Abstract
Sixteen patients who after prior systemic immunotherapy had progressing disease received fotemustine (100 mg/m2) i.v. on days 1, 8, and 15 followed by a 5-week rest period. In responding or stabilized patients, maintenance therapy consisted of 100 mg/m2 fotemustine given once every 3 weeks until progression on toxicity occurred. No objective response was observed. Four patients showed stable disease (median duration: 4 months; range: 3-19). The main toxicities were neutropenia (WHO grade 3 and 4: 27%) and thrombocytopenia (WHO grade 3 and 4: 27%). Fotemustine was administered on an outpatient basis and was generally well tolerated, but in our series of patients it had no antitumour activity in metastatic renal cell carcinoma after failure of immunotherapy.
Publication types
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Clinical Trial
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Clinical Trial, Phase II
MeSH terms
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Adult
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Aged
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Antineoplastic Agents / adverse effects
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Antineoplastic Agents / therapeutic use*
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Carcinoma, Renal Cell / drug therapy*
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Carcinoma, Renal Cell / secondary
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Carcinoma, Renal Cell / therapy
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Cell Division / drug effects
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Female
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Humans
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Immunotherapy
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Interleukin-2 / therapeutic use
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Kidney / cytology
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Kidney / drug effects
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Kidney Neoplasms / drug therapy*
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Kidney Neoplasms / pathology
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Kidney Neoplasms / therapy
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Male
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Middle Aged
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Nitrosourea Compounds / adverse effects
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Nitrosourea Compounds / therapeutic use*
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Organophosphorus Compounds / adverse effects
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Organophosphorus Compounds / therapeutic use*
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Salvage Therapy
Substances
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Antineoplastic Agents
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Interleukin-2
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Nitrosourea Compounds
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Organophosphorus Compounds
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fotemustine