Amrubicin as second-line and beyond treatment for platinum-refractory advanced thymic carcinoma

Fumihiko Hirai, Takashi Seto, Takeharu Yamanaka, Ryo Toyozawa, Eiko Inamasu, Miyako Kojo, Gouji Toyokawa, Yosuke Morodomi, Yoshimasa Shiraishi, Tomoyoshi Takenaka, Masafumi Yamaguchi, Mitsuhiro Takenoyama, Yukito Ichinose

研究成果: ジャーナルへの寄稿学術誌査読

13 被引用数 (Scopus)


Objective: Thymic carcinoma is a rare mediastinal neoplasm, and the prognosis of patients with advanced thymic carcinoma is poor. No standard chemotherapeutic regimen has yet been established for the disease. This is the first report to evaluate the role of amrubicin, a novel anthracycline anticancer drug, in second-line and beyond treatment for patients with platinumrefractory advanced thymic carcinoma. Methods: This study was a review of thymic carcinoma patients who had received amrubicin monotherapy between June 2003 and December 2011 for the progression of disease previously treated with platinum-based chemotherapy. Amrubicin was administered at 35 or 40 mg/m2 for three consecutive days every 3 weeks, until progression. Results: Nine patients with recurrent thymic carcinoma were registered. Their median age was 61 years (range 45-72), and the patients included five males and four females. All nine patients had Masaoka's Stage IVb disease. There were three squamous cell carcinomas, one adenocarcinoma, one small-cell carcinoma and two other histological types. The mean number of chemotherapy cycles was five (range 2-13). Grade 3 or higher toxicities included mainly neutropenia (55.5%), anemia (25.0%) and febrile neutropenia (11.1%). No treatment-related deaths were observed. The response rate was 44.4% (95% confidence interval: 19-73). The median progression- free survival after the amrubicin monotherapy was 4.9 months, while the median overall survival was 6.4 months. Conclusions: Single-agent amrubicin was found to be potentially useful as second-line and beyond chemotherapy for patients with advanced thymic carcinoma. Further multi-institutional prospective studies are warranted.

ジャーナルJapanese journal of clinical oncology
出版ステータス出版済み - 10月 2013

!!!All Science Journal Classification (ASJC) codes

  • 腫瘍学
  • 放射線学、核医学およびイメージング
  • 癌研究


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