Randomised phase II study of methotrexate (MTX) versus methotrexate plus lonidamine (MTX + LND) in recurrent and/or metastatic carcinoma of the head and neck

E. Colella, M. Merlano, F. Blengio, F. Angelini, G. P. Ausili Cefaro, F. Scasso, V. Lo Russo, S. Cirulli, D. Giannarelli, F. Cognetti

Research output: Contribution to journalArticlepeer-review

Abstract

Between March 1990 and March 1992, 89 patients with recurrent and/or metastatic squamous cell cancer of the head and neck were randomised to receive either intravenous methotrexate (MTX) at a weekly dose of 40 mg/m2 plus lonidamine (LND) given orally at a starting dose of 75 mg three times daily for 3 days and then at a dose of 150 mg three times daily (arm MTX+LND) or methotrexate alone (arm MTX) at the same doses as arm MTX+LND. Complete remissions were observed in 10.5% of the patients in arm MTX+LND, and partial remissions in another 15.8%, yielding a 26.3% response rate. In arm MTX, only partial remissions were observed, yielding an overall response rate of 18.2%. Haematological toxicity was mild in both groups. Mild testicular pain (21%) and myalgias (31%) occurred only in patients treated with LND.

Original languageEnglish
Pages (from-to)928-930
Number of pages3
JournalEuropean Journal of Cancer
Volume30
Issue number7
DOIs
Publication statusPublished - 1994

Keywords

  • chemotherapy
  • head and neck cancer
  • lonidamine

ASJC Scopus subject areas

  • Cancer Research
  • Hematology
  • Oncology

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