Administration of 24-h intravenous infusions of trabectedin in ambulatory patients with mesenchymal tumors via disposable elastomeric pumps: an effective and patient-friendly palliative treatment option

Onkologie. 2012;35(1-2):14-7. doi: 10.1159/000335879. Epub 2012 Jan 20.

Abstract

Background: Patients with progressive mesenchymal tumours after standard chemotherapy have poor outcome. Trabectedin is approved in Europe as 24-h intravenous (i.v.) infusion q3w in this setting. We report the use of disposable elastomeric pumps for ambulatory treatment with trabectedin.

Material and methods: Pre-treated sarcoma patients were offered trabectedin 1.5 mg/m(2) as 24-h i.v. infusion via port catheter, either as inpatients using electronic pumps or as outpatients using the Baxter LV10 pump. Co-medication consisted of antiemetics including dexamethasone.

Results: 21/28 patients with distant metastasis and/or local relapse elected outpatient therapy and received 130 cycles (median 3, range 1-24). Dose reductions were done in 60 cycles, mainly due to laboratory adverse events (AEs). Best response (Response Evaluation Criteria in Solid Tumours (RECIST)) was 4 cases of confirmed partial remission (PR), 6 cases of stable disease (SD), and 11 cases of progressive disease (PD). Grade 3/4 (Common Toxicity Criteria (CTC)) AEs were limited to 1 case each of haemorrhage and lung embolism; other AEs were in line with published trabectedin experience. 1 port catheter contamination required replacement, 1 catheter thrombosis occurred and 1 extravasation due to needle dislocation was observed.

Conclusions: Outpatient administration of trabectedin as 24-h infusion using Baxter LV10 pumps is preferred by the vast majority of patients; it is feasible, safe, effective, cost efficient, and should be considered as routine practice in this clinical setting.

MeSH terms

  • Ambulatory Care / methods*
  • Antineoplastic Agents, Alkylating / administration & dosage
  • Dioxoles / administration & dosage*
  • Drug Administration Schedule
  • Female
  • Humans
  • Infusion Pumps, Implantable*
  • Infusions, Intravenous / instrumentation
  • Infusions, Intravenous / methods
  • Male
  • Middle Aged
  • Palliative Care / methods*
  • Patient Satisfaction
  • Sarcoma / drug therapy*
  • Sarcoma / pathology*
  • Tetrahydroisoquinolines / administration & dosage*
  • Trabectedin
  • Treatment Outcome

Substances

  • Antineoplastic Agents, Alkylating
  • Dioxoles
  • Tetrahydroisoquinolines
  • Trabectedin