Abstract
For the neurooncologic clinician, brain tumors, be they primary or secondary, are a frustrating challenge. Successful therapy often is not achieved with surgery or radiation therapy. One is therefore faced with the choice of chemotherapy, itself currently a less than adequate answer. Also, for the neuroclinician, such a choice is at once intimidating. It is the purpose, then, of this chapter to put brain tumor chemotherapy into clinical perspective, beginning first with the basic principles of anticancer drug therapy, continuing through an organized schema of the currently available chemotherapeutic agents as applicable to neurooncology and applying these to the specific features of brain tumors. The focus is to work through various research angles to distill the clinically relevant perspectives of this vast subject.
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References
Abramowicz H (1985) Cancer chemotherapy. Med Lett Drugs Ther 27: 13 – 20
Abelson HT, Kufe DW, Skarin AT, et al.(1981) Treatment of central nervous system tumors with methotrexate. Cancer Treat Rep 65: 137 – 140
Alavi JB, Weiler CB, Bruno LA (1984) Phase II evaluation of vindesine in the treatment of malignant glioma. Cancer Treat Rep 68: 807 – 808
Allen JC, Helson L (1981) High-dose cyclophosphamide chemotherapy for recurrent CNS tumors in children. J Neurosurg 55: 749 – 756
Allen JC, Helson L, Jereb B (1983) Preradiation chemotherapy for newly diagnosed childhood brain tumors: a modified phase II trial. Cancer 52: 2001 – 2006
Allen JC, Bosl G, Walker R (1984) Chemotherapy trials in recurrent CNS germ cell tumors. Proc Am Soc Clin Oncol 3: 325
Allen JC (1985) Childhood brain tumors. Current status of clinical trials in newly diagnosed and recurrent disease. Pediatr Clin North Am 32: 633 – 651
Amadori S, Papa G, Avisati G, et a. (1984) Sequential combination of systemic high-dose ara-C and asparaginase for the treatment of central nervous system leukemia and. lymphoma. J Clin Oncol 2: 98 – 101
Andersen J, Christensen L, Kongsholm H (1984) Phase II trial of prednimustine in glioblastoma multiforme. Cancer Treat Rep 68: 795 – 797
Ariel IM (1961) Intra-arterial chemotherapy for metastatic cancer to the brain. Am J Surg 102: 647 – 650
Avellanosa A, West C, Barua N, Patel A (1984) Intracavitary combination chemotherapy of recurrent malignant glioma via Ommaya shunt—A pilot study. Proc Am Soc Clin Oncol 2: 234
a. Barnett MJ, Ganesan TS, Waxman JH, et al. (1985) Central nervous system toxicity of high-dose cytosine arabinoside. Sem Oncol 12 [suppl] 3: 227 – 232
Bauer KA, Skarin AT, Balikian JP, et a. (1983) Pulmonary complications associated with combination chemotherapy programs containing bleomycin. Am J Med 74: 557–563
Becker LE. Hinton D (1983) Primitive neuroectodermal tumors of the central nervous system. Human Pathol 14: 538 – 550
Benger A, Browman GP, Walker IR, Preisler HD, Goldberg J (1985) Clinical evidence of a cumulative effect of high-dose cytarabine on the cerebellum in patients with acute leukemia: a leukemia intergroup report. Cancer Treat Rep 69: 240 – 241
Berd D, Maguire HC, Mastrangelo MJ (1984) Potentiation of human cell-mediated and humoral immunity by low-dose cyclophosphamide. Cancer Res 44: 5439 – 5443
Berman IJ, Mann MP (1980) Seizures and transient cortical blindness associated with cisplatinum (II) diamminedichloride ( PDD) therapy in a thirty year old man. Cancer 45: 764–766
Berry MP, Simpson WJ (1981) Radiation therapy in the management of primary malignant lymphoma of the brain. Int J Radiat Oncol Biol Phys 7: 55 – 59
Bigotte L, Arvidson B, Olsson Y (1982) Cytofluorescence localization of adriamycin in the nervous system. I. Distribution of the drug in the central nervous system of normal adult mice after intravenous injection. Acta Neuropathol (Berl) 57: 121–129
Bigotte L, Arvidson B, Olsson Y (1982) Cytofluorescence localization of adriamycin in the nervous system. II. Distribution of the drug in the somatic and autonomic peripheral nervous systems of normal adult mice after intravenous_ injection. Acta Neuropathol (Berl) 57: 130–136
Blacklock JB, Wright DC, Dedrick TL, et a. (1985) Drug streaming during intraarterial chemotherapy. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Blasberg RG, Nakagawa H, Patlak CS, Groothuis DR (1985) Dexamethasone reduces tumor and brain extracellular space: Effects on edema propagation. J Neuro-Oncol, 2: 227
Bleyer WA, Griffin TW (1980) White matter necrosis, mineralizing microangiopathy, and intellectual abilities in survivors of childhood leukemia. In: Gilbert HA, Kagan AR (eds) Radiation damage to the nervous system. A delayed therapeutic hazard. Raven Press, New York, pp 155 – 174
Bleyer WA, Milstein J, Balis F, et a. (1983) “8 drugs in 1 day” chemotherapy for brain tumors: a new approach and rationale for preradiation chemotherapy. Med Pediatr Oncol 11: 213
Bosl GJ, Yagoda A, Golbey RB, Whitmore W, et a. (1985) Role of etoposide-based chemotherapy in the treatment of patients with refractory or relapsing germ cell tumors. Am J Med 78: 423 – 428
Bourdon MA, Coleman RE, Bigner DD (1984) The potential of monoclonal antibodies as carriers of radiation and drugs for immunodetection and therapy of brain tumors. Prog Exp Tumor Res 28: 79 – 101
