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顺二氨二氯铂(II)的II期协作研究

[Phase II study on cis-diamminedichloroplatinum (II) by a collaborative study].

出版信息

Gan To Kagaku Ryoho. 1982 Jan;9(1):46-54.

PMID:6892191
Abstract

Phase II study of cis-diaminedichloroplatinum(II) (CIS-DDP) administered intravenously was performed in 77 patients with urologic malignancies for the evaluation of clinical responses and adverse effects. The eligibility of the patients and evaluation of response were carried out according to the general criteria proposed by Drs. Koyama and Saito. Out of 85 patients, entered in this phase II study, 77 patients were considered evaluable. Complete responses were seen in 4 patients, 3 testicular tumor and 1 bladder cancer. Partial response were obtained in 24 patients; 10 bladder cancer, 8 testicular tumor, 5 prostatic cancer, and 1 renal cell carcinoma. Overall response rates were 73.3% in testicular tumor, 50.0% in bladder tumor, 20.8% in prostatic cancer, and 7.7% in renal cell carcinoma. Incidences of toxicities were noted in the gastrointestinal tract. Nausea, vomiting, anorexia, abdominal pain, and diarrhea were observed in 78.5% of the patients treated with CIS-DDP. Myelosuppression, lassitude, renal and hearing dysfunction were other prominent adverse effects.

摘要

对77例泌尿生殖系统恶性肿瘤患者进行了静脉注射顺二氯二氨铂(CIS-DDP)的II期研究,以评估临床反应和不良反应。根据小山博士和斋藤博士提出的一般标准确定患者入选资格并评估反应。在参与该II期研究的85例患者中,77例被视为可评估对象。4例患者出现完全缓解,其中3例为睾丸肿瘤,1例为膀胱癌。24例患者获得部分缓解;10例为膀胱癌,8例为睾丸肿瘤,5例为前列腺癌,1例为肾细胞癌。睾丸肿瘤的总缓解率为73.3%,膀胱肿瘤为50.0%,前列腺癌为20.8%,肾细胞癌为7.7%。观察到胃肠道出现毒性反应。接受CIS-DDP治疗的患者中,78.5%出现恶心、呕吐、厌食、腹痛和腹泻。骨髓抑制、乏力、肾和听力功能障碍是其他突出的不良反应。

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