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Salvage ifosfamide-doxorubicin chemotherapy in patients with recurrent nasopharyngeal carcinoma pretreated with cisplatin-based chemotherapy

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Abstract

This study evaluated the efficacy and toxicity of ifosfamide and doxorubicin chemotherapy regimen in Turkish patients with recurrent or metastatic nasopharyngeal carcinoma (NPC) previously treated with platinum-based chemotherapy. Twenty-one patients with recurrent or metastatic NPC previously treated with platinum-based chemotherapy as adjuvant or palliative treatments who received ifosfamide 2500 mg/m2 d 1–3, mesna 2500 mg/m2 d 1–3, doxorubicin 60 mg/m2 d 1, repeated every 21 d was retrospectively analyzed. Patients received a median number of three cycles of ifosfamide-doxorubicin (range: 1–6). Seven patients (33.3%) achieved partial response and no patient achieved complete response. Six (28.5%) had stable disease, whereas three (18.75%) had progressive disease. The median time to progression was 7.0 mo. Ifosfamide-doxorubicin regimen is an effective salvage regimen in patients with recurrent and metastatic NPC.

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References

  1. Fandi A, Atum M, Azli N, Armand JP, Cvitkovic E. Nasopharyngeal cancer: epidemiology, staging, and treatment. Semin Oncol 1994; 21:382–397.

    PubMed  CAS  Google Scholar 

  2. Vaughan TL, et al. Nasopharyngeal cancer in a low-risk population: defining risk factors by histological type. Cancer Epidemiol Biomarkers Prev 1996; 5:587–593.

    PubMed  CAS  Google Scholar 

  3. World Health Organization. International classification of tumors: histological typing of upper respiratory tract tumors. Geneva: World Health Organization, 1991.

    Google Scholar 

  4. Lee AW, et al. Retrospective analysis of 5037 patients with nasopharyngeal carcinoma treated during 1976–1985: overall survival and patterns of failure. Int J Radiat Oncol Biol Phys 1992; 23:261–270.

    PubMed  CAS  Google Scholar 

  5. Perez CA, et al. Carcinoma of the nasopharynx: factors affecting prognosis. Int J Radiat Oncol Biol Phys 1992; 23:271–280.

    PubMed  CAS  Google Scholar 

  6. Teo ML, Kwan WH, Lee WY, Leung SF, Johnson PJ. Prognosticators determining survival subsequent to distant metastases from nasopharyngeal carcinoma. Cancer 1996; 77:2423–2431.

    Article  PubMed  CAS  Google Scholar 

  7. Fandi A, et al. Long-term disease-free survivors in metastatic undifferentiated carcinoma of the nasopharyngeal type. J Clin Oncol 2000; 18:1324–1330.

    PubMed  CAS  Google Scholar 

  8. Chua DTT, Kwong DLW, Sham JST, Au GKH, Choy D. A phase II study of ifosfamide, 5-fluorouracil and leucovorin in patients with recurrent nasopharyngeal carcinoma previously treated with platinum chemotherapy. Eur J Cancer 2000; 36:736–741.

    Article  PubMed  CAS  Google Scholar 

  9. Foo KF, et al. Gemcitabine in metastatic nasopharyngeal carcinoma of the undifferentiated type. Ann Oncol 2002; 13:150–156.

    Article  PubMed  CAS  Google Scholar 

  10. Yeo W, et al. A phase II study combination of paclitaxel and carboplatin in advanced nasopharyngeal carcinoma. Eur J Cancer 1998; 34:2027–2031.

    Article  PubMed  CAS  Google Scholar 

  11. Ma BB, Tannock IF, Pond GR, Edmonds MR, Siu LL. Chemotherapy with gemcitabine-containing regimens for locally recurrent or metastatic nasopharyngeal carcinoma. Cancer 2002; 95:2516–2523.

    Article  PubMed  CAS  Google Scholar 

  12. Chua DT, Sham JS, Au GK. A phase II study of capecitabine in patients with recurrent and metastatic nasopharyngeal carcinoma pretreated with platinum-based chemotherapy. Oral Oncol 2003; 39:361–366.

    Article  PubMed  CAS  Google Scholar 

  13. Huang HQ, et al. Preliminary results of ifosfamide and doxorubicin regimen in treatment of patients with recurrent and metastatic nasopharyngeal carcinoma (Article in Chinese). Ai Zheng 2002; 21:409–411.

    PubMed  Google Scholar 

  14. McCarthy JS, et al. A phase II trial of docetaxel and cisplatin in patients with recurrent or metastatic nasopharyngeal carcinoma Oral Oncol 2002; 38:686–690.

    Article  PubMed  CAS  Google Scholar 

  15. Azli N, et al. Final report of a phase II study of chemotherapy with bleomycin, epirubicin, and cisplatin for locally advanced and metastatic/recurrent undifferentiated carcinoma of the nasopharyngeal type. Cancer J Sci Am 1995; 1:222.

    PubMed  CAS  Google Scholar 

  16. Hasbini A, et al. Phase II trial combining mitomycin with 5-fluorouracil, epirubicin, and cisplatin in recurrent and metastatic undifferentiated carcinoma of nasopharyngeal type. Ann Oncol 1999; 10:421–425.

    Article  PubMed  CAS  Google Scholar 

  17. Taamma A, et al. Phase II trial of chemotherapy with 5-fluorouracil, bleomycin, epirubicin, and cisplatin for patients with locally advanced, metastatic, or recurrent undifferentiated carcinoma of the nasopharyngeal type. Cancer 1999; 86:1101–1108.

    Article  PubMed  CAS  Google Scholar 

  18. Siu LL, Czaykowski PM, Tannock IF, Phase I/II study of the CAPABLE regimen for patients with poorly differentiated carcinoma of the nasopharynx. J Clin Oncol 1998; 16:2514–2521.

    PubMed  CAS  Google Scholar 

  19. Onat H, et al. High-dose epirubicin and cisplatin in locally advanced undifferentiated nasopharyngeal carcinoma. Clin Oncol (R Coll Radiol) 2002; 14:449–454.

    CAS  Google Scholar 

  20. World Health Organization. WHO handbook for reporting results of cancer treatment. Geneva: World Health Organization, 1979

    Google Scholar 

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Correspondence to Kadri Altundag MD.

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Altundag, K., Aksoy, S., Gullu, I. et al. Salvage ifosfamide-doxorubicin chemotherapy in patients with recurrent nasopharyngeal carcinoma pretreated with cisplatin-based chemotherapy. Med Oncol 21, 211–215 (2004). https://doi.org/10.1385/MO:21:3:211

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  • DOI: https://doi.org/10.1385/MO:21:3:211

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