Etoposide
Sources the merck manual of medical information: home edition.
Time to Tumor Response: Results of the time to tumor response analysis are shown in Table 3. The estimate of median time to tumor response was 1.7 months 95% confidence interval of 1.4 to 2.8 months ; for gemcitabine plus cisplatin patients and 2.1 months 95% confidence interval of 1.6 to 2.4 months ; for cisplatin plus etoposide patients. The probability of the tumor response occurring after 2 months was estimated to be 43% for gemcitabine plus cisplatin tumor responders and 50% for cisplatin plus etoposide tumor responders. No statistically significant difference was noted between treatment arms, either by the log-rank test p 0.73 ; or by the Wilcoxon test p 0.22 ; . Duration of Tumor Response: Results of the duration of tumor response analysis are shown in Table 3. The estimate of median duration of tumor response was 10.9 months 95% confidence interval of 7.8 to 13.0 months ; for gemcitabine plus cisplatin patients and 9.7 months 95% confidence interval of 5.2 to 9.7 months ; for cisplatin plus etoposide patients. The probability of a tumor response lasting at least 6 months was estimated to be 79% for gemcitabine plus cisplatin tumor responders and 62% for cisplatin plus etoposide tumor responders. No statistically significant difference was noted between treatment arms, either by the log-rank test p 0.76 ; or by the Wilcoxon test p 0.67. Figure 4. Inhibition of AIF and CAD reveals two parallel pathways of nuclear apoptosis. A ; HeLa nuclei were left untreated control nuclei ; or incubated for 2 h with cytosolic extracts obtained from untreated cells Control ; or cytosols CS ; from STStreated wild-type MEFs, followed by staining with propidium iodide and flow cytometric quantitation of DNA content. Extracts were subjected to immunodepletion of AIF, sham immunodepletion, and or addition of recombinant ICAD protein 500 nM ; . B ; Comparison of cytosols obtained from wildMEFs type, Apaf-1 , and caspase-3 stimulated with three different apoptosis inducers STS, etoposide, and cisplatin ; . Cytosols were evaluated for their capacity to induce nuclear DNA loss in purified HeLa nuclei quantitated as in A ; after depletion of AIF and or addition of ICAD, as indicated. Cytosols from untreated control cells induced 10% of nuclear apoptosis. Results are means of triplicates X SD ; and are representative of three independent determinations. Etoposide oralEtoposide liverEvaluation findings, including curriculum-based data collected within the regular program and the results of standardized test measures indicate that [R.K.'s] health impairments, with their accompanying symptoms including difficulties with organization, maintaining and shifting focus, regulating alertness, sustaining effort for task completion, regulation of emotions, utilization of working memory and self regulation of action, significantly hamper his academic performance in the classroom. His severe hyperactivity and impulsivity can also prove troublesome in social and interpersonal situations and vepesid. One said that some people used GPs because three or more clients were injected with the same needle in the clinics and this could spread `diseases'. 3.5.2 Experiences of first contraceptive visit and choice of method Many teenagers reported that on their first visit to the clinic or GP they had directly asked to be given the injection, while others were simply given `the two month injection' by nurses who told them that it was the most appropriate method for teenagers. Only two teenagers were concerned about not having been given a choice in the matter: one who was only told about the injection and was too afraid to ask about alternative methods, and another who said she hadn't gone to the clinic out of fear that the nurses would simply inject her with Depo which she perceived to cause permanent infertility ; . Others trusted the authority of the nurses, such as one teenager who explained that `I thought maybe it was the way they checked me that they knew it was the correct method for me'. Mostly, health workers had only told informants that they had to wait for 14 days and return on the due date. A minority reported that they had been told by nurses that they could expect to experience side-effects including headaches and not `seeing' their menstruation ; . 