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| Publications [#63228] of Mark W. Dewhirst
Papers Published
- Page, R.L. and Thrall, D.E. and George, S.L. and Price, G.S. and Heidner, G.L. and McEntee, M.C. and Novotney, C.A. and Hauck, M.L. and Dewhirst, M.W., Quantitative estimation of the thermal dose-modifying factor for cis-diamminedichloroplatinum (CDDP) in tumour-bearing dogs,
Int. J. Hyperth. (UK), vol. 8 no. 6
(1992),
pp. 761 - 9
(last updated on 2007/04/14)
Abstract: A statistical method for estimating clinical toxicity was used to determine a theoretical isoeffect dose-modifying factor for dogs with disseminated or refractory neoplasia treated with cis-diammine dichloroplatinum (II) plus whole-body hyperthermia or CDDP alone. CDDP was administered every 3 weeks with vigorous saline hydration to 54 dogs (CDDP alone n=21, CDDP/WBH n=33) that were eligible for entry into this non-randomized study. CDDP was administered during the plateau phase of WBH in dogs receiving combined therapy. Acute toxicity included myelosuppression (CDDP n=7; CDDP/WBH n=5), nephrotoxicity (CDDP n=1, CDDP/WBH n=1) and respiratory distress (CDDP/WBH n=2). Eight dogs experienced chronic renal dysfunction as a result of CDDP (n=2) or CDDP/WBH (n=6). A theoretical thermal dose-modifying factor was determined for both acute and cumulative toxicity by comparing the maximum tolerated dose (MTD) of each treatment group. The MTD (±.standard error) of CDDP/WBH for acute toxicity only was 54.6 (4.3) mg/M2 and for CDDP alone the MTD was 73.6 (40) mg/M2. Thus, the isoeffect dose-modifying factor for acute toxicity was 1.35 (0.12). The MTD (SE) of CDDP/WBH for cumulative toxicity (acute plus chronic toxicity) was 46.4 (2.7) mg/M2 and for CDDP alone was 70.0 (2.9) mg/M2
Keywords: biothermics;
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