Hepatotoxicity of chemotherapy following nephrectomy and radiation therapy for right-sided Wilms tumor

Jayabose, Somasundaram; Shende, Ankita Shashikant; Lanzkowsky, Philip

doi:10.1016/s0022-3476(76)81144-4

Cited by 11 publications

(1 citation statement)

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“…15 The patients included in this NWTS-4 report were exposed to one or more additional agents with potential hepatotoxicity, including vincristine, halothane, and enflurane. Hepatotoxicity, as determined by serial SGOT No. 2 DACTINOMYCIN HEPATIC TOXICITY -Green et al 21 3 determinations, was reported in 5.5% (one of 18) of adult patients with leukemia or lymphoma16 treated with vincristine as a single agent.…”

Section: Discussionmentioning

confidence: 99%

Severe hepatic toxicity after treatment with single-dose dactinomycin and vincristine. A report of the national wilms' tumor study

Green

Finklestein

Norkool

et al. 1988

Cancer

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Dactinomycin is an antitumor antibiotic with known activity against many pediatric solid tumors. Administration of dactinomycin using a single-dose schedule was incorporated into the design of the National Wilms' Tumor Study 4 (NWTS-4). This was done to determine whether laboratory and preliminary clinical data, suggesting that such a schedule was associated with increased antitumor effect and/or decreased normal tissue toxicity, could be validated in a large clinical trial. Five patients treated with regimens EE-4 or K-4, regimens that included single-dose dactinomycin and no abdominal irradiation, experienced severe hepatic toxicity. The clinical courses of these patients suggested that multiple factors, including the administration of other hepatotoxic agents, contributed to the toxicity observed. The study has been modified by decreasing the dose of dactinomycin from 60 micrograms/kg to 45 micrograms/kg. Further evaluation of other potential contributing factors, such as the use of halogenated hydrocarbon inhalational anesthetic agents, is needed.

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Section: Discussionmentioning

confidence: 99%