title: Adverse effects of concurrent carboplatin chemotherapy and radiation therapy in dogs.
abstract: BACKGROUND
  Concurrent chemo- and radiotherapy improves outcome of certain human neoplasms but with increased signs of toxicity. Reports on adverse effects of concurrent chemo- and radiotherapy in the veterinary literature are scant.
  
  
  OBJECTIVE
  To report adverse hematologic and gastrointestinal effects of combined carboplatin and radiation therapy in dogs.
  
  
  METHODS
  Client-owned dogs with spontaneously occurring neoplasia.
  
  
  METHODS
  Retrospective case study. Medical records of 65 dogs were reviewed. Criteria for inclusion were administration of radiation according to 1 of 3 fractionation schemes (19 x 3, 16 x 3, or 12 x 4 Gy) and administration of at least 1 concurrent carboplatin treatment at a dosage of 200-300 mg/m(2). Dog and treatment-related variables were analyzed for association with signs of intoxication.
  
  
  RESULTS
  Median carboplatin dosage was 200 mg/m(2) (range, 200-250 mg/m(2)). Twelve of 58 dogs (21%) developed grade 3 or 4 neutropenia. Eleven of 56 dogs (20%) developed grade 3 or 4 thrombocytopenia. Six of 62 dogs (10%) developed grade 3, 4, or 5 gastrointestinal toxicosis. Analysis of association of dog and treatment-related variables with signs of intoxication was hampered by the small numbers of dogs in individual groups, and no statistically significant associations were found.
  
  
  CONCLUSIONS
  Combined modality therapy resulted in myelosuppression and gastrointestinal toxicosis. Future studies are needed to determine whether the potential benefit of combined modality therapy outweighs the risk of decreasing chemotherapy and radiation treatment intensity.
authors.affiliation: Department of Clinical Sciences, North Carolina State University, Raleigh, NC, USA.
authors.forename: K R
authors.initials: KR
authors.lastname: Hume
authors.forename: J L
authors.initials: JL
authors.lastname: Johnson
authors.forename: L E
authors.initials: LE
authors.lastname: Williams
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D016190:Carboplatin / Q000008:administration & dosage / Q000009:adverse effects*; D004283:Dog Diseases / Q000139:chemically induced* / Q000628:therapy; D004285:Dogs; D009369:Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000662:veterinary*; D009503:Neutropenia / Q000139:chemically induced / Q000662:veterinary; D012189:Retrospective Studies; D013921:Thrombocytopenia / Q000139:chemically induced / Q000662:veterinary
chemical_list: D000970:Antineoplastic Agents; D016190:Carboplatin