Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia

ISSN:
1432-1335
Keywords:
Key words Whole-body hyperthermia ; Nephrotoxicity ; Ifosfamide ; Carboplatin ; Etoposide ; AbbreviationsICE ifosfamide, carboplatin, etoposide ; e-WBH extracorporeal whole-body hyperthemia ; r-WBH radiant-heat-induced whole-body hyperthermia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
Type of Medium:
Electronic Resource
URL:
_version_ 1798295654382960642
autor Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
autorsonst Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
book_url http://dx.doi.org/10.1007/s004320050028
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM205281524
issn 1432-1335
journal_name Journal of cancer research and clinical oncology
materialart 1
notes Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
package_name Springer
publikationsjahr_anzeige 2000
publikationsjahr_facette 2000
publikationsjahr_intervall 7999:2000-2004
publikationsjahr_sort 2000
publisher Springer
reference 126 (2000), S. 173-177
schlagwort Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
search_space articles
shingle_author_1 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
shingle_author_2 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
shingle_author_3 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
shingle_author_4 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
shingle_catch_all_1 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
1432-1335
14321335
Springer
shingle_catch_all_2 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
1432-1335
14321335
Springer
shingle_catch_all_3 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
1432-1335
14321335
Springer
shingle_catch_all_4 Gerke, Peter
Filejski, Wojciech
Robins, H. Ian
Wiedemann, Günther J.
Steinhoff, Jürgen
Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Key words Whole-body hyperthermia
Nephrotoxicity
Ifosfamide
Carboplatin
Etoposide
AbbreviationsICE ifosfamide, carboplatin, etoposide
e-WBH extracorporeal whole-body hyperthemia
r-WBH radiant-heat-induced whole-body hyperthermia
Abstract Although whole-body hyperthermia combined with specific genotoxic chemotherapy can be shown to enhance neoplastic cell killing without a concomitant rise in bone marrow toxicity, nephrotoxicity can become treatment-limiting. This study compares the kidney toxicity to the kidney of ifosfamide, carboplatin and etoposide (ICE) chemotherapy alone, and ICE chemotherapy combined with either extracorporeal (e-WBH) or radiant-heat-induced hyperthermia (r-WBH) in 43 patients with refractory sarcoma. Within 3 days of ICE chemotherapy treatment there was a significant increase in urinary protein excretion and a reduction of the glomerular filtration rate. These effects were more pronounced if WBH was added. The use of immunoluminometric assays revealed a predominance of low-molecular-mass proteins. This increase in protein excretion persisted in the e-WBH-treated group, whereas it vanished within 3 weeks in both the group treated with ICE alone and that treated with r-WBH. Our findings suggest that ICE chemotherapy causes transient tubular and glomerular damage, which is enhanced by WBH. In terms of long-term nephrotoxicity e-WBH was more nephrotoxic than r-WBH. This finding is consistent with our clinical observations.
1432-1335
14321335
Springer
shingle_title_1 Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
shingle_title_2 Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
shingle_title_3 Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
shingle_title_4 Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:39:37.544Z
titel Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
titel_suche Nephrotoxicity of ifosfamide, carboplatin and etoposide (ICE) alone or combined with extracorporeal or radiant-heat-induced whole-body hyperthermia
topic WW-YZ
uid nat_lic_papers_NLM205281524