[Dicarbamin--an effective protector of myelodepression in combined treatment for Hodgkin's disease]

Vopr Onkol. 2007;53(5):589-95.
[Article in Russian]

Abstract

Clinical trials were carried out of the protective action of dicarbamin in 33 patients with Hodgkin's disease (13 males and 20 females, average age--31 years). They received standard chemotherapy ABVD (doxorubicin--25 mg/m2, bleomycin--10 mg/m2, vinblastine--6 mg/m2, dacarbazine--375 mg/m2, intravenously, on days 1 and 15 of each cycle, every 4 weeks. Patients suffering neutropenia after the first injection of the cytostatic drugs were given dicarbamin 100 mg/day on day 5 before a second administration. Treatment with dicarbamin continued for 15 days. Its protective effect was reported in 27 patients (81.8%). Leukocyte and granulocyte count before dicarbamin was 3.74 +/- 0.25 x 10(9)/l and 1.42 +/- 0.17 x 10(9)/l, respectively. On completion of the polychemotherapeutic cycle, the indices rose to 5.0 +/- 0.28 x 10(9)/13 and 2.49 +/- 0.25 x 10(9)/l, respectively. The beneficial effect of dicarbamin was also demonstrated by a quick recovery of leukocyte levels than in controls (p > 0.5). After the next cycle of polychemotherapy (ABVD) plus dicarbamin was given for Hodgkin's disease and grade III-IV leuko- and granulocytopenia, leukocyte and granulocyte concentrations returned back to normal which indicated the protective action of dicarbamin.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Bleomycin / administration & dosage
  • Bleomycin / adverse effects
  • Bone Marrow / drug effects*
  • Bone Marrow / immunology
  • Caproates
  • Chemotherapy, Adjuvant
  • Dacarbazine / administration & dosage
  • Dacarbazine / adverse effects
  • Doxorubicin / administration & dosage
  • Doxorubicin / adverse effects
  • Drug Administration Schedule
  • Female
  • Granulocytes / drug effects
  • Hodgkin Disease / blood
  • Hodgkin Disease / drug therapy*
  • Hodgkin Disease / radiotherapy*
  • Humans
  • Imidazoles / pharmacology*
  • Imidazoles / therapeutic use
  • Infusions, Intravenous
  • Leukocyte Count
  • Male
  • Middle Aged
  • Neutropenia / chemically induced
  • Neutropenia / prevention & control*
  • Protective Agents / pharmacology*
  • Protective Agents / therapeutic use
  • Radiotherapy, Adjuvant
  • Treatment Outcome
  • Vinblastine / administration & dosage
  • Vinblastine / adverse effects

Substances

  • Caproates
  • Imidazoles
  • Protective Agents
  • Bleomycin
  • pentanedioic acid imidazolyl ethanamide
  • Vinblastine
  • Dacarbazine
  • Doxorubicin

Supplementary concepts

  • ABVD protocol