Table 1.
Day
|
|||||
---|---|---|---|---|---|
Treatment | 1 | 2 | 3 | 4 | 5 |
Modified Grossman course 1a | |||||
Tamoxifenb | 100 mg/m2 | 20 mg/m2 | 20 mg/m2 | 20 mg/m2 | 20 mg/m2 |
BCNU 24-h continuous infusion | 40 mg/m2 | 40 mg/m2 | 40 mg/m2 | 40 mg/m2 | |
CDDP 24-h continous infusion | 40 mg/m2 | 40 mg/m2 | 40 mg/m2 | 40 mg/m2 | |
Courses 2 and 3: high-dose MTX | |||||
MTX 3-h continuous infusion | 12 g/m2 | ||||
Folinate rescue each 6 h | 15 mg/m2/6 h | 15 mg/m2/6 h | 15 mg/m2/6 h | ||
Chemotherapy during and after RT | |||||
Hydroxyurea | 20 mg/kg/day until progression | ||||
Tamoxifenb | 20 mg/kg/day until during RT |
Abbreviations: BCNU, bis(2-chloroethyl)-1-nitrosourea; CDDP, cisplatin; MTX, methotrexate; RT, radiotherapy.
Modified Grossmann refers to treatment of continuous infusion of BCNU and cisplatin based on Grossman et al., 36 as modified here (see “Materials and Methods”).
Tamoxifen was omitted in the latest patients.