3.5.3 Problems with clinics: waiting with elder women From the teenagers' side, one of the most important problems with clinic use was their anxiety about elder clients' perceptions of them. Since older women were said to `joke and gossip' about adolescents and speculate publicly that they were sexually active, several informants reported that being `seen' at the clinic made them unhappy and ashamed. As one teenager put it, `we think they'll judge us that we are so young, and they just gossip, they don't tell us straight'. One informant explained that `you get ashamed because you may find a person there whom you didn't think would ever come to the clinic, maybe a neighbour, and you become afraid that she will say bad things about you, that you're in love with many boys'. Lack of anonymity in clinics was a particular obstacle for adolescents who wanted to keep contraceptive use a secret from their sexual partners, female relatives and neighbours because they were church members or had partners or mothers who disallowed contraceptive use ; . Several teenagers mentioned that if they saw their mother or a neighbour in the clinic waiting-room they would leave immediately. A common solution proposed by teenagers was to have a separate time and room for adolescent clients coming for contraception so that they could wait with their peers and be educated by nurses about their own needs: `then we'll know what we're coming for, there'll be nobody who'll laugh at the other person, we'll all be there with one aim'. Secondly, many informants. Etoposide chemo
Parental Informed Consent: Head Start Protocol 1 D Dose Intensive Chemotherapy for Children less than 10 Yeats of Age 1-: Newly Diagnosed with Mahgmnt Bmin Tumors: A Study of gtessive Induction Chemotherapy followed by Consolidation with Myeloablative Chemotherapy I'hiotepa, Etoposjde and Carboplatin ; and Antologous Stem Cell ~ e s uwith or without Subsequent Radiation Thempy for e Patients with Meddoblastomas, other Primitive Neuroectodermal Tumors 'NET ; , Ependymoma, Choroid Plexus carcinoma2-Atypical. Choroid Plexus Papfloma .--~ t. l p p i -.-.- b d o i .-.-. "-. , --.I- . d & d .--., . . -. - . - . , . -.- . and ., . A TIRT ; , . Tumors and florinef. H8 COMBINATION OF IDARUBICIN, ETOPOSIDE, CITARABINE AND DESAMETASONE IVAD ; IN RELAPSED OR REFRACTORY NONHODGKIN'S LYMPHOMA NHL ; M. Vinci, A. Romanelli, L. Tedeschi, A. Miedico, D. Tabiadon, G. Luporini Oncology Dept, San Carlo Borromeo Hospital, Milan, Italy Introduction: Different therapies can be used to treat relapsed or refractory NHL and these should be based on drugs not included in front-line chemotherapy. For patients who are not transplant candidates and for those who the treatments generally have a palliative intent, the optimal salvage therapy remains to be defined. We evaluated the toxicity and efficacy of the combination of idarubicin, etoposide, citarabine and desametasone in unfavorable lymphoma-relapsed or -resistant to prior doxorubicin- or mitoxantrone-based regimens. Patients and methods: Ten patients pts ; with refractory or relapsed NHL 7 large B cell; 3 follicular ; were assessed. All pts had relapsed after or failed to respond to anthracycline-based regimen and six of them had received 2 or more regimens of chemotherapy. Median age was 62 years range 5672 ; and PS 12. Treatment was given on an outpatient basis: idarubicin 12 mg m2 e.v. day 1, etoposjde 150 mg m2 ev 2 h c.i day 1, citarabine 500 mg m2 e.v. 3 h c.i. day 1 and desametasone 20 mg m2 o.s. days 15. All pts received preventive treatment with fluconazole, ciprofloxacine and ranitidine during treatment. Response was assessed after 3 cycles and responders continued for up 6 cycles. Results: A total of 43 cycles were delivered. The overall response rate to IVAD was 60% after 3 cycles and three of these pts 50% ; achieved a complete remission after 6 cycles.The duration of CRs was 10 + , 20 and 21 + months. One of the 3 pts in PR died of causes unrelated to lymphoma.The OS rate for all pts was 13 + months range 1 + 43 .The main toxicity was hematological: afebrile neutropenia grade 3 occurred in 4 pts and grade 4 in 3 pts; no thrombocytopenias grade 34 were observed. Extra-hematologic toxicities were insignificant and no pts died from causes related to therapy. Conclusions: IVAD appears to be a feasible treatment with acceptable toxicity. It has an interesting rate and duration of response in the salvage and palliative setting of heavly pretreated pts with relapsed or refractory NHL. A larger number of pts should be treated to confirm these prelimirary suggestions. Her studies concerning neuropsychological symptoms of JNCL included "deficits in attention and working memory". Dr. Jonathan Cooper reported that his team is trying to "learn what the normal function of the CLN3 protein is and how this is compromised in this disorder". His research team has set up a variety of models to study the function of CLN3. He has seen "an early loss of brain cells within the thalamus of Cln3 deficient mice. The thalamus acts to relay sensory information from the outside world to the right part of the cortex, and we have now demonstrated that various sorts of cells in the thalamus are particularly vulnerable." This finding may mean that the cells that are dying are information-relaying cells. Dr. Cooper stated that "real progress toward a therapy for juvenile Batten disease is frustratingly slow but they have learned some very important lessons". Maria L. Backman has been studying the mental health problems in individuals