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Table 2 Results of chemotherapy for brain metastases (some trials also included patients with previous radiotherapy)

From: Integration of chemotherapy into current treatment strategies for brain metastases from solid tumors

Reference

n (patients)

Regimen

OR rate

Median TTP

Median OS

Bafaloukos et al. 2004 [12]

25 melanoma

Temozolomide alone or plus cisplatin or docetaxel

24%

2.0

4.7

Hwu et al. 2005 [13]

26 melanoma

Temozolomide plus thalidomide

12%

Not given

5.0

Agarwala et al. 2004 [14]

151 melanoma

Temozolomide alone

7%

1.1 (PFS)

3.2

Christodoulou et al. 2001 [15]

28 various

Temozolomide alone

4%

3.0

4.5

Abrey et al. 2001 [16]

41 various

Temozolomide alone

6%

2.0

6.6

Caraglia et al. 2006 [17]

19 various

Temozolomide plus pegylated liposomal doxorubicin

37%

5.5 (PFS)

10.0

Christodoulou et al. 2005 [18]

32 various

Temozolomide plus cisplatin

31%

2.9

5.5

Oberhoff et al. 2001 [19]

24 breast ca

Topotecan

25%

4.1 (response duration)

6.3

Korfel et al. 2002 [20]

30 SCLC

Topotecan

33%

3.1

3.6

Bernardo et al. 2002 [21]

22 NSCLC

Vinorelbine plus gemcitabine and carboplatin

45%

5.7 (response duration)

7.6

Cortes et al. 2003 [10]

26 NSCLC

Paclitaxel/cisplatin plus either vinorelbine or gemcitabine

38%

2.9

4.9*

Franciosi et al. 1999 [22]

116 various

Cisplatin plus etoposide

38%1

30%2

0%3

3.9

3.9

2.5

7.1

7.3

3.9

Jacquillat et al. 1990 [23]

36 melanoma

Fotemustine

25%

Not given

Not given

Boogerd et al. 1992 [24]

22 breast ca

Cyclophosphamide, 5-fluoro-uracil and methotrexate or doxorubicin

55%

Not given

5.7

Kaba et al. 1997 [25]

97 various

Thioguanine, procarbazine, dibromodulcitol, CCNU, fluorouracil and hydroxyurea

28%

2.8

5.7

  1. OR: objective response; OS: overall survival in months; TTP: time to progression in months; PFS: progression-free survival in months; SCLC: small cell lung cancer
  2. 1 Breast cancer
  3. 2 Non-small cell lung cancer (NSCLC)
  4. 3 Melanoma
  5. * 15/26 patients had received whole-brain radiotherapy with 30 Gy, 5 additional radiosurgery after chemotherapy