Bradbury M (1979) The concept of a blood-brain barrier. J Wiley, New York
Broman T, Olsson O (1948) The tolerance of cerebral blood-vessels to a contrast medium of the diodrast group. Acta Radiol 30: 326 – 342
Broman T, Olsson O (1949) Experimental study of contrast media for cerebral angiography with reference to possible injurious effects on the cerebral blood vessels. Acta Radiol 31: 321 – 334
Brugarolas A, Garcia, de Sola R, Bravo G et a. (1980) Intra-arterial quelamycin in the treatment of glioblastoma. Proc Am Assoc Cancer Res 21: 346
Buckley JE, Clark VL, Meyer TJ, Pearlman NW (1984) Hypomagnesemia after cisplatin combination chemotherapy. Arch Intern Med 144: 2347 – 2348
Budka H (1982) Pathology of encephalopathies induced by treatment or prophylaxis of neoplastic lesions of the nervous system. In: Hildebrand J, Gangji D (eds) Treatment of neoplastic lesions of the nervous system. Pergamon Press, New York, pp 45 – 50
Burger PC, Kamenar E, Schold SC, et a. (1981) Encephalomyelopathy following high-dose BCNU therapy. Cancer 48: 1318 – 1327
Burger PC, Vogel FS, Green SB, Strike TA (1985) Glioblastoma multiforme and anaplastic astrocytoma: Pathologic criteria and prognostic implications. Cancer 56: 1106–1111
Butti G, Knerich R, Tanghetti B, et a. (1984) Perioperative carmustine chemotherapy for malignant brain tumors. Cancer Treat Rep 68: 1505 – 1506
Calabresi P, Parks RE (1985) Chemotherapy of neoplastic diseases. In: Gilman AG, Goodman LS, Gilman A (eds) The pharmacological basis of therapeutics. Macmillan, New York, pp 1240 – 1306
Cangir A, Ragab AH, Steuber P, et al. (1984) Combination chemotherapy with vincristine (NSC-67574), procarbazine (NSC-77213), prednisone (NSC-1 0023) with or without nitrogen mustard (NSC-762) ( MOPP vs OPP) in children with recurrent brain tumors. Med Ped Oncol 12: 1–3
Capizzi RL, Nichols R, Mullins J (1972) Long-term survival of leukemic mice by therapeutic synergism between asparaginase and methotrexate. Fed Proc 31: 553
Carey RW, Davis JM, Zervas NT (1981) Tamoxifen-induced regression of cerebral metastases in breast carcinoma. Cancer Treat Rep 65: 793 – 795
Carmichael SM, Eagleton L, Ayers CR, et al. (1970) Orthostatic hypotension during vincristine therapy. Arch Intern Med 126: 290 – 293
Casanova MF (1984) Vasogenic edema with intraparenchymatous expanding mass lesions: A theory on its pathophysiology and mode of action of hyperventilation and corticosteroids. Med Hypotheses 13: 439 – 450
Chang CH, Horton J, Schoenfeld D, et al. (1983) Comparison of postoperative radiotherapy and combined postoperative radiotherapy and chemotherapy in the multidisciplinary management of malignant gliomas. Cancer 52: 2297 – 1007
Clark AW, Cohen SR, Nissenblatt MJ, Wilson SK (1982) Paraplegia following intrathecal chemotherapy: neuropathologic findings and elevation of myelin basic protein. Cancer 50: 42 – 47
Coscarelli C, Heinrich RL, Ganz PA (1984) Karnofsky performance status revisited: Reliability, validity and guidelines. J Clin Oncol 2: 187–193
Crafts DC, Levin VA, Edwards MS, Pischer TL, Wilson CB (1978) Chemotherapy of recurrent medulloblastoma with combined procarbazine, CCNU, and vincristine. J Neurosurg 49: 589–592
Dakhil S, Ensminger W, Strother V, et al. (1981) Pharmacokinetics of intraventricular 5-fluoro-2-deoxiuridine ( FUDR) in patients with meningeal neoplasia. Proc Am Assoc Cancer Res 22: 178
Davis PL, Shumway MH (1961) Thio-tepa in treatment of metastatic cerebral malignancy. JAMA 175: 714 – 175
Dedrick RL, Oldfield EH, Collins JM (1984) Arterial drug infusion with extracorporeal removal. I. Theoretic basis with particular reference to the brain. Cancer Treat Rep 68: 373–380
Delaney WE, Antoniades J (1985) Combination radiation/cisplatinum for adult malignant gliomas. Proc Am Soc Clin Oncol 4: 522
De Vita VT (1985) Principles of chemotherapy. In: DeVita ST, Hellman S, Rosenberg SA (eds) Cancer: principles and practice of oncology. JB Lippincott, Philadelphia, pp 257 – 285
De Vita VT (1983) The relationship between tumor mass and resistance to chemotherapy. Cancer 1: 1209 – 1220
Dick SJ, Macchi B, Papazoglou S, et al. (1983) Lymphoid cell glioma cell interaction enhances cell coat production by human gliomas: Novel suppressor mechanism. Science 220: 739–742
Djerassi I, Kim JS, Reggev A (1985) Response of astrocytoma to high-dose methotrexate with citrovorum factor rescue. Cancer 55: 2741 – 2747
Doll DC, Weiss RB, Issell BF (1985) Mitomycin: Ten years after approval for marketing. J Clin Oncol 3: 276–286
Duffy PE (1983) Astrocytes: normal, reactive, and neoplastic. Raven Press, New York
Dworkin LA, Goldman RD, Zivin LS, Fuchs PC (1985) Cerebellar toxicity following high-dose cytosine arabinoside. J Clin Oncol 3: 613 – 616
Eagen RT, Scott MS (1983) Evaluation of prognostic factors in chemotherapy of recurrent brain tumors. J Clin Oncol 1: 38 – 44
Eagen RT, Dinapoli RP, Hermann RC, Groover RV, Layton DD (1984) Carmustine and Baker’s antifol combination chemotherapy for primary brain tumors progressive after irradiation and chemotherapy. Cancer Treat Rep 68: 431
Edwards MS, Levin VA, Seager ML, Pischer TL, Wilson CB (1979) Phase II evaluation of thioTEPA for treatment of central nervous system tumors. Cancer Treat Rep 63: 1419 – 1421
