Cargando…

Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.

In a Phase I study, melphalan 140 mg/m2 was administered to 8 patients with disseminated malignant melanoma. Marrow was removed from the patients immediately before melphalan administration and returned i.v. 8 h later. Studies on marrow culture and melphalan pharmacokinetics predicted that this was...

Descripción completa

Detalles Bibliográficos
Autores principales: McElwain, T. J., Hedley, D. W., Burton, G., Clink, H. M., Gordon, M. Y., Jarman, M., Juttner, C. A., Millar, J. L., Milsted, R. A., Prentice, G., Smith, I. E., Spence, D., Woods, M.
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 1979
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2009972/
https://www.ncbi.nlm.nih.gov/pubmed/383125
_version_ 1782136223672827904
author McElwain, T. J.
Hedley, D. W.
Burton, G.
Clink, H. M.
Gordon, M. Y.
Jarman, M.
Juttner, C. A.
Millar, J. L.
Milsted, R. A.
Prentice, G.
Smith, I. E.
Spence, D.
Woods, M.
author_facet McElwain, T. J.
Hedley, D. W.
Burton, G.
Clink, H. M.
Gordon, M. Y.
Jarman, M.
Juttner, C. A.
Millar, J. L.
Milsted, R. A.
Prentice, G.
Smith, I. E.
Spence, D.
Woods, M.
author_sort McElwain, T. J.
collection PubMed
description In a Phase I study, melphalan 140 mg/m2 was administered to 8 patients with disseminated malignant melanoma. Marrow was removed from the patients immediately before melphalan administration and returned i.v. 8 h later. Studies on marrow culture and melphalan pharmacokinetics predicted that this was a safe time to administer non-cryopreserved marrow. Four patients received lower doses of i.v. melphalan without autologous marrow. In the group receiving autologous marrow the time for recovery of peripheral-blood granulocytes to 800/mm2 or greater was significantly less (P = 0.01) than in those not receiving marrow. In 7 patients the tumour showed evidence of response to the drug and there was 1 complete remission. This treatment deserves investigation in patients with tumours more sensitive to drugs than melanoma.
format Text
id pubmed-2009972
institution National Center for Biotechnology Information
language English
publishDate 1979
publisher Nature Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-20099722009-09-10 Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan. McElwain, T. J. Hedley, D. W. Burton, G. Clink, H. M. Gordon, M. Y. Jarman, M. Juttner, C. A. Millar, J. L. Milsted, R. A. Prentice, G. Smith, I. E. Spence, D. Woods, M. Br J Cancer Research Article In a Phase I study, melphalan 140 mg/m2 was administered to 8 patients with disseminated malignant melanoma. Marrow was removed from the patients immediately before melphalan administration and returned i.v. 8 h later. Studies on marrow culture and melphalan pharmacokinetics predicted that this was a safe time to administer non-cryopreserved marrow. Four patients received lower doses of i.v. melphalan without autologous marrow. In the group receiving autologous marrow the time for recovery of peripheral-blood granulocytes to 800/mm2 or greater was significantly less (P = 0.01) than in those not receiving marrow. In 7 patients the tumour showed evidence of response to the drug and there was 1 complete remission. This treatment deserves investigation in patients with tumours more sensitive to drugs than melanoma. Nature Publishing Group 1979-07 /pmc/articles/PMC2009972/ /pubmed/383125 Text en https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Research Article
McElwain, T. J.
Hedley, D. W.
Burton, G.
Clink, H. M.
Gordon, M. Y.
Jarman, M.
Juttner, C. A.
Millar, J. L.
Milsted, R. A.
Prentice, G.
Smith, I. E.
Spence, D.
Woods, M.
Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title_full Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title_fullStr Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title_full_unstemmed Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title_short Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
title_sort marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2009972/
https://www.ncbi.nlm.nih.gov/pubmed/383125
work_keys_str_mv AT mcelwaintj marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT hedleydw marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT burtong marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT clinkhm marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT gordonmy marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT jarmanm marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT juttnerca marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT millarjl marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT milstedra marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT prenticeg marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT smithie marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT spenced marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan
AT woodsm marrowautotransplantationaccelerateshaematologicalrecoveryinpatientswithmalignantmelanomatreatedwithhighdosemelphalan