Efficacy of monoterpene perillyl alcohol upon survival rate of patients with recurrent glioblastoma

Purpose The monoterpene perillyl alcohol (POH) a Ras inhibitor with potential capacity to arrest gliomagenesis is being used in a phase I/II clinical trial in adults with recurrent malignant glioma. The present study aimed to investigate the efficacy of intranasal administration of monoterpene POH u...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2011-02, Vol.137 (2), p.287-293
Hauptverfasser: da Fonseca, Clovis O, Simão, Marcela, Lins, Igor R, Caetano, Regina O, Futuro, Débora, Quirico-Santos, Thereza
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container_end_page 293
container_issue 2
container_start_page 287
container_title Journal of cancer research and clinical oncology
container_volume 137
creator da Fonseca, Clovis O
Simão, Marcela
Lins, Igor R
Caetano, Regina O
Futuro, Débora
Quirico-Santos, Thereza
description Purpose The monoterpene perillyl alcohol (POH) a Ras inhibitor with potential capacity to arrest gliomagenesis is being used in a phase I/II clinical trial in adults with recurrent malignant glioma. The present study aimed to investigate the efficacy of intranasal administration of monoterpene POH upon survival rate of patients with recurrent glioblastoma (GBM) in comparison with historical control group of GBM patients. Patients and methods It was included 89 adults with recurrent GBM receiving daily intranasal administration of 440 mg POH and 52 matched GBM patients as historical control untreated group only with supportive treatment. Results Patients with recurrent primary GBM treated with POH survived significantly longer (log rank test, P < 0.0001) than untreated group. Patients with recurrent primary GBM in deep location survived significantly longer than with lobar location (log rank test, P < 0.0001). Median survival rate of secondary GBM was 11.2 months, longer (log rank test, P = 0.0366) than primary GBM (5.9 months). Radiographic improvement and reduction of corticosteroid dosage (36%) further associated with a delay towards progression. Conclusion Intranasal administration of POH increased the overall survival of patients with recurrent GBM in comparison with historical untreated controls, but especially patients with secondary GBM and primary GBM with tumor localized in deep regions of the brain. The side effects of POH treatment were almost nonexistent, even in patients treated for over 4 years.
doi_str_mv 10.1007/s00432-010-0873-0
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The present study aimed to investigate the efficacy of intranasal administration of monoterpene POH upon survival rate of patients with recurrent glioblastoma (GBM) in comparison with historical control group of GBM patients. Patients and methods It was included 89 adults with recurrent GBM receiving daily intranasal administration of 440 mg POH and 52 matched GBM patients as historical control untreated group only with supportive treatment. Results Patients with recurrent primary GBM treated with POH survived significantly longer (log rank test, P &lt; 0.0001) than untreated group. Patients with recurrent primary GBM in deep location survived significantly longer than with lobar location (log rank test, P &lt; 0.0001). Median survival rate of secondary GBM was 11.2 months, longer (log rank test, P = 0.0366) than primary GBM (5.9 months). Radiographic improvement and reduction of corticosteroid dosage (36%) further associated with a delay towards progression. Conclusion Intranasal administration of POH increased the overall survival of patients with recurrent GBM in comparison with historical untreated controls, but especially patients with secondary GBM and primary GBM with tumor localized in deep regions of the brain. The side effects of POH treatment were almost nonexistent, even in patients treated for over 4 years.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-010-0873-0</identifier><identifier>PMID: 20401670</identifier><identifier>CODEN: JCROD7</identifier><language>eng</language><publisher>Berlin/Heidelberg: Berlin/Heidelberg : Springer-Verlag</publisher><subject>Administration, Intranasal ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic agents ; Antineoplastic Agents - administration &amp; dosage ; Antineoplastic Agents - therapeutic use ; Biological and medical sciences ; Brain cancer ; Brain Neoplasms - drug therapy ; Brain Neoplasms - mortality ; Brain Neoplasms - pathology ; Cancer Research ; Cellular biology ; Clinical outcomes ; Drug Administration Schedule ; Drug delivery systems ; Female ; Glioblastoma ; Glioblastoma - drug therapy ; Glioblastoma - mortality ; Glioblastoma - pathology ; Hematology ; Humans ; Internal Medicine ; intranasal administration ; Kaplan-Meier Estimate ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Monoterpenes - administration &amp; dosage ; Monoterpenes - therapeutic use ; Neoplasm Recurrence, Local - drug therapy ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Neurology ; Oncology ; Original Paper ; Patient Selection ; Perillyl alcohol ; Pharmacology. Drug treatments ; Phytochemicals ; Survival analysis ; Terpene ; Tumor topography ; Tumors of the nervous system. 