Edwards MS, Levin VA, Wilson CB (1980) Brain tumor chemotherapy: An evaluation of agents in current use for phase II and III trials. Cancer Treat Rep 64: 1179–1205
Edwards MS, Levin VA, Seager ML, Wilson CB (1981) Intrathecal chemotherapy for leptomeningeal dissemination of medulloblastoma. Child’s Brain 8: 444 – 451
Einhorn LH (1980) Chemotherapy of metastatic seminoma. In: Einhorn H (ed) Testicular tumors: management and treatment. Masson, New York, pp 151 – 167
Epenetos AA, Courtenay-Luck N, Pickering D, et al. (1985) Antibody guided irradiation of brain glioma by arterial infusion of radioactive monoclonal antibody against epidermal growth factor receptor and blood group A antigen. Br Med J 290: 1463 – 1466
Ervin T, Canellos GP (1980) Successful treatment of recurrent primary central nervous system lymphoma with high-dose methotrexate. Cancer 45: 1556 – 1557
Fenstermacher J, Gazendam J (1981) Intra-arterial infusions of drugs and hyperosmotic solutions as ways of enhancing CNS chemotherapy. Cancer Treat Rep 65: 27 – 37
Fenstermacher JD (1985) Current models of blood-brain transfer. Trends in Neurosciences 8: 449 – 453
Fernandes DJ, Bertino JR (1980) 5-fluorouracil-methotrexate synergy: Enhancement of 5-fluorodeoxyuridylate binding to thymidylate synthase by dihydropteroyl poly-glutamates. Proc Natl Acad Sci 77: 5664 – 5667
Feun LG, Wallace S, Lee F, et al. (1983) Phase I trial of intracarotid VP-16–213 ( Etoposide) in patients with intracerebral tumors. Proc Am Soc Clin Oncol 2: 238
Feun LG, Wallace S, Yung WKA, et al. (1984) Phase I-II trial of intracarotid (IC) BCNU and cisplatin in patients with intracerebral tumors ( ICT ). Proc Am Soc Clin Oncol 3: 999
Feun LG, Lee YY, Yung WKA (1985) Phase II trial of intracarotid (IC) BCNU and cisplatin ( DDP) in malignant brain tumors. Proc Am Soc Clin Oncol 4: 585
Fingert HJ, Hochberg FH (1984) Megadose chemotherapy with bone marrow rescue. Prog Exp Tumor Res 28: 67 – 78
Finlay JL, Knipple J, Turski P, et al. (1985) Pharmacokinetic studies of thio-tepa in dogs following delivery by various routes. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Firth G, Oliver AS, McKeran RO (1984) Studies on the intracerebral injection of bleomycin free and entrapped within liposomes in the rat. J Neurol Neurosurg Psychiat 47: 585 – 589
Firth G, Oliver AS, McKeran RO (1984) Studies on the use of antimitotic drugs entrapped within liposomes and of their action on a human glioma cell line. J Neurol Sci 63: 153 – 165
Flombaum CD (1984) Hypomagnesemia associated with cisplatin combination chemotherapy. Arch Intern Med 144: 2336 – 2337
Flora KP, Cradock JC, Kelley JA (1982) The hydrolysis of spirohydantoin mustard. J Pharm Sci 71: 1206 – 1211
Folkman J (1984) What is the role of endothelial cells in angiogenesis? Lab Invest 51: 601 – 604
Folkman J (1985) Tumor angiogenesis. Adv Cancer Res 43: 175 – 203
Foo S-H, Ransohoff J, Berenstein A, Choy I-S (1985) Intra-arterial BCNU chemotherapy for malignant gliomas. J Neurosurg 62: 458 – 459
Friedman MA (1981) Phase I and II studies of PCNU. In: Prestayko AW, et al. (eds) Nitrosoureas: current status and new development. Academic Press, New York, pp 379 – 386
Frytak S, Earnest F, O’Neill BP, Lee RE (1985) Nuclear magnetic resonance scanning (NMRS) for neurotoxicity (NT) in long term survivors of carcinoma ( CA ). Proc Am Soc Clin Oncol 4: 515
Fulling KH, Garcia DM (1985) Anaplastic astrocytoma of the adult cerebrum. Cancer 55: 928 – 931
Gagliano RG, Costanzi JJ (1976) Paraplegia following intrathecal methotrexate. Cancer 37: 1663 – 1668
Galivan J, Nimec Z (1984) Effects of folic acid on hepatoma cells containing methotrexate polyglutamates. Cancer Res 43: 551 – 555
a. Gamache FW, Galicich JH, Posner JB (1980) Treatment of brain metastasis by surgical extirpation. In: Weiss L, Gilbert HA, Posner JB (eds) Brain metastasis. G. K. Hall, Massachusetts, pp 390 – 414
Garbino CE, Gordon-Firing S (1984) Adjuvant chemotherapy with VM26 in glioblastoma multiforme. Proc Am Soc Clin Oncol 3: C997
Giangaspero F, Burger PC (1983) Correlations between cytologic composition and biologic behavior in the glioblastoma multiforme. Cancer 52: 2320 – 2333
Goldman ID, Fyfe M (1974) The mechanism of action of methotrexate: II. Augmentation by vincristine of inhibition of deoxyribonucleic acid synthesis by methotrexate in Ehrlich ascites tumor cells. Mol Pharmacol 10: 275–282
Green SB, Byar DP, Walker MD, et al. (1983) Comparisons of carmustine, procarbazine, and high-dose methylprednisolone as additions to surgery and radiotherapy for the treatment of malignant glioma. Cancer Treat Rep 67: 121 – 132
Green SB, Byar DP, Strike TA, et al. (1984) Randomized comparisons of BCNU, streptozotocin, radio-sensitizer, and fractionation of radiotherapy in the postoperative treatment of malignant glioma (Study 7702), Proc Am Soc Clin Oncol 3: C 1018
Green SB, Byar DB, Strike TA, et al. (1985) Randomized phase II comparison of PCNU and AZQ for the treatment of primary brain tumors (Study 8120). Proc Am Soc Clin Oncol 4: C 558
Greenberg HS, Ensminger W, Chandler WF, et al. (1984) Intra-arterial BCNU chemotherapy for treatment of malignant gliomas of the central nervous system. J Neurosurg 61: 423 – 429
