title: [High-dose ifosfamide in the treatment of patients with soft tissue sarcoma].
abstract: The increasing doses of 2.4-3.5 g/m2 ifosfamide, i/v, dropwise, were administered for 40 min, on days 1-5 each week, for 3 weeks, in 4 courses. Simultaneously, MESNA was given in a dose two-thirds of that of ifosfamide. The maximum single tolerable dose of ifosfamide was 3.2 g/m2. The dose of 3.5 g/m2 proved neurotoxic causing encephalopathy. The other toxic effects were stage III-IV neutropenia (47%), nausea and vomiting (91%) and weakness (33%). No clinical evidence of renal failure was attributed to the high dosage of the drug in the course of assays of biochemical components of the blood, blood- and urine-beta-2-microglobulins, N-acetyl-D-hexoaminidase (NAG) level in urine, creatinine clearance and complex renoscintigraphy data. On days 3-5, ifosfamide treatment was followed by increase in NAG and beta-2-microglobulin levels in urine which pointed to the toxic effect exerted on the epithelium of renal tubules. The antitumor effect was apparent in 5 (29%) patients for 6 months, which testifies to the high effectiveness of ifosfamide treatment for soft-tissue sarcoma.
authors.forename: S A
authors.initials: SA
authors.lastname: Tiuliandin
authors.forename: N V
authors.initials: NV
authors.lastname: Liubimova
authors.forename: N I
authors.initials: NI
authors.lastname: Sidorova
authors.forename: S G
authors.initials: SG
authors.lastname: Averinova
authors.forename: A V
authors.initials: AV
authors.lastname: Kashkadaeva
authors.forename: L F
authors.initials: LF
authors.lastname: Romanova
authors.forename: S V
authors.initials: SV
authors.lastname: Shiriaev
authors.forename: A M
authors.initials: AM
authors.lastname: Garin
mesh_terms: D000328:Adult; D018906:Antineoplastic Agents, Alkylating / Q000008:administration & dosage* / Q000009:adverse effects*; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage* / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012509:Sarcoma / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D018906:Antineoplastic Agents, Alkylating; D007069:Ifosfamide