Gliomas: Effective Treatment

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We understand that this summary data might be inadequate to evaluate the usefulness of these treatments in a particular case.  It is provided merely as a starting point.  Please contact us for further information.  We are pleased to answer your questions.  

NEUROLOGIC RESPONSE TO HDMTX-CF IN ASTROCYTOMA

 

 

Number of Patients

 

Evaluable

 

Improved

 

No Change

Series #1: 1968-1983

11

11

7/11 (63.6%)

4/11 (36.4%)

Series #2: 1983-1985

19

14

13/14 (92.9%)

1/14 (7.1%)

Series #3: 1985-

57

57

38/57 (66.7)

15/57 (26.3%)

Total

87

82

58/82 (70.7%)

20/57 (35.0%)

 

OBJECTIVE (CT SCANNING) RESPONSE TO HDMTX-CF IN ASTROCYTOMA

 

 

Number of Patients

 

Evaluable

 

Improved

 

No Change

 

Progressed

Series #1: 1968-1983

11

9

6/9 (66.7%)

0/9 (0%)

3/9 (33.3%)

Series #2: 1983-1985

19

19

15/19 (78.9%)

4/19 (21.8%)

0/19 (0%)

Series #3: 1985`

57

51

35/51 (68.6)

5/51 (9.8%)

11/51 (21.6%)

Total

87

79

56/79 (70.9%)

9/79 (11.0%)

14/79 (17.7%)


 SCIENTIFIC PUBLICATIONS ON GLIOMA/ASTROCYTOMA AND HIGH DOSE METHOTREXATE

Djerassi’s Publications on Treatment of Brain Tumors (Glioma/Astrocytoma)

1.  Djerassi, I., Kim, J.S.  and Shulman, K.:  High Dose Methotrexate Citrovorum Factor Rescue in the Management of Brain Gliomas.  Cancer Treatment Reports, 61:4, 1977.

2.  Djerassi, I., Kim, J.S. and Reggev,:  Response of  Astrocytoma  to High Dose Methotrexate  with Citrovorum  Factor Rescue. Cancer 55:2741-2747, 1985.

3.  Djerassi, I., Kim, J.S. Kassarov, L. and Reggev, :  Response of Mesothelioma to Large Doses of Methotrexate with CF Rescue (HDMTX) Used Alone or with Cisplatinum.  Proc. ASCO 4: 191, 1985.

4.  Djerassi, I., Rominger, C.J., Kim, J.S. Kassarov, L., Patel, A. and Ahmad, N.: Astrocytoma   Responding to High Dose Methotrexate CF Rescue (HDMTX-CF), Alone or Combined with Simultaneous Small Doses of Radiation. Proc.  AACR 26:171,1985.

5.  Djerassi, I., Kim, J.S., Kassarov, L., Reggev, A.Gandhi, V., and Srivastava, B.: High Dose Methotrexate (HDMTX) with Citrovorum Factor (CF) in Astrocytoma.  ASCO, 1988.

6.  Djerassi, I., M.J. Suh, A. Lee and C.D. Kim:  Objective Response of   Poor Risk Astrocytom to a combination of High Dose Methotrexate (HDMTX)  with Cisplatinum and/or BCNU.  Proc. ASCO, Vol. 10, p. 126-1991.

7.  Djerassi, I., Suh,  M.J., Kim, J.S., Kim, C.D.:  High Dose Methotrexate in Grade III Astrocytom.  Proc. ASCO, 1992.

8.  Djerassi, I., Suh, M.J., Kim, J.S., Reggev, A., Kassarov, L., Kim, C.D.:  Survival of Astrocytoma Patients Whose Treatment Included High Dose Methotrexate with Citrovorum Rescue.  Proc. ASCO, Vol. 12, p. 181, 1993

Publications by Others Confirming Djerassi’s Work on Treatment of Brain Tumors

1.  Rosen, G., Ghavimi, F., Vanucci, R. Deck, M.,Tan, C. Murphy, L:  Pontine Glioma. High-Dose Methotrexate and Leucovorin Rescue.  JAMA, Vol. 230,  No. 8, p. 1149-1152, 1974.

2.  Allen, Jeffrey, Walker, Russell and Rosen, Gerald:  Preradiation High-Dose Intravenous Methotrexate With Leucovorin Rescue for Untreated Primary Childhood Brain Tumors, J. of Clinical Oncology, Vol. 6, No. 4, p. 649-653, 1988.

3.  Boiardi A., Silvani, A., Croci, D., Perego, E., Solero C.L.:  Neoadjuvant Chemotherapy in the Treatment of Recurrent Glioblastomas (GBM).  Ital. J. Neurol. Sci. 13, p. 583-588, 1992.

4.  Schawabe, D., Gussetis, E., Jacobi, G., Gerein, V. Kornhuber, B:  Hochdosiertes Methotrexat in Kombination mit, 8 in 1 in der Therapie Kindlicher Grad III/IV Hirntumoren, Klin. Padiatr. #204, p. 72-77, 1992.

  1. Blay, J., Conroy, T. Chevreau, C.,  Thyss, A., Quesnel, N., Houchingue, E., Bouabdallah, R., etal.  High-Dose Methotrexate for the Treatment of  Primary Cerebral Lymphomas:  Asalysis of Survival and Late Neurologic Toxicity in a Retrospective Series.  J. of Clinical Oncology, Vol16, #3, p. 864-871, March, 1988.

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