Skip to main content
Log in

Platinum disposition after intraarterial and intravenous infusion of cisplatin for osteosarcoma

  • Original Articles
  • Cisplatin, Platinum Disposition, Osteosarcoma, Intraarterial, Intravenous
  • Published:
Cancer Chemotherapy and Pharmacology Aims and scope Submit manuscript

Summary

Preoperative chemotherapy according to the COSS 86 protocol, including two courses of cisplatin, was used for high-risk osteosarcoma. Patients were randomised to receive either intraarterial (i.a.) or intravenous (i.v.) cisplatin infusions. As measured by flameless atomic absorption spectroscopy (FAAS), platinum (Pt) levels in serum, ultrafiltrate, and urine did not show a decrease in systemic drug availability with i.a. administration. Turmors were surgically removed 3 weeks after the last cisplatin dose and analysed for Pt content and response to chemotherapy. A correlation could not be demonstrated between Pt levels in tumor tissue samples and the mode of CDDP application or extent of tumor cell destruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Baum ES, Gaynon P, Greenberg L, Krivit W, Hammond D (1979) Phase II study of cis-dichlorodiammineplatinum(II) in childhood osteosarcoma: Children's Cancer Study Group report. Cancer Treat Rep 63: 1621–1627

    Google Scholar 

  2. Belt RJ, Himmelstein KJ, Patton TF, Bannister SJ, Sternson LA, Repta AJ (1979) Pharmacokinetics of non-protein-bound species following administration of cis-dichlorodiammineplatinum(II). Cancer Treat Rep 63: 1515–1521

    Google Scholar 

  3. Benjamin RS, Chawla SP, Murray JA, Carrasco CH, Raymond AK, Wallace S, Ayala A, Papadopoulos NEJ, Plager C (1984) Preoperative chemotherapy for osteosarcoma: a treatment approach facilitating limb salvage with major prognostic implications. In: Jones SE, Salmon SE (eds) Adjuvant therapy of cancer IV. Grune & Stratton, New York, pp 601–610

    Google Scholar 

  4. Blacklock B, Wright DC, Dedrick RL, Blasberg RG, Lutz RJ, Doppmann JL, Oldfield EH (1986) Drug streaming during intraarterial chemotherapy. J Neurosurg 64: 284–291

    Google Scholar 

  5. Campbell TN, Howell SB, Pfeifle CE, Wung WE, Bookstein J (1983) Clinical pharmacokinetics of intraarterial cisplatin in humans. J Clin Oncol 1: 755–762

    Google Scholar 

  6. Collins JM (1984) Pharmacologic rationale for regional drug delivery. J Clin Oncol 2: 498–504

    Google Scholar 

  7. De Conti RC, Toftness ER, Lange RC, Creasey WA (1973) Clinical and pharmacological studies with cis-diamminedichloroplatinum(II). Cancer Res 33: 1310–1315

    Google Scholar 

  8. Delling G (1972) Über eine vereinfachte Methode zur Methylacrylateinbettung für unentkalkte Knochenschnitte. Beitr Pathol 145: 100–105

    Google Scholar 

  9. Ettinger LJ, Douglass HO, Mindell ER, Sinks LF, Tebbi CK, Risseeuw D, Freeman AI (1986) Adjuvant Adriamycin and cisplatin newly diagnosed, nonmetastatic osteosarcoma of the extremity. J Clin Oncol 4: 353–362

    Google Scholar 

  10. Gasparini M, Rouesse J, Osterom A van, Wagener T, Somers R, Russel JA, Voute PA, Bramwell V, Thomas D, Sylvester R, Rozencweig M (1985) Phase II study of cisplatin in advanced osteogenic sarcoma. European Organisation for Research on Treatment of Cancer, Soft Tissue and Bone Sarcoma Group. Cancer Treat Rep 69: 211–213

    Google Scholar 

  11. Gouyette A, Apchin A, Foka M, Richards JM (1986) Pharmacokinetics of intraarterial and intravenous cisplatin in head and neck cancer patients. Eur J Cancer Clin Oncol 22: 257–263

    Google Scholar 

  12. Hecquet B, Vennin P, Fournier C, Poissonier B (1987) Evaluation of the pharmacological benefit and determination of the influencing factors of intraarterial cis-diamminedichloroplatinum administration in patients with uterine cervical cancer. Cancer Res 47: 6134–6137

    Google Scholar 

  13. Himmelstein KJ, Patton TF, Belt RJ, Taylor S, Repta AJ, Sternson LA (1981) Clinical kinetics of intact cisplatin and some related species. Clin Pharmacol Ther 29: 658–664

    Google Scholar 

  14. Jaffe N, Knapp J, Chuang VP, Wallace S, Ayala A, Murray J, Cangir A, Wang A, Benjamin RS (1983) Osteosarcoma: intraarterial treatment of the primary tumor with cis-diamminedichloroplatinum(II) (CDP). Angiographic, pathologic, and pharmacologic studies. Cancer 51: 402–407

    Google Scholar 

  15. Jaffe N, Raymond AK, Ayala A, Carrasco H, Wallace S, Murray J, Robertson R, Wang A (1988) Intraarterial cis-diamminedichloroplatinum(II) in pediatric osteosarcoma: relationship of effect on primary tumor on survival. In: Ryan JR, Baker LH (eds) Recent concepts in sarcoma treatment. Kluwer Academic, Dordrecht, pp 275–282