Greenberg HS, Ensminger W, Layton P, Gebarski S. Meyer MB (1984) A phase 1–2 evaluation of intra-arterial diaziquone (AZQ) for malignant tumors of the central nervous system. Proc Am Soc Clin Oncol 3: C 1003
Greig NH (1984) Chemotherapy of brain metastases: Current status. Cancer Treat Rev 11: 157 – 186
Greig NH, Sweeney DJ, Rapaport SI (1985) Inability of dimethyl sulfoxide to increase brain uptake of water-soluble compounds: Implications to chemotherapy for brain tumors. Cancer Treat Rep 69: 305–312
Groothuis DR, Molnar P, Blasberg RG (1984) Regional blood flow and blood-totissue transport in five brain tumor models. Prog Exp Tumor Res 27: 132 – 153
Haid M, Khandekar JD, Christ M, et al. (1985) Aziridinylbenzoquinone in recurrent, progressive glioma of the central nervous system. Cancer 56: 1311 – 1315
Hawkey CJ, Toghill PJ (1984) The need for prophylactic treatment to the central nervous system in patients with aggressive non-Hodgkin’s lymphoma. Postgrad Med J 59: 283 – 297
Henson RA, Urich H (1982) Cancer and the nervous system: the neurological manifestations of systemic malignant disease. Blackwell, London
Herbst KD, Corder MP, Justice GR (1976) Successful therapy with methotrexate of a multicentric mixed lymphoma of the central nervous system. Cancer 38: 1476 – 1478
Herchbergs A, Sahar A, Tadmor R, Brenner HJ (1985) Primary cerebral neoplasia—Rapid performance status improvement (upgrading) following hypofractionated radiation combined with cisplatinum. Proc Am Soc Clin Oncol 4: C 516
Hochberg FH, Parker LM, Takvorian T, Canellos GP, Zervas NT (1981) High-dose BCNU with autologous bone marrow rescue for recurrent glioblastoma multiforme. J Neurosurg 54: 455 – 460
Hoshino T, Wilson CB, Rosenblum, ML, Baker M (1975) Chemotherapeutic implications of growth fraction and cell cycle time in glioblastoma. J Neurosurg 43: 127 – 135
Hoshino T (1979) The cell kinetics of gliomas: its prognostic value and therapeutic implications. In: Paoletti P, Walker MD, Butti G, Knerich R (eds) Multidisciplinary aspects of brain tumor therapy. Elsevier/North-Holland, New York, pp 105 – 112
Hoshino T, Wilson CB (1979) Cell kinetic analyses of human malignant brain tumors (gliomas). Cancer 44: 956 – 962
Hoshino T, Kobayashi S, Townsend JJ, Wilson CB (1985) A cell kinetic study on medulloblastomas. Cancer 55: 1711 – 1713
Howell SB, Pfeifle CE, Wung WE, Olshen RA (1983) Intraperitoneal cisdiamminedichloroplatinum with systemic thiosulfate protection. Cancer Res 43: 1426–1431
Hrushesky WJM (1984) Chemotherapy timing: an important variable in toxicity and response. In: Perry MC, Yarboro JW (eds) Toxicity of chemotherapy. Grune and Stratton, New York, pp 449 – 477
Hu E, Howell SB (1984) Pharmacokinetics of intraarterial mitomycin C in humans. Cancer Res 43: 4474 – 4477
a. Hwang TL, Yung WKA, Estey EH, Fields WS (1985) Central nervous toxicity with leigh-dose Ara-C. Neurology 35: 1475 – 1479
Irwin L, George F, Pitts F (1975) Hydroxyurea and radiation therapy in primary intracranial malignant glial tumors. Proc Am Assoc Cancer Res 16: 243
Jackson RC, Harkrader RJ (1981) Synergistic and antagonistic interactions of methotrexate and 1–13-D-arabinofluranosyl-cytosine in hepatoma cells. Biochem Pharmacol 30: 223 – 229
Jay JR, MacLaughlin DT, Riley KR, Martuza RL (1985) Modulation of meningioma cell growth by sex steroid hormones in vitro. J Neurosurg 62: 757 – 762
Jellinger K (1983) Pathologic effects of chemotherapy. In: Walker MD (ed) Oncology of the nervous system. M Nijhoff, Boston, pp 285 – 340
Jellinger K (1985) Changes induced in anaplastic gliomas and brain tissue as a result of treatment. In: Voth D, Krauseneck P (eds) Chemotherapy of gliomas. De Gruyter, Berlin, pp 153 – 176
a. Johnson HA, Haymaker WE, Rubini JR, et al. (1960) A radioautographic study of a human and glioblastoma multiforme after the in vivo uptake of tritiated thymidine. Cancer 13: 636 – 642
Kantarjian H, Farah PAM, Spitzer G, Murphy WK, Valdivieso M (1984) Systemic combination chemotherapy as primary treatment of brain metastasis from lung cancer. Southern Med J 77: 426 – 430
Kaplan RS, Wiernick PH (1984) Neurotoxicity of antitumor agents. In: Perry MC, Yarbro JW (eds) Toxicity of chemotherapy. Grune and Stratton, New York, pp 365–431
Kessinger A (1984) High dose chemotherapy with autologous bone marrow rescue for high grade gliomas of the brain: a potential for improvement in therapeutic results. Neurosurgery 15: 747 – 750
Kirkwood JM, Ensminger W, Rosowsky A, et al. (1980) Comparison of pharmacokinetics of 5-fluorouracil and 5-fluorouracil with concurrent thymidine infusions in a phase I trial. Cancer Res 40: 107 – 113
Koenig H (1970) Biochemical basis for fluorouracil neurotoxicity: The role of Krebs cycle by inhibition by fluoroacetate. Arch Neurol 23: 155 – 160
Kuhn J, von Hoff DD, et al (1983) Phase I trial of 2-fluoro-ara-AMP (NSC 312887 ). Fourth NCI-EORTC symposium on new drugs in cancer therapy, Brussels
Kumar ARV, Renaudin J, Wilson CB, et al. (1974) Procarbazine hydrochloride in the treatment of brain tumors. J Neurosurg 40: 365 – 371
Laerum OD, Bjerkvig R, Steinsvag SK, de Ridder L (1984) Invasiveness of primary brain tumors. Cancer Metastasis Rev 3: 223 – 236
