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VI Autologous Bone Marrow Transplantation.pdf - Blog Science ...

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carboplatinum and ifosfamide. The second transplant will follow the first one by<br />

only a very brief period.<br />

In summary, high dose chemotherapy with ABMT appears to be the most<br />

effective available therapy for patients with refractory/relapsed ovarian carcinoma,<br />

with a response rate approximately double that of any other salvage<br />

therapy for patients who have failed two prior regimens. In addition the 14% 1<br />

year progression-free survival suggests that some of these remissions may be<br />

long term, as has been the case for patients with other refractory hematologic<br />

malignancies and solid tumors. While this therapy has not yet influenced the<br />

clinical course in the majority of patients treated thus far, there is the potential<br />

that a significant impact on this disease will come with the treatment of patients<br />

earlier in their course while the disease is still sensitive to conventional drug<br />

doses.<br />

REFERENCES<br />

1. Ozols RF, Young RC: Chemotherapy of ovarian cancer. Semin Oncol 18:222-232,<br />

1991.<br />

2. McGuire WP, Rowinsky EK, Rosenshein NB, et al: Taxol: A unique antineoplastic<br />

agent with significant activity in advanced ovarian epithelial neoplasms. Ann Int<br />

Med 111:273-279,1989.<br />

3. Markman M, Hakes T, Reichman B, et al: Intraperitoneal cisplatin and cytarabine in<br />

the treatment of refractory or recurrent ovarian carcinoma. J Clin Oncol 9:204-210,<br />

1991.<br />

4. Bruchner H, Wallach R: High-dose platinum for the treatment of refractory ovarian<br />

carcinoma. Gynecol Oncol 12:64-67,1981.<br />

5. Ozols R, Osstchega Y, Myeres C, Young RC: High-dose cisplatin in hypertonic saline<br />

in refractory ovarian cancer. J Clin Oncol 3:1246-1250,1985.<br />

6. DeVries EGE, Biesma B, Willemse PHB, et al: A double-blind placebo-controlled<br />

study with granulocyte-macrophage colony-stimulating factor during chemotherapy<br />

for ovarian carcinoma. Cancer Res 51:116-122.<br />

7. Reed E, Janik J, Bookman M, et al: High-dose carboplatin and rGM-CSF in refractory<br />

ovarian cancer. Proc Amer Soc Clin Oncol 9:157,1990.<br />

8. Shea TC, Haherty M, Elias AM, et al: A phase I clinical and pharmacokinetic study of<br />

carboplatin and autologous bone marrow support. J Clin Oncol 7:651-661,1989.<br />

9. Mulder POM, Willemse PHB, Azalders JG, et al: High dose chemotherapy with<br />

autologous bone marrow transplantation in patients with refractory ovarian cancer.<br />

Eur J Cancer Clin Oncol 25:645-649,1989.<br />

10. Viens P, Maraninchi D, Legros D, et al: High dose melphalan and autologous<br />

marrow rescue in advanced epithelial ovarian carcinomas: A retrospective analysis<br />

of 35 patients treated in France. <strong>Bone</strong> <strong>Marrow</strong> Transpl 5:227-233,1990.<br />

11. Dauplat J, Legros M, Condat P, et al: High-dose melphalan and autologous bone<br />

marrow support for the treatment of ovarian carcinoma with positive second-look<br />

operation. Gynecol Oncol 34:294-298,1989.<br />

12. Shpall E, Clarke-Peterson D, Soper J, et al: High-dose alkylating agent chemotherapy<br />

with autologous bone marrow support in patients with stage ill/IV epithelial<br />

ovarian cancer. Gynecol Oncol 38:386-391,1990.<br />

13. Alberts D, Young L, Mason N, et al: In vitro evaluation of anticancer drugs against<br />

ovarian cancer at concentrations achievable by intraperitoneal administration. Semin<br />

Oncol 12:(Supp 4)38-42,1985.<br />

14. Mulder POM, Sleijfer DT, Willemse PHB, et al: High dose cyclophosphamide or<br />

melphalan with escalating doses of mitoxantrone and autoloaous bone marrow<br />

396 SIXTH INTERNATIONAL SYMPOSIUM ON AUTOLOGOUS BONE MARROW TRANSPLANTATION

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