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Anticancer Res. 2017 Mar;37(3):1227-1235.

Safety and Tolerance of D,L-Methadone in Combination with Chemotherapy in Patients with Glioma.

Author information

1
Department of Neurosurgery, Charité University of Berlin, Berlin, Germany julia.onken@charite.de.
2
Berlin Institute of Health, Berlin, Germany.
3
Center of Biomedical Research, University of Ulm, Ulm, Germany.
4
Institute for Legal Medicine, University of Ulm, Ulm, Germany.
5
Department of Neurosurgery, Charité University of Berlin, Berlin, Germany.

Abstract

BACKGROUND/AIM:

D,L-Methadone increases sensitivity toward chemotherapy of different tumor cell populations. We evaluated the safety and tolerance of additional use of D,L-methadone in patients with glioma in combination with chemotherapy.

PATIENTS AND METHODS:

The dosage, duration of therapy and side-effects related to D,L-methadone were recorded in 27 patients. Toxicity was assessed accordingly to the Common Toxicity Criteria (CTC) of the National Cancer Institute. Progression-free survival at 6 months (PFS-6) was assessed.

RESULTS:

A total of 13 patients reported grade 1-3 nausea at the beginning of the D,L-methadone therapy. Four patients reported persistent side-effects of nausea (CTC Grade 2, n=1) and obstipation (CTC grade 2-3, n=3). PFS-6 of patients with glioblastoma was 80% in those with non-methylated O6-methylguanine-DNA methyltransferase (MGMT) (n=5) and 100% in those with MGMT methylation (n=7).

CONCLUSION:

D,L-methadone can be safely combined with standard glioma chemotherapy without increasing the risk of toxicity or vegetative symptoms such as tachycardia, sweating and restlessness. PFS-6 in patients with primary glioblastoma treated this way seems to be at least comparable to that of historic controls.

KEYWORDS:

D,L-Methadone; chemotherapy; efficiency; malignant glioma; safety

PMID:
28314286
DOI:
10.21873/anticanres.11438
[Indexed for MEDLINE]

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