Layton PB, Greenberg HS, Stetson PL, Ensminger WD, Gyves JW (1984) BCNU solubility and toxicity in the treatment of malignant astrocytomas. J Neurosurg 60: 1134 – 1137
Letendre L, Banks PM, Reese DF, et al. (1982) Primary lymphoma of the central nervous system. Cancer 49: 939 – 943
Levin VA, Wheeler KT (1982) Chemotherapeutic approaches to brain tumors: Experimental observations with dianhydrogalactitol and dibromodulcitol. Cancer Chemother Pharmacol 8: 125–131
Levin VA, Vestnys PS, Edwards MS, et al. (1983) Improvement in survival produced by sequential therapies in the treatment of recurrent medulloblastoma. Cancer 51: 1364–1370
Levin VA, Byrd D, Sikic BI, et al. (1985) Central nervous system toxicity and cerebrospinal fluid pharmacokinetics of intraventricularly administered bleomycin in beagles. Cancer Res 45: 3810 – 3815
Levin V, Choucair A, Davis RL, et al. (1985) Development of CNS “metastases” in patients with glioblastoma multiforme and other anaplastic gliomas while undergoing therapy. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Lieberman A, le Brun Y, Glass P, et al. (1977) Use of high dose corticosteroids in patients with inoperable brain tumours. J Neurol Neurosurg Psychiat 40: 678–682
Loeffler JS, Ervin TJ, Mauch P, et al. (1985) Primary lymphomas of the central nervous system: Patterns of failure and factors that influence survival. J. Clin Oncol 3: 490–494
Loehrer PJ, Einhorn LH (1984) Cisplatin. Ann Intern Med 100: 704–713
Logothetis CJ, Samuels ML, Trindade A (1982) The management of brain metastases in germ cell tumors. Cancer 49: 12 – 18
Long DM, Hartmann FJ, French LA (1969) The response of human cerebral edema to glucosteroid administration—An electron microscopic study. Neurology 31: 521 – 528
Mackintosh FR, Colby TV, Podolsky WJ, et al. (1982) Central nervous system involvement in non-Hodgkin’s lymphoma: an analysis of 105 cases. Cancer 49: 586–595
Maeda H, Sano Y, Takeshita J. et al. (1981) A pharmacokinetic simulation model for chemotherapy of brain tumor with an antitumor protein antibiotic, neocarzinostatin: theoretical considerations behind a two-compartment model for continuous infusion via an internal carotid artery. Cancer Chemother Pharmacol 5: 243 – 249
Mahaley MS (1985) Summary of clinical trials of chemotherapy and conventional radiation therapy in the treatment of patients with primary malignant brain tumors. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Mark VH, Kjellberg RN, Ojemann RG, Slolway AH (1960) Treatment of malignant brain tumors with alkylating agents. Neurology 10: 772 – 776
Markman M, Cleary S, Howell SB (1985) Nephrotoxicity of high-dose intracavitary cisplatin with intravenous thiosulfate protection. Eur J Cancer Clin Oncol 21: 1015–1018
Martin DS, Stolfi RL, Sawyer RC, Spiegelman S, Young CW (1983) Improved therapeutic index with sequential N-phosphonacetyl-L-aspartate plus high-dose
methotrexate plus high-dose 5-fluorouracil and appropriate rescue. Cancer Res 43: 4653–4661
Matsuno H (1981) Tumor angiogenesis factor (TAF) in cultured cells derived from central nervous system tumors in humans. Neurol Med Chir 21: 765 – 773
Mealey J, Chen TT, Pedlow E (1970) Brain tumor chemotherapy with mithramycin and vincristine. Cancer 26: 260 – 367
a. Melgaard B, Hansen HS, Kamieniecka Z, Paulson OB, Pedersen AG, Tang X, Trojaborg W (1981) Misonidazole neuropathy: A clinical electrophysiological and histological study. Ann Neurol 12: 10–17
Mellett LB (1977) Physicochemical considerations and pharmacokinetic behavior in delivery of drugs to the central nervous system. Cancer Treat Rep 61: 527 – 531
Mendenhall NP, Thar TL, Agee OF, et al. (1983) Primary lymphoma of the central nervous system. Cancer 52: 1993 – 2000
Mooney C, Thomas DGT, Souhami RL (1983) Adriamycin in the treatment of relapsed primary malignant brain tumors. Eur J Cancer Clin Oncol 19: 1037 – 1038
Moran RG, Danenberg PV, Heidelberger C (1982) Therapeutic response of leukemic mice treated with fluorinated pyrimidines and inhibitors of deoxyuridylate synthesis. Biochem Pharmacol 31: 2929 – 2935
Morantz RA, Kimler BF, Vats TS, Henderson SD (1983) Bleomycin and brain tumors. J Neuro-Oncol 1: 249 – 255
Naysmith A, Robson RH (1979) Focal fits during chlorambucil therapy. Postgrad Med J 55: 806
Nelson JS, Tsukada Y, Schoenfeld D, et al. (1983) Necrosis as a prognostic criterion in malignant supratentorial, astrocytic gliomas. Cancer 52: 550 – 554
Neuwelt EA, Diehl JT, Hill SA, Marvilla KR (1979) Use of metrizamide computerized tomographic cisternography in the evaluation of patients with malignant glioma for immunotherapy. Neurosurgery 5: 576 – 582
Neuwelt EA, Frenkel EP, Diehl J, et al. (1980) Reversible osmotic blood-brain barrier disruption in humans: Implications for the chemotherapy of malignant brain tumors. Neurosurgery 7: 44–52
Neuwelt EA, Frenkel EP, Rapaport S, Barnett P (1980) Effect of osmotic blood-brain barrier disruption on methotrexate pharmacokinetics in the dog. Neurosurgery 7: 3643
Neuwelt EA, Glasberg M, Diehl J, Frenkel EP, Barnett P (1981) Osmotic blood-brain barrier disruption in the posterior fossa of the dog. J Neurosurg 55: 742 – 748
