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. 2017 Oct 25;136(1):127–134. doi: 10.1007/s11060-017-2630-6

Table 1.

Strategies for progression of infant chiasmatic hypothalamic glioma

Duration of 1st line treatment n %
Length of primary treatment 12 months 7 15
18 months 38 81
60 weeks 1 2
Prolonged duration 1 2
Considering prolonged maintenance after firstline therapy Yes 17 36
No 30 64
Types of treatment considered 2nd line treatment at progression during carboplatin/vincristine Progression after end of carboplatin/vincristine 3rd line treatment if not responsive or early progression
n % n % n %
Surgery only 3 6
Surgery and continue/restart carboplatin/vincristine 4 9 3 6 3 6
Surgery and other chemotherapy 23 49 15 32 20 43
Different chemotherapy 17 36 9 19 3 6
Restart carboplatin/vincristine 13 27
Monotherapy targeted 4 9
Targeted and other chemo 1 2 2 4 14 30
Brachytherapy
External beam radiotherapy 2 4
Missing 1 2
Total 47 100 47 100 47 100
Drugs applied (multiple answers allowed)
Median
Range
2
1–6
2
1–8
2
1–7
Number of respondents
Missing
47 46
1
47
Actinomycin D 2 4 3 6 3 6
Bevacizumab 9 20 5 11 25 53
Carboplatin 4 9 10 22 2 4
CCNU 1 2 1 2 5 11
Cisplatin 16 34 10 22 3 6
Cyclophosphamide 12 26 9 20 2 4
Etoposide 10 21 8 17 2 4
Everolimus 3 6
Ifosfamide 1 2 1 2
Imatinib mesylate 1 2 4 9
Irinotecan 5 11 3 6 19 40
MEK inhibitor 1 2 1
Methotrexate 1 2
Nilotinib 5 11 5 11 3 6
Procarbazine 2 4 2 4 6 13
Temozolomide 2 4 4 9 2 4
Thioguanine 2 4 2 4 5 11
Vinblastine 29 62 25 54 16 34
Vincristine 11 23 16 35 9 19
Other drugs 2a 4 8b 19

aVinorelbine

bNavelbine, fluvastatine, dacarbazine, thalidomide, celecoxib, fenofibrate