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EVALUATION OF A SOMATOSTATIN ANALOG IN THE TREATMENT OF LYMPHOPROLIFERATIVE DISORDERS - RESULTS OF A PHASE-II NORTH CENTRAL CANCER-TREATMENT GROUP TRIAL
Author(s): WITZIG TE, LETENDRE L, GERSTNER J, SCHROEDER G, MAILLIARD JA, COLONOTERO G, MARSCHKE RF, WINDSCHITL HE
Source: JOURNAL OF CLINICAL ONCOLOGY    Volume: 13    Issue: 8    Pages: 2012-2015    Published: AUG 1995  
Times Cited: 30     References: 24     
Abstract: Purpose: Malignant cells from non-Hodgkin's lymphomas (NHL) have been shown to express the somatostatin receptor on their cell surface and most NHL are visible on somatostatin radioscintigraphy scans. This provided the rationale to conduct a phase II trial of a somatostatin analog in patients with B- and T-cell lymphoproliferative disorders.

Patients and Methods: Sixty-one patients with measurable or assessable lymphoproliferative disorders (31 stage III or IV law-grade NHL; 21 chronic lymphocytic leukemia [CLL]; and nine cutaneous T-cell NHL [CTCL]) were enrolled. Patients were treated with somatostatin 150 mu g subcutaneously (SQ) every 8 hours for 1 month. Patients with stable or responding disease received 2 additional months of therapy; chose who responded after 3 months were treated for an additional greater than or equal to 3 months.

Results: Sixty patients were assessable for toxicity and 56 for response. There were no complete remissions, In the low-grade NHL group, 36% (10 of 28 patients; 95% confidence interval [Cl], 19% to 56%) had a partial remission. Forty-four percent (four of nine; 95% Cl, 14% to 79%) of patients with CTCL held a partial response. No patients with CLL had a partial remission. Among 45 patients with stable disease or a partial remission, the mean time to progression (TTP) was 10.9 months (median, 6.2; range, 1.6 to 48.5). The drug was well tolerated, with the most common side effects being diarrhea and hyperglycemia.

Conclusion: Somatostatin at a dose of 150 mu g every 8 hours is well tolerated and has activity in low-grade NHL. (C) 1995 by American Society of Clinical Oncology.

Document Type: Article
Language: English
Reprint Address: WITZIG, TE (reprint author), MAYO CLIN & MAYO FDN, 200 S 1ST ST, ROCHESTER, MN 55905 USA
Addresses:
1. ST CLOUD CLIN INTERNAL MED LTD, ST CLOUD, MN USA
2. ILLINOIS ONCOL RES ASSOC, COMMUNITY CLIN ONCOL PROGRAM, PEORIA, IL USA
3. CREIGHTON UNIV, NEBRASKA ONCOL GRP, OMAHA, NE 68178 USA
4. UNIV NEBRASKA, MED CTR, OMAHA, NE 68105 USA
Publisher: W B SAUNDERS CO, INDEPENDENCE SQUARE WEST CURTIS CENTER, STE 300, PHILADELPHIA, PA 19106-3399
Subject Category: Oncology
IDS Number: RM473
ISSN: 0732-183X
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