High-Dose Carboplatin–Irinotecan–Temozolomide: Treatment Option for Neuroblastoma Resistant to Topotecan

Pediat Blood Cancer. 2011 Mar 11;56(3):403-408, BH Kushner, K Kramer, S Modak, N-KV Cheun

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Abstract

Abstract

Background: We report a retrospective study of a novel regimen for neuroblastoma (NB) resistant to standard induction or salvage chemotherapy which now routinely includes topotecan. Patients and Methods: Forty-five patients received carboplatin (500 mg/m2/day, 2×)–irinotecan (50 mg/m2/day, 5×)–temozolomide (250 mg/m2/day, 5×) (HD-CIT). Only one course was planned. Patients with thrombocytopenia indicative of poor bone marrow (BM) reserve resulting from extensive prior therapy received peripheral...

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