13-cis-retinoic acid (NSC 122758) in the treatment of children with metastatic neuroblastoma unresponsive to conventional chemotherapy: report from the Childrens Cancer Study Group

The Childrens Cancer Study Group evaluated daily oral 13-cis-retinoic acid to determine its therapeutic efficacy in 28 children with advanced neuroblastoma refractory to conventional therapy. Cheilitis and fissured lips were the most common side effects; however, fewer than 50% of the patients experienced any toxicity. Two of twenty-two evaluable children demonstrated positive response to therapy. In one case, a child received the drug for 11 months. Seventeen patients demonstrated progressive disease within 28 days of the start of treatment. Three other patients with stable disease, or removed from study at day 28, were considered nonresponsive. Our data demonstrate that, when given as a single daily oral dose of 100 mg/m2, 13-cis-retinoic acid does not have significant activity in children with advanced neuroblastoma.

 

Comments：

This passage is discussing the results of a study conducted by the Children's Cancer Study Group on the use of 13-cis-retinoic acid in children with advanced neuroblastoma, a type of cancer that affects the nervous system. The study found that the drug, when given as a daily dose of 100 mg/m2, did not show significant activity in treating this condition. The most common side effects were cheilitis and fissured lips, but fewer than 50% of the patients experienced any toxicity. Two of the 22 evaluable children showed positive response to the therapy, but 17 patients showed progressive disease within 28 days of the start of treatment. The results of the study suggest that 13-cis-retinoic acid is not an effective treatment option for children with advanced neuroblastoma.

 

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