Neuwelt EA, Pagel M, Barnett P, Glasberg M, Frenkel EP (1981) Pharmacology and toxicity of intracarotid adriamycin administration following osmotic blood-brain barrier modification. Cancer Res 41: 4466 – 4470
Neuwelt EA, Frenkel EP (1982) Osmotic blood-brain barrier disruption as a means of increasing chemotherapeutic agent delivery to the central nervous system: animal and clinical studies. In: Hildegrand J, Gangji D (eds) Treatment of neoplastic lesions of the nervous system. Pergamon Press, New York, pp 129 – 133
Neuwelt EA, Balaban E, Diehl J, Hill S, Frenkel E (1983) Successful treatment of primary central nervous system lymphomas with chemotherapy after osmotic blood-brain barrier opening. Neurosurgery 12: 662 – 671
Neuwelt EA, Barnett PA, Glasberg M, Frenkel EP (1983) Pharmacology and neurotoxicity of cis-diamminedichloroplatinum, bleomycin, 5-fluorouracil, and cyclophosphamide administration following osmotic blood-bran barrier modification. Cancer Res 43: 5278 – 5285
Neuwelt EA, Glasberg M, Frenkel E, Barnett P (1983) Neurotoxicity of chemotherapeutic agents after blood-brain barrier modification: Neuropathological studies. Ann Neurol 14: 316–324
Neuwelt EA, Specht HD, Howieson J, et al. (1983) Osmotic blood-brain barrier modification: Clinical documentation by enhanced CT scanning and/or radionuclide brain scanning. AJNR 4: 907–913
Neuwelt EA (1984) Therapeutic potential for blood-brain barrier modification in malignant brain tumors. Prog Exp Tumor Res 28: 51 – 66
Neuwelt EA, Barnett PA, Frenkel EP (1984) Chemotherapeutic agent permeability to normal brain and delivery to avian sarcoma virus-induced brain tumors in the rodent: Observations on problems of drug delivery. Neurosurgery 14: 154–160
Neuwelt EA, Barnett PA, McCormick CI, Frankel EP (1984) Osmotic blood-brain barrier modification: Parameters effecting drug delivery. In: Caciagli F, Giacobini E, Paoletti R (eds) Developmental neuroscience: physiological, pharmacological and clinical aspects. Elsevier, New York, pp 173 – 179
Neuwelt EA, Frenkel EP (1984) Germinomas and other pineal tumors: chemotherapeutic responses. In: Neuwelt EA (ed) Diagnosis and treatment of pineal region tumors. Williams and Wilkins, Baltimore, pp 332 – 343
Neuwelt EA, Hill SA, Frenkel EP (1984) Osmotic blood-brain barrier modification and combination chemotherapy: concurrent tumor regression in areas of barrier opening and progression in brain regions distant to barrier opening. Neurosurgery 15: 362 – 366
Neuwelt EA, Rapaport SI (1984) Modification of the blood-brain barrier in the chemotherapy of malignant brain tumors. Fed Proc 43: 214 – 219
Neuwelt EA, Barnett PA, McCormick CI, Frenkel EP, Minna JD (1985) Osmotic blood-brain barrier modification: Monoclonal antibody, albumin, and methotrexate delivery to cerebrospinal fluid and brain. Neurosurgery 17: 419–423
Neuwelt EA, Frenkel EP, d’Agostino AN, et al. (1985) Growth of human lung tumor in the brain of the nude rat as a model to evaluate antitumor agent delivery across the blood-brain barrier. Cancer Res 45: 2827 – 2833
Neuwelt EA, Frenkel EP, Gumerlock MK, et al. (1986) Developments in the diagnosis and treatment of primary CNS lymphoma: A prospective series. Cancer 58: 1609–1620
Neuwelt EA, Specht HD, Hill SA (1986) Permeability of human brain tumor to 99mTcglucoheptonate and 99mTc-albumin: Implications for monoclonal antibody therapy. J Neurosurg 65: 194–198
Neuwelt EA, Hill SA (1986) Chemotherapy administered in conjunction with osmotic blood-brain barrier modification in patients with brain metastases. J Neurooncol (in press)
Neuwelt EA, Howieson J, Frenkel EP, Specht D, Weigel R, et al. (1986) Therapeutic efficacy of multiagent chemotherapy with drug delivery enhancement by blood-barrier modification in glioblastoma. Neurosurgery 19: 573 – 582
Neuwelt EA, Minna J, Frenkel E, Barnett PA, McCormick CI (1986) Osmotic blood-brain barrier opening to IgM monoclonal antibody in the rat. Am J Physiol 250: R 875—R 883
Neuwelt EA, Specht HD, Hill SA (1986) Permeability of human brain tumor to 99mTcglucoheptonate and 99mTc-albumin: Implications for monoclonal antibody therapy. J Neurosurg 65: 194–198
O’Dwyer PJ, Leyland-Jones B, Alonso MT, Marsoni S, Wittes RE (1985) Etoposide (VP-16–213): Current status of an active anticancer drug. New Engl J Med 312: 692–700
Ogawa M (1981) Current status of nitrosoureas under development in Japan. In: Prestayko AW, et al. (eds) Nitrosoureas: current status and new developments. Academic Press, New York, pp 399 – 410
Oldfield EH, Dedrick RL, Chatterji DC, et al. (1985) Arterial drug infusion with extracorporeal removal. II. Internal carotid carmustine in the rhesus monkey. Cancer Treat Rep 69: 293–303
Oster MW (1979) Combination chemotherapy for extracranial metastases of a primary malignant cerebral neoplasms. Cancer Treat Rep 63: 1417 – 1418
Owens G (1969) Intraarterial chemotherapy of primary brain tumors. Ann NY Academy Sci 159: 603 – 607
Poplack DG, Bleyer WA, Horowitz ME (1980) Pharmacology of antineoplastic agents in cerebrospinal fluid. In: Wood JH (ed) Neurobiology of cerebrospinal fluid I. Plenum Press, New York, pp 561 – 578
Posner JB, Howieson J, Cvitkovic E (1977) “Disappearing” spinal cord compression: Oncolytic effect of glucocorticoids (and other chemotherapeutic agents) on epidural metastases. Ann Neurol 2: 409–413
