Ifosfamide dose-intensification for patients with metastatic Ewing sarcoma Journal Article


Authors: Magnan, H.; Goodbody, C. M.; Riedel, E.; Pratilas, C. A.; Wexler, L. H.; Chou, A. J.
Article Title: Ifosfamide dose-intensification for patients with metastatic Ewing sarcoma
Abstract: Background: Outcomes for patients with metastatic Ewing sarcoma (ES) remain poor. We investigated whether the intensification of ifosfamide improved survival for patients with metastatic ES. Procedure: We conducted a retrospective chart review of 30 patients with metastatic ES treated with the MSKCC "EFT regimen." The regimen included an intensification of ifosfamide dosing from 1,800mg/m2/day × 5 days per cycle to 2,800mg/m2/day × 5 days per cycle. Results: Twenty six of the 30 patients completed planned chemotherapy. Two patients experienced disease progression during therapy. There were no toxic deaths. One patient developed secondary leukemia. The 4-year event free survival (EFS) was 27% and the overall survival (OS) was 39%. Conclusions: Intensification of ifosfamide was tolerated and did not increase toxicity in patients with metastatic ES. The intensification did not improve outcomes for these patients with metastatic disease. Pediatr Blood Cancer 2015;62:594-597.
Keywords: chemotherapy; ewing sarcoma; outcomes
Journal Title: Pediatric Blood and Cancer
Volume: 62
Issue: 4
ISSN: 1545-5009
Publisher: Wiley Periodicals, Inc  
Date Published: 2015-04-01
Start Page: 594
End Page: 597
Language: English
DOI: 10.1002/pbc.25373
PROVIDER: scopus
PUBMED: 25630954
PMCID: PMC4474186
DOI/URL:
Notes: Export Date: 2 March 2015 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Leonard H Wexler
    191 Wexler
  2. Alexander Ja-Ho Chou
    58 Chou
  3. Heather Magnan
    31 Magnan