Cytotoxic therapy with etoposide and cisplatin in advanced adrenocortical carcinoma

R. Bonacci, A. Gigliotti, E. Baudin, N. Wion-Barbot, P. Emy, M. Bonnay, A. F. Cailleux, I. Nakib, M. Schlumberger

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    71 Citations (Scopus)

    Abstract

    Adrenocortical carcinoma (ACC) is a rare tumour with a poor prognosis. Cisplatin is the most widely tested cytotoxic agent in this disease. A total of 18 patients with advanced ACC were enrolled. Cytotoxic therapy consisted of etoposide (VP16) (100 mg m-2 day-1 on days 1-3) and cisplatin (100 mg m-2 day-1 on day 1) every 4 weeks. Mitotane treatment was maintained during chemotherapy in 14 patients. A complete response was observed in three cases and a partial response in three cases, giving an overall response rate of 33%. Tumour response was observed in three of the six patients with progressive disease during treatment with mitotane given at an effective dosage, as shown by serum levels > 14 mg l-1. Toxic effects were as expected and were non-life-threatening; no treatment interruption was required.

    Original languageEnglish
    Pages (from-to)546-549
    Number of pages4
    JournalBritish Journal of Cancer
    Volume78
    Issue number4
    DOIs
    Publication statusPublished - 1 Jan 1998

    Keywords

    • Adrenal cortical carcinoma
    • Cisplatin
    • Etoposide
    • Mitotane

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