Postmus PE, Holthius JJM, Haaxma-Reiche G, et al. (1984) Penetration of VP 16–213 into cerebrospinal fluid after high-dose intravenous administration. J Clin Oncol 2: 215 – 220
Rapoport SI (1976) Blood-brain barrier in physiology and medicine. Raven Press, New York
Riccardi R, Bleyer WA, Poplack DG (1983) Enhancement of delivery of antineoplastic drugs into cerebrospinal fluid. In: Wood JH (ed) Neurobiology of cerebrospinal fluid II. Plenum Press, New York, pp 453 – 466
Rose C, Mouridsen HT (1984) Treatment of advanced breast cancer with tamoxifen. Recent Results Cancer Res 91: 230 – 242
Rosner D, Nemoto T, Pickren J, Lane W (1983) Management of brain metastases from breast cancer by combination chemotherapy. J Neuro-Oncol 1: 131 – 137
Ross RL, Kapp JP, Hochberg F, et al. (1983) Solvent systems for intracarotid 1,3-Bis(2-chloroethyl)-1-nitrosourea ( BCNU) infusion. Neurosurgery 12: 512–514
Rozenthal J, Trump D, Finlay J, et al. (1985) Pilot study of eight-drugs-in-one-day chemotherapy for high-grade astrocytomas. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Russo A, Gianni L, Kinsella TJ, et al. (1984) Pharmacological evaluation of intravenous delivery of 5-bromodeoxyuridine to patients with brain tumors. Cancer Res 44: 1702 – 1705
Schabel FM, Griswold DP, Corbett TH, Laster WR (1984) Increasing the therapeutic response rates to anticancer drugs by applying the basic principles of pharmacology. Cancer 54: 1160 – 1167
Schilsky RL, Yarbro JW (1984) Pharmacology of antineoplastic drugs. In: Perry MC, Yarbro JW (eds) Toxicity of chemotherapy. Grune and Stratton, New York, pp 21 – 59
Schnur G, Choy M, Stirling M, et al. (1984) Hemodynamic consequences of combined 188. Schold SC, Carincross JG, Bullard DE (1984) Chemotherapy of primary brain tumors. In: Wilkins RH, Rengachary S (eds) Neurosurgery. McGraw-Hill, New York, pp 1143 – 1153
Schold SC, Friedman HS, Bjornsson TD, Falletta JM (1984) Treatment of patients with recurrent primary brain tumors with AZQ. Neurology 34: 615 – 619
Schroff RW, Foon KA, Beatty SM, Oldham RK, Morgan AC (1985) Human antimurine immunoglobulin responses in patients receiving monoclonal antibody therapy. Cancer Res 45: 879 – 885
Sexauer C, Kahn A, Burger P, et al. (1984) Cisplatinum in recurrent pediatric brain tumors: A phase II study. Proc Am Soc Clin Oncol 3: 329
Shapiro WR, Byrne TN (1983) Chemotherapy of brain tumors Basic concepts. In: Walker MD (ed) Oncology of the nervous system. M Nijhoff, Boston, pp 65 – 100
Shapiro WR (1985) Cell biology of primary brain tumors. Paper presented at the meeting of the American Academy of Neurology, Dallas
Shoemaker DD, O’Dwyer PJ, Marsoni S, et al. (1983) Spiromustine: a new agent entering clinical trials. Invest New Drugs 1: 303 – 308
Siegal T, Pfeffer MR, Catane R, et al. (1983) Successful chemotherapy of recurrent intracranial germinoma with spinal metastases. Neurology 33: 631 – 636
Sirotnak FM, Moccio DM, Hancock CH, et al. (1981) Improved methotrexate therapy of murine tumors obtained by probenecid-mediated pharmacological modulation of the level of membrane transport. Cancer Res 41: 3944 – 3949
Skarin AT, Zukerman KS, Pitman SW, et al. (1977) High-dose methotrexate with folinic acid in the treatment of advanced non-Hodgkin lymphoma including CNS involvement. Blood 50: 1039 – 1947
Slyter H, Liwnicz B, Herrick MK, et al. (1980) Fatal myeloencephalopathy caused by intrathecal vincristine. Neurology 30: 867 – 871
Spector R, Eells J (1984) Deoxynucleoside and vitamin transport into the central nervous system. Fed Proc 43: 196 – 200
Spigelman MK, Zappulla RA, Goldberg JD, et al. (1984) Effect of intracarotid etoposide on opening the blood-brain barrier. Cancer Drug Delivery 1: 207 – 211
Spigelman MK, Zappulla RA, Johnson J, et al. (1984) Etoposide-induced blood-brain barrier disruption. J Neurosurg 61: 674 – 678
Stewart DJ, Leavens M, Maor M, et al. (1982) Human central nervous system distribution of cis-diamminedichloroplatinum and use as a radiosensitizer in malignant brain tumors. Cancer Res 42: 2474 – 2479
Stewart DJ, Hugenholtz RH, Dennery J (1984) VP-16 (VP) and VM-26 (VM) penetration into human brain tumors ( BT ). Proc Am Assoc Cancer Res 24: 527
Stewart DJ, Russel N, Atack EA, Quarrington A, Stolbach L (1983) Cyclophosphamide, doxorubicin, vincristine, and dexamethasone in primary lymphoma of the brain: A case report. Cancer Treat Rep 67: 287–291
Stewart DJ (1984) Novel modes of chemotherapy administration. Prog Exp Tumor Res 28: 32 – 50
Stewart DJ, Grahovak Z, Benoit B, et al. (1984) Intracarotid chemotherapy with a combination of 1,3-bis(2-chlorethyl)-1-nitrosourea (BCNU), cis-diaminedichloroplatinum (Cisplatin), and 4’-O-demethyl-1-O-(4,6-O-2-thenylidene-13-D- glucopyranosyl) epipodophyllotoxin (VM-26) in the treatment of primary and metastatic brain tumors. Neurosurgery 15: 828 – 833
Stewart DJ, Russell N, Atack EA, Quarrington A, Stolback L (1984) Cyclophosphamide, doxorubicin, vincristine, and dexamethasone in the treatment of bulky CNS lymphoma. J Neuro-Oncol 2: 289
Stewart DJ, Grahovaz Z, Maroun J, et al. (1985) Intraarterial (IA) chemotherapy (CT) for brain tumors (BT). Proc Am Soc Clin Oncol 4: C 513