with juvenile Batten disease. She has found that "individuals with JNCL suffer from a multitude of psychiatric symptoms". "Hobbies and adequate, but not too demanding, teaching were found to be important in caring for individuals with JNCL Santavouri et al., 1993. ; " Several websites have been developed concerning Batten disease. Sara E. Mole reported on the NCL Resource web site : ucl.ac ncl ; . It has been "launched to serve the needs of those who come into contact with the NCL or Batten disease". There are five information routes including clinical, family, research, professional support and research consortia. In Germany, an internet-based network called NCL-Net has begun. It connects physicians, scientists, and families with members who have NCL. The educational practices shared mainly centered around communication issues with people with Batten disease. Dr. Wendy Bills research concerning behavioral support strategies on behavior problems was presented. The interventions she incorporated included "utilizing calendar systems, providing choices, making and reading experience books, listening to music, providing augmentative communication devices, and or redirecting". These strategies did improve behavior problems for students with Batten disease. Several low technology and high-technology communication devices were highlighted. Low technology devices used successfully included built-in grid or buttons with varying number of keys and levels. "Each key can contain recorded words and sentences" Ake Eridsson and Thom Ragnarsson ; . Many students are making experience books in various formats. Some are writing in Braille and adding tactile pictures, some are writing with parents and teachers on a computer and adding pictures, others are writing in print with tactile pictures. In Iceland, a laptop that contains Power point and Photo story is being used to build a collection of the student's experiences. Experience books are being used in all countries in one form or another. STRUKTUR, a software program developed by Sprida Communication Centre in Orebro in Sweden, has been developed to help with communication. This program requires a computer with text to speech capabilities. It is considered a "shell program" that allows the teachers or others to "fill the programs with useful and personal things." All educators stressed the individual interests of students, the need for collaborative teamwork, the right to participation, and the desire to improve the quality of life for people with Batten disease and fludrocortisone. Omission of bleomycin has been evaluated in several clinical trials, which suggest that 4 cycles of e5oposide and cisplatin ep ; are adequate therapy for patients with good-risk metastatic testicular cancer. Us drug enforcement administration and ofloxacin. Mitoxantrone etoposice cytarabineEtoposide glioblastomaRheumatology 2000; 39: 811 Reply WE were very interested by Morton et al.'s letter that provides extended data on treatment with etoposide in five more Wegener's granulomatosis WG ; patients. Clearly, disease activity diminished under therapy in four patients. On the basis of cumulative retrospective results, etoposide may indeed appear as a possible alternative to cyclophosphamide. A few points may be raised to balance such a view: a ; whereas WG relapse occurred after 23.5 11 months in our patients, followup was only 913 months in three patients of Morton et al.; b ; etoposide treatment may be complicated with secondary leukaemia and should be avoided in young patients; and c ; promising alternative immunosuppressive treatments are currently under study in WG, including mycophenolate mofetil and etanercept and fenofibrate. FIGURE 6 Biotin deficiency decreases survival of JAr cells in response to treatment with etoposide. A ; Extracts from etoposide-free cells grown in media containing 0.025 and 0.25 nmol L biotin were resolved by gel electrophoresis; transblots were probed with streptavidin to visualize biotin-dependent carboxylases. B ; JAr cell were treated with etoposide and cell survival was monitored at timed intervals using trypan blue exclusion. Values are means SD, n 10. * Different from cells cultured in medium containing 0.025 nmol L biotin, P 0.05. Top summary introduction case presentation disscussion references bronchospasm due to cisplatin or etoposide has been reported on several occasions. Etoposide phosphateCytosis exo, dissection cross, triglycerides 350, salient enterprises and norflex expansion joints. Alveoli filled with blood, cystinosis history, scapula depression and shingle neuralgia or natural headache cure. Etoposide vialEtoposide oral, etoposide liver, etoposide chemo, carboplatin etoposide small cell lung cancer and etoposide drug resistance. Carboplatin etoposide and cyclophosphamide, mitoxantrone etoposide cytarabine, etoposide glioblastoma and etoposide phosphate or etoposide vial. Copyright © 2009 by Online-order.tripod.com Inc. |