Table 1.
Drugs | # Pts | CR (%) | PR (%) | Limb salvage (%) | Year | Author |
---|---|---|---|---|---|---|
TNF + Melphalan* | 8 | 100a | 0 | 64 | 1993 | Hill et al. [24] |
TNF + IFN + Melphalan | 55 | 18a | 64a | 84 | 1996 | Eggermont et al. [20] |
36b | 51b | |||||
TNF + Melphalan | 10 | 70a | 20a | 89 | 1996 | Santinami et al. [25] |
TNF ± IFN + Melphalan | 186 | 18a | 57a | 82 | 1996 | Eggermont et al. [26] |
29b | 53b | |||||
TNF ± IFN + Melphalan | 35 | 37b | 54b | 85 | 1997 | Gutman et al. [27] |
TNF ± IFN + Melphalan | 246 | 28c | 48c | 76 | 1999 | Eggermont et al. [28] |
196 | 17c | 48c | 71d | |||
TNF + Doxorubicin | 20 | 26e | 64e | 85 | 1999 | Rossi et al. [29] |
TNF ± IFN + Melphalan | 22 | 18b | 64b | 77 | 2000 | Lejeune et al. [30] |
TNF ± IFN + Melphalan | 55 | NS | NS | 84 | 2001 | Hohenberger et al. [31] |
TNF ± IFN + Melphalan | 49 | 8b | 55b | 58 | 2003 | Noordap et al. [32] |
TNF ± IFN + Melphalanh | 48 | 38b | 31b | 85 | 2005 | Grünhagen et al. [33] |
TNF + Melphalang,h | 72 | 49 | 17 | 84 | 2005 | Bonvalot et al. [34] |
35e | 22e | |||||
TNF + Doxorubicinh | 21 | 5a | 57a | 71 | 2005 | Rossi et al. [35] |
55e | 35e | |||||
TNF ± IFN + Melphalan | 217 | 18a | 51a | 75 | 2006 | Grünhagen et al. [36] |
26b | 149b | |||||
TNF + Doxorubicin/Melphalanh | 51 | 41a | 55a | 82 | 2007 | Pennacchioli et al. [37] |
TNF ± IFN + Melphalan | 73 | 25a | 69a | 616 | 2007 | van Ginkel et al. [38] |
TNF + Melphalan | 100 | 30 | 48 | 88 | 2007 | Bedard et al. [39] |
TNF + Melphalan | 16 | 20 | 33 | 75 | 2007 | Hayes [40] |
#Pts—number of patients, CR—Complete response; PR—Partial response; Ref#—reference number, TNF—Tumour Necrosis Factor, IFN—Interferon gamma. *—low dose (<4 mg for leg-ILP, <3 mg for arm-LIP), NS—not stated
aObjective Clinical Response Rate By WHO criteria
bCR: clinical CR or 100% necrosis; PR: clinical PR or >50%–99% necrosis
cCR only recognized by EMEA (European Medicine Evaluation Agency) when histopathology showed 100% necrosis
dIndependent committee recognized 196 patients as pure amputation candidates
eNo clinical response data; CR: >90% necrosis; PR: radiological and/or histopathological >50% necrosis.
fOverall 10 years’ imb salvage rate
gDifferent scoring system: upper panel: CR/PR: loss of vasculature on Ultrasound/MRI; lower panel CR: >90% necrosis on histopathology
hlow dose (<4 mg for leg-ILP, <3 mg for arm-ILP)