Sullivan KM, Storb R, Shulman HM, et al. (1982) Immediate and delayed neurotoxicity after mechlorethamine preparation for bone marrow transplantation. Ann Int Med 98: 182 – 189
Syndran AC (1981) The cytosine arabinoside (Ara-C) syndrome. Med Ped Oncol 9: 257 – 264
Takahashi H, Nakazawa S, Shimura T (1985) Evaluation of postoperative intra-tumoral injection of bleomycin for craniopharyngioma in children. J Neurosurg 62: 120 – 127
Takakura K, Sano K, Hojo S, Hirano A (1982) Metastatic tumors of the central nervous system. Igaku-Shoin, Tokyo New York
Thompson SW, Davis LE, Kornfeld M, Hilgers RD, Standefer JC (1984) Cisplatin neuropathy: Clinical, electrophysiologic, morphologic and toxicologic studies. Cancer 54: 1269–1275
Tirelli U, d’Incalci M, Canetta R, et al. (1984) Etoposide (VP-16–213) in malignant brain tumors: A phase II study. J Clin Oncol 2: 432–437
Tsuruo T, Iida H, Tsukagoshi S, et al. (1981) Overcoming of vincristine resistance in P 388 leukemia in vivo and in vitro through enhanced cytotoxicity of vincristine and vinblastine by verapamil. Cancer Res 41: 1967 – 1972
Ushio Y (1985) Intrathecal ACNU against leptomeningeal dissemination of tumor: experimental study. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Vermorken JB, Stam J, Karim AB, etal. (1983) Treatment of small cell lung cancer ( SCLC) utilizing two alternating combination chemotherapy regimens. Proc Am Soc Clin Oncol 2: 785
Vole D, Jellinger K, Grisold W, et al. (1985) Combined radiation and polychemotherapy (COMP) in the postoperative treatment of high-grade supratentorial gliomas. In: Voth D, Krauseneck P (eds) Chemotherapy of gliomas. De Gruyter, Berlin, pp 341 – 352
Von Hoff DD, Reichert CM, Cuneo R, et al. (1979) Demyelinization of peripheral nerves associated with cis-diamminedichloroplatinum (II) ( DDP) therapy. Proc Am Assoc Cancer Res 20: 367
Wahl RL, Parker CW, Philpott GW (1983) Improved radioimaging and tumor localization with monoclonal F(ab’). J Nuc Med 24: 316 – 325
Walker MD, Weiss HD (1975) Chemotherapy in the treatment of malignant brain tumors. Adv Neurol 13: 149–191
Walker MD, Green SB, Byar DP, etal. (1980) Randomized comparisons of radiotherapy and nitrosoureas for the treatment of malignant glionta after surgery. New Engl J Med 303: 1323 – 1329
Warnke P, Groothuis D, Kuruvilla A, et al. (1985) The effect of corticosteroids on drug delivery parameters in experimental brain tumors. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
Wasserman TH, Stetz J, Phillips TL (1981) Radiation therapy oncology group clinical trials with misonidazole. Cancer 47: 2382 – 2390
Weiss HD, Walker MD, Wiernik PH (1974) Neurotoxicity of commonly used antineoplastic agents (parts I and II). New Engl J Med 291: 75 – 81
Weiss HD, Wiernick PH, Walker MD (1974) Intrathecal N, N’, N“-Triethylenethiophosphoramide [Thio-TEPA (NSC 6396)] in the treatment of malignant meningeal disease phase I—II study. Proc Am Assoc Cancer Res 15: 257
Weissman D, Grossman S (1985) Temporal development of peritumoral brain edema in rabbit VX 2 brain tumors. Sixth international conference on brain tumor research and therapy, Asheville (abstract)
West CR, Avellanosa AM, Barua NR, Patel A, Hong CI (1983) Intra-arterial 1,3-Bis(2chlorethyl)-1-nitrosourea (BCNU) and systemic chemotherapy for malignant gliomas: A follow-up study. Neurosurgery 13: 420–426
White JC, Fernandes DJ, Capizzi RL (1984) Pharmacologic approaches to combination chemotherapy. In: Perry MC, Yarbro JW (eds) Toxicity of chemotherapy. Grune and Stratton, New York, pp 61 – 99
Williams ME, Walker AN, Bracikowski JP, et al. (1983) Ascending myeloencephalopathy due to intrathecal vincristine sulfate: a fatal chemotherapeutic error. Cancer 51: 2041 – 2047
Williams SA, etal (1978) Seizures: significant side effect of chlorambucil therapy in children. J Peds 93: 516–518
Wilson CB, Levin V, Hoshino T (1982) Chemotherapy of brain tumors. In: Youmans JR (ed) Neurological surgery. W B Saunders, Philadelphia, pp 3065 – 3095
Yalowich JC, Fry DW, Goldman ID (1982) Teniposide (VM-26) and etoposide (VP- 16–2132)-induced augmentation of methotrexate transport and polyglutamylation in Ehrlich ascites tumor cells in vitro. Cancer Res 42: 3648 – 3653
Yamashita J, Handa H, Tokuriki Y, et al. (1984) Intra-arterial ACNU therapy for malignant brain tumors. J Neurosurg 59: 424 – 430
Young DF, Posner JB (1980) Nervous system toxicity of the chemotherapeutic agents. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology. North-Holland, New York, pp 91 – 129
Zager RF, Frisby SA, Oliverio VT (1973) The effects of antibiotics and cancer chemotherapeutic agents on the cellular transport and antitumor activity of methotrexate in L 1210 murine leukemia. Cancer Res 33: 1670 – 1676
Zimm S, Collins JM, Curt GA, O’Neill D, Poplack DG (1984) Cerebrospinal fluid pharmacokinetic of intraventricular and intravenous aziridinylbenozquinone. Cancer Res 44: 1698 – 1701
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Gumerlock, M.K., Neuwelt, E.A. (1987). Principles of Chemotherapy in Brain Neoplasia. In: Jellinger, K. (eds) Therapy of Malignant Brain Tumors. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8876-7_6
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