title: Effects of intracavitary administration of Endostar combined with cisplatin in malignant pleural effusion and ascites.
abstract: This study evaluated the efficacy and safety of intracavitary administration of recombinant human endostatin (Endostar) combined with cisplatin chemotherapy in treating malignant pleural effusion and ascites. Forty-five patients with malignant pleural effusion and ascites were divided into the EP group (n = 23), who received Endostar and cisplatin intracavitarily, and P group (n = 22), who were intracavitarily treated with cisplatin only. Pleural effusion and ascites were completely drained before treatments. The treatment was administered once a week; two treatments were considered as one course. The outcome quality of life as well as toxicity were evaluated. The objective overall response and disease control rates were, respectively, 78.3 % (18/23) and 87.0 % (20/23) in EP group. In contrast, these parameters were significantly (p < 0.05) lower in P groups: 40.9 % (9/22) and 59.1 % (13/22), respectively. The improvement rate of Karnofsky Performance Status was 87.0 % (20/23) in EP group versus 59.1 % (13/22) in P group (p < 0.05). All patients tolerated the combined treatment well, and no severe adverse effects were observed. Intracavitary injection of Endostar combined with cisplatin is effective and safe to treat malignant pleural effusion and ascites.
authors.affiliation: Department of Medical Oncology, Yijishan Hospital Wannan Medical College, No. 2 Zheshan West Road, Wuhu, 241000, Anhui, China.
authors.forename: Wen-ying
authors.initials: WY
authors.lastname: Zhao
authors.forename: Dong-yun
authors.initials: DY
authors.lastname: Chen
authors.forename: Jing-hua
authors.initials: JH
authors.lastname: Chen
authors.forename: Zhao-ning
authors.initials: ZN
authors.lastname: Ji
mesh_terms: D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects; D001201:Ascites / Q000150:complications*; D002945:Cisplatin / Q000008:administration & dosage* / Q000494:pharmacology* / Q000627:therapeutic use; D043169:Endostatins / Q000008:administration & dosage* / Q000494:pharmacology* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000150:complications* / Q000188:drug therapy*; D011788:Quality of Life; D012449:Safety; D016896:Treatment Outcome
chemical_list: D043169:Endostatins; D002945:Cisplatin