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Medulloblastoma in childhood: revisiting intrathecal therapy in infants and children
Cancer Chemotherapy and Pharmacology, 10/29/09
Conroy S et al. – The pre–determined criteria were not applicable, in their entirety, in the majority of drugs, due to lack of information in the academic domain, emphasising the importance of a more open approach for sharing basic drug information. The prioritised list of 12 candidate drugs for clinical trial and 15 for pre–clinical investigation justify that a concerted research effort in this area of practice is made.
David Walker, 10/29/09
| This work was stimulated by the observation of the considerable brain and skeletal injury,currently suffered by young children treated by cranio spinal radiotherapy for medulloblastoma. The efficacy of systemic chemotherapy is limited by systemic toxicity and drug access to the central nervous system. Intrathecal chemotherapy has been used successfully in medulloblastoma and in ALL producing the excellent control of CNS disease. We decided to review established chemotherapy agents for efficacy against medulloblastoma and suitability for intrathecal administration. The systematic literature review identified a major gap in the availability of information about pharmacological characteristics of established drugs whilst also testing criteria for drug selection and then applying these where possible, and where not, using whatever information that was avaialble to select and rank drugs for future testing in this clinical condition. This review will stimulate debate regarding drug selection and promote a renewed interest in the use of this route of drug administration. It would be a remarkable response if Pharma and Academia agreed to share basic pharmacological information about their new and old cancer drugs in a systematic and open fashion. |
Today in Neurologic Oncology...keeping you current
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Today in Pediatric Heme/Oncology...keeping you current
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Comparison of neurocognitive functioning in children previously randomly assigned to intrathecal methotrexate compared with triple intrathecal therapy for the treatment of childhood acute lymphoblastic leukemia
Journal of Clinical Oncology, 11/09/09
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Today in Pharmacology/Therapy...keeping you current
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Activity of fulvestrant in HER2-overexpressing advanced breast cancer
Annals of Oncology, 11/06/09
Randomized phase II study of gemcitabine administered at a fixed dose rate or in combination with cisplatin, docetaxel, or irinotecan in patients with metastatic pancreatic cancer
Journal of Clinical Oncology, 11/02/09
Comparison of neurocognitive functioning in children previously randomly assigned to intrathecal methotrexate compared with triple intrathecal therapy for the treatment of childhood acute lymphoblastic leukemia
Journal of Clinical Oncology, 11/09/09
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