织放疗组的一项初步可行性研究。
Int J Radiat Oncol Biol Phys. 1982 Oct;8(10):1657-64. doi: 10.1016/0360-3016(82)90283-8.
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A randomized comparison of misonidazole sensitized radiotherapy plus BCNU and radiotherapy plus BCNU for treatment of malignant glioma after surgery; preliminary results of an RTOG study.米索硝唑增敏放疗联合卡氮芥与单纯放疗联合卡氮芥治疗术后恶性胶质瘤的随机对照研究;放射治疗肿瘤学组(RTOG)研究的初步结果
Int J Radiat Oncol Biol Phys. 1983 Aug;9(8):1143-51. doi: 10.1016/0360-3016(83)90172-4.
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Misonidazole combined with hyperfractionation in the management of malignant glioma.米索硝唑联合超分割放疗在恶性胶质瘤治疗中的应用
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Combined modality treatment of operated astrocytomas grade 3 and 4. A prospective and randomized study of misonidazole and radiotherapy with two different radiation schedules and subsequent CCNU chemotherapy. Stage II of a prospective multicenter trial of the Scandinavian Glioblastoma Study Group.3级和4级手术切除星形细胞瘤的综合治疗。米索硝唑与两种不同放疗方案及后续洛莫司汀化疗的前瞻性随机研究。斯堪的纳维亚胶质母细胞瘤研究组前瞻性多中心试验的第二阶段。
Cancer. 1985 Jul 1;56(1):41-7. doi: 10.1002/1097-0142(19850701)56:1<41::aid-cncr2820560108>3.0.co;2-w.
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A randomized comparison of misonidazole sensitized radiotherapy plus BCNU and radiotherapy plus BCNU for treatment of malignant glioma after surgery: final report of an RTOG study.米索硝唑增敏放疗联合卡氮芥与单纯放疗联合卡氮芥治疗术后恶性胶质瘤的随机对照研究:放射治疗肿瘤学组(RTOG)研究的最终报告
Int J Radiat Oncol Biol Phys. 1986 Oct;12(10):1793-800. doi: 10.1016/0360-3016(86)90321-4.
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A study of the effect of misonidazole in conjunction with radiotherapy for the treatment of head and neck cancer. MRC working party on misonidazole in head and neck cancer.一项关于米索硝唑联合放射治疗头颈部癌疗效的研究。医学研究委员会头颈部癌米索硝唑研究工作组。
Br J Radiol. 1984 Jul;57(679):585-95. doi: 10.1259/0007-1285-57-679-585.
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Misonidazole and irradiation in the treatment of high-grade astrocytomas: further report of the Vienna Study Group.米索硝唑与放疗联合治疗高级别星形细胞瘤:维也纳研究小组的进一步报告
Int J Radiat Oncol Biol Phys. 1984 Sep;10(9):1713-7. doi: 10.1016/0360-3016(84)90534-0.
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A randomized study of misonidazole and radiotherapy for grade 3 and 4 cerebral astrocytoma.米索硝唑与放疗治疗3级和4级脑星形细胞瘤的随机研究。
Br J Cancer. 1981 Apr;43(4):436-42. doi: 10.1038/bjc.1981.64.

引用本文的文献

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Apoptosis and p53 expression in human gliomas.人类胶质瘤中的细胞凋亡与p53表达
Pathol Oncol Res. 1998;4(4):267-70. doi: 10.1007/BF02905216.
2
Current perspectives in gliomas.胶质瘤的当前观点
Med Oncol. 1997 Jun;14(2):103-20. doi: 10.1007/BF02990955.
3
Pilot study of 6 weeks of chemoradiotherapy with 5 FU and hydroxyurea in malignant gliomas.5-氟尿嘧啶和羟基脲用于恶性胶质瘤的6周放化疗的初步研究。
J Neurooncol. 1993 Jan;15(1):9-17. doi: 10.1007/BF01050257.
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Fast neutron therapy for malignant astrocytomas. A review.
J Neurooncol. 1986;4(2):123-9. doi: 10.1007/BF00165372.
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Combined treatment of anaplastic astrocytoma (grade 3-4) with diacetyl-dianhydro-galactitol (DADAG).双乙酰去水半乳糖醇(DADAG)联合治疗间变性星形细胞瘤(3-4级)
J Neurooncol. 1990 Feb;8(1):85-91. doi: 10.1007/BF00182091.
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Neuro-oncology index and review (adult primary brain tumors). Radiotherapy, chemotherapy, immunotherapy, photodynamic therapy.神经肿瘤学索引与综述(成人原发性脑肿瘤)。放射治疗、化学疗法、免疫疗法、光动力疗法。
J Neurooncol. 1991 Oct;11(2):85-147. doi: 10.1007/BF02390173.
7
Does extent of surgery influence outcome for astrocytoma with atypical or anaplastic foci (AAF)? A report from three Radiation Therapy Oncology Group (RTOG) trials.
J Neurooncol. 1992 Mar;12(3):219-27. doi: 10.1007/BF00172709.