Review Article
The pharmacologic basis of high dose chemotherapy with haematopoietic stem cell support for solid tumours
L F Porrata, A A Adjei
Published:
August 01, 2001
DOI:
10.1054/bjoc.2001.1970
License:
Cancer Research Campaign
Abstract
The theoretical basis of high dose chemotherapy with haematopoietic stem cell support (HDT) for solid tumours is the presumption of a linear, steep dose-response relationship for chemotherapy conditioning agents. We review preclinical pharmacologic studies evaluating steep dose-response relationships for different chemotherapeutic agents, identified through a MED-LINE and CANCER-LIT search of the English medical literature from January 1966 to December 1999. Only BCNU, melphalan, nitrogen mustard, and the combination of thiotepa and cyclophosphamide demonstrated steep dose-response relationships over a wide dose-range. The pharmacologic evidence for the use of other antineoplastic agents for HDT in solid tumours is non-existent. More preclinical studies are needed for a rational development of this therapeutic approach for solid tumours. © 2001 Cancer Research Campaign http://www.bjcancer.com