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The present study aimed to investigate the efficacy of intranasal administration of monoterpene POH upon survival rate of patients with recurrent glioblastoma (GBM) in comparison with historical control group of GBM patients. Patients and methods It was included 89 adults with recurrent GBM receiving daily intranasal administration of 440 mg POH and 52 matched GBM patients as historical control untreated group only with supportive treatment. Results Patients with recurrent primary GBM treated with POH survived significantly longer (log rank test, P &lt; 0.0001) than untreated group. Patients with recurrent primary GBM in deep location survived significantly longer than with lobar location (log rank test, P &lt; 0.0001). Median survival rate of secondary GBM was 11.2 months, longer (log rank test, P = 0.0366) than primary GBM (5.9 months). Radiographic improvement and reduction of corticosteroid dosage (36%) further associated with a delay towards progression. Conclusion Intranasal administration of POH increased the overall survival of patients with recurrent GBM in comparison with historical untreated controls, but especially patients with secondary GBM and primary GBM with tumor localized in deep regions of the brain. The side effects of POH treatment were almost nonexistent, even in patients treated for over 4 years.</description><subject>Administration, Intranasal</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Agents - administration &amp; dosage</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Brain cancer</subject><subject>Brain Neoplasms - drug therapy</subject><subject>Brain Neoplasms - mortality</subject><subject>Brain Neoplasms - pathology</subject><subject>Cancer Research</subject><subject>Cellular biology</subject><subject>Clinical outcomes</subject><subject>Drug Administration Schedule</subject><subject>Drug delivery systems</subject><subject>Female</subject><subject>Glioblastoma</subject><subject>Glioblastoma - drug therapy</subject><subject>Glioblastoma - mortality</subject><subject>Glioblastoma - pathology</subject><subject>Hematology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>intranasal administration</subject><subject>Kaplan-Meier Estimate</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Monoterpenes - administration &amp; dosage</subject><subject>Monoterpenes - therapeutic use</subject><subject>Neoplasm Recurrence, Local - drug therapy</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neurology</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Patient Selection</subject><subject>Perillyl alcohol</subject><subject>Pharmacology. Drug treatments</subject><subject>Phytochemicals</subject><subject>Survival analysis</subject><subject>Terpene</subject><subject>Tumor topography</subject><subject>Tumors of the nervous system. 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Drug treatments</topic><topic>Phytochemicals</topic><topic>Survival analysis</topic><topic>Terpene</topic><topic>Tumor topography</topic><topic>Tumors of the nervous system. 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The present study aimed to investigate the efficacy of intranasal administration of monoterpene POH upon survival rate of patients with recurrent glioblastoma (GBM) in comparison with historical control group of GBM patients. Patients and methods It was included 89 adults with recurrent GBM receiving daily intranasal administration of 440 mg POH and 52 matched GBM patients as historical control untreated group only with supportive treatment. Results Patients with recurrent primary GBM treated with POH survived significantly longer (log rank test, P &lt; 0.0001) than untreated group. Patients with recurrent primary GBM in deep location survived significantly longer than with lobar location (log rank test, P &lt; 0.0001). Median survival rate of secondary GBM was 11.2 months, longer (log rank test, P = 0.0366) than primary GBM (5.9 months). Radiographic improvement and reduction of corticosteroid dosage (36%) further associated with a delay towards progression. Conclusion Intranasal administration of POH increased the overall survival of patients with recurrent GBM in comparison with historical untreated controls, but especially patients with secondary GBM and primary GBM with tumor localized in deep regions of the brain. The side effects of POH treatment were almost nonexistent, even in patients treated for over 4 years.</abstract><cop>Berlin/Heidelberg</cop><pub>Berlin/Heidelberg : Springer-Verlag</pub><pmid>20401670</pmid><doi>10.1007/s00432-010-0873-0</doi><tpages>7</tpages></addata></record>
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subjects Administration, Intranasal
Adult
Aged
Aged, 80 and over
Antineoplastic agents
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - therapeutic use
Biological and medical sciences
Brain cancer
Brain Neoplasms - drug therapy
Brain Neoplasms - mortality
Brain Neoplasms - pathology
Cancer Research
Cellular biology
Clinical outcomes
Drug Administration Schedule
Drug delivery systems
Female
Glioblastoma
Glioblastoma - drug therapy
Glioblastoma - mortality
Glioblastoma - pathology
Hematology
Humans
Internal Medicine
intranasal administration
Kaplan-Meier Estimate
Magnetic Resonance Imaging
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Monoterpenes - administration & dosage
Monoterpenes - therapeutic use
Neoplasm Recurrence, Local - drug therapy
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Neurology
Oncology
Original Paper
Patient Selection
Perillyl alcohol
Pharmacology. Drug treatments
Phytochemicals
Survival analysis
Terpene
Tumor topography
Tumors of the nervous system. Phacomatoses
title Efficacy of monoterpene perillyl alcohol upon survival rate of patients with recurrent glioblastoma
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