    Google Scholar 

  16. King FG, Dedrick RL, Farris FF (1986) Physiological pharmacokinetic modeling of cis-diammineplatinum(II) (DDP) in several species. J Pharmacokin Biopharm 14: 131–155

    Google Scholar 

  17. Link MP, Goorin MA, Miser AW, Green AA, Pratt CB, Belasco JB, Pritchard J, Malpas JS, Baker AR, Kirkpatrick JA, Ayala AG, Shuster JJ, Abelson HT, Simone JV, Vietti TJ (1986) The effect of adjuvant chemotherapy on relapsefree survival in patients with osteosarcoma of the extremity. N Engl J Med 314: 1600–1606

    Google Scholar 

  18. Lutz RJ, Dedrick RL, Boretos JW, Oldfield EH, Blacklock B, Doppmann JL (1986) Mixing studies during intracarotid artery infusions in an in vitro model. J Neurosurg 64: 277–283

    Google Scholar 

  19. Madajewicz S, Kanter P, West C, Bhargava A, Prajapati R, Caracandas J, Avellanosa A, Fitzpatrick J (1981) Plasma, spinal fluid and organ distribution of cis-platinum (DDP) following intravenous (iv) and intracarotid (ic) infusion. Proc Am Soc Clin Oncol/Am Assoc Cancer Res 21: 176

    Google Scholar 

  20. Mangues R, Giraldez J, Bilbao JI, Sierrasesumaga L, Idoate A, Inaraja MT, Aldaz A, Calvo FA (1987) Clinical and experimetal pharmacokinetics of intraarterial (IA) cisplatin (DDP). Advantage over intravenous (IV) route. Proc ECCO 4: 75

    Google Scholar 

  21. Ochs JJ, Freeman AI, Douglass HO Jr, Higby DS, Mindell ER, Sinks LF (1978) cis-Dichlorodiammineplatinum(II) in advanced osteogenic sarcoma. Cancer Treat Rep 62: 239–245

    Google Scholar 

  22. Picci P, Bacci G, Capanna R, Madon E, Paolucci G, Marangolo M, Avella M, Baldini N, Mercuri M, Campanacci M (1988) Neoadjuvant chemotherapy for osteosarcoma — results of a prospective study. In: Ryan JR, Baker LH (eds) Recent concepts in sarcoma treatment. Kluwer Academic, Dordrecht, pp 291–295

    Google Scholar 

  23. Pratt CB, Champion JE, Senzer N, Green AA, Rao B, Douglass E, Meyer W, Crom DB (1985) Treatment of unresectable or metastatic osteosarcoma with cisplatin or cisplatin-doxorubicin. Cancer 56: 1930–1933

    Google Scholar 

  24. Rosen G (1986) Neoadjuvant chemotherapy for osteogenic sarcoma: a model for the treatment of other highly malignant neoplasms. Recent Results Cancer Res 103: 148–157

    Google Scholar 

  25. Rosen G, Nirenberg A, Jürgens H, Tan C (1979) Phase II trial of cis-platinum in osteogenic sarcoma. Proc Am Soc Clin Oncol 20: 363

    Google Scholar 

  26. Salzer-Kuntschik M, Brand G, Delling G (1983) Bestimmung des morphologischen Regressionsgrades nach Chemotherapie bei malignen Knochentumoren. Pathologie 4: 135–141

    Google Scholar 

  27. Stephens FO, Tattersall MH, Marsden W, Waugh RC, Green D, McCarthy SW (1987) Regional chemotherapy with the use of cisplatin and doxorubicin as primary treatment for advanced sarcomas in shoulder, pelvis, and thigh. Cancer 60: 724–735

    Google Scholar 

  28. Vermorken JB, Wijgh WJF van der, Klein I, Hart AAM, Gall HE, Pinedo HM (1984) Pharmacokinetics of free and total platinum species after short-term infusion of cisplatin. Cancer Treat Rep 68: 505–513

    Google Scholar 

  29. Weiner MA, Harris MB, Lewis M, Jones R, Sherry H, Feurer EJ, Johnson J, Lahman E (1986) Neoadjuvant high-dose methotrexate, cisplatin, and doxorubicin for the management of patients with nonmetastatic osteosarcoma. Cancer Treat Rep 70: 1431–1432

    Google Scholar 

  30. Wile AG, Kar R, Cohen RA, Jakowatz JG, Opfell RW (1987) The pharmacokinetics of cisplatin in experimental regional chemotherapy. Cancer 59: 695–700

    Google Scholar 

  31. Winkler K (1986) COSS 86: therapy protocol of the Cooperative Osteosarcoma Study Group, Hamburg

  32. Winkler K, Beron G, Kotz R, Salzer-Kuntschik M, Beck J, Beck W, Brandeis W, Ebell W, Erttmann R, Göbel U, Havers W, Henze G, Hinderfeld L, Höcker P, Jobke A, Jürgens H, Kabisch H, Preusser P, Prindull G, Ramach W, Ritter J, Sekera J, Treuner J, Wüst G, Landbeck G (1984) Neoadjuvant chemotherapy for osteogenic sarcoma: results of a cooperative German/Austrian study. J Clin Oncol 2: 617–623

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Consortia

Additional information

This work was supported by the “Hamburger Krebsgesellschaft” and the “Bundesministerium für Forschung und Technologie”

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bielack, S.S., Erttmann, R., Looft, G. et al. Platinum disposition after intraarterial and intravenous infusion of cisplatin for osteosarcoma. Cancer Chemother. Pharmacol. 24, 376–380 (1989). https://doi.org/10.1007/BF00257446

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00257446

Keywords

Navigation