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Chemical sensitizers for hypoxic cells: a decade of experience in clinical radiotherapy

Abstract

The clinical work with chemical agents to restore the radiosensitivity of hypoxic cells began in 1973 with metronidazole, misonidazole was first given in 1974. The results so far recorded of the clinical trials with misonidazole have been generally disappointing. Hypoxic cells must exist in all human tumours presenting for treatment and it is, however, probable that the oxygen effect is an important one at all dose fractionation regimes employed in radiotherapy but, after conventional fractionated radiotherapy, hypoxia may be a reason for failure in only a proportion of cases. The most important factor underlying the failure of misonidazole to acheive useful advantage is undoubtedly the low radiosensitizing concentrations achievable with the permitted dose of this neurotoxic drug. New drugs are under development and some have different dose-limiting toxicity. Those showing promise at this time are the Stanford compound, SR-2508 and the Roche compounds, Ro 03-8799. It is possible that the greatest sensitization with the greatest tolerance will be achieved by a combination of drugs.
Authors:
Dische, S [1] 
  1. Mount Vernon Hospital, Northwood (UK)
Publication Date:
Feb 01, 1985
Product Type:
Journal Article
Reference Number:
AIX-16-054292; EDB-85-134790
Resource Relation:
Journal Name: Radiother. Oncol.; (Netherlands); Journal Volume: 3:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; RADIOSENSITIZERS; ANOXIA; RADIOTHERAPY; ANIMAL CELLS; BENZIMIDAZOLES; METRONIDAZOLE; MISONIDAZOLE; RADIOSENSITIVITY; REVIEWS; ALCOHOLS; ANTINEOPLASTIC DRUGS; AZOLES; DOCUMENT TYPES; DRUGS; HETEROCYCLIC COMPOUNDS; HYDROXY COMPOUNDS; IMIDAZOLES; MEDICINE; NITRO COMPOUNDS; NUCLEAR MEDICINE; ORGANIC COMPOUNDS; ORGANIC NITROGEN COMPOUNDS; RADIOLOGY; THERAPY; 550603* - Medicine- External Radiation in Therapy- (1980-)
OSTI ID:
5475322
Country of Origin:
Netherlands
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: RAOND
Submitting Site:
HEDB
Size:
Pages: 97-115
Announcement Date:
Jul 01, 1985

Citation Formats

Dische, S. Chemical sensitizers for hypoxic cells: a decade of experience in clinical radiotherapy. Netherlands: N. p., 1985. Web. doi:10.1016/S0167-8140(85)80015-3.
Dische, S. Chemical sensitizers for hypoxic cells: a decade of experience in clinical radiotherapy. Netherlands. https://doi.org/10.1016/S0167-8140(85)80015-3
Dische, S. 1985. "Chemical sensitizers for hypoxic cells: a decade of experience in clinical radiotherapy." Netherlands. https://doi.org/10.1016/S0167-8140(85)80015-3.
@misc{etde_5475322,
title = {Chemical sensitizers for hypoxic cells: a decade of experience in clinical radiotherapy}
author = {Dische, S}
abstractNote = {The clinical work with chemical agents to restore the radiosensitivity of hypoxic cells began in 1973 with metronidazole, misonidazole was first given in 1974. The results so far recorded of the clinical trials with misonidazole have been generally disappointing. Hypoxic cells must exist in all human tumours presenting for treatment and it is, however, probable that the oxygen effect is an important one at all dose fractionation regimes employed in radiotherapy but, after conventional fractionated radiotherapy, hypoxia may be a reason for failure in only a proportion of cases. The most important factor underlying the failure of misonidazole to acheive useful advantage is undoubtedly the low radiosensitizing concentrations achievable with the permitted dose of this neurotoxic drug. New drugs are under development and some have different dose-limiting toxicity. Those showing promise at this time are the Stanford compound, SR-2508 and the Roche compounds, Ro 03-8799. It is possible that the greatest sensitization with the greatest tolerance will be achieved by a combination of drugs.}
doi = {10.1016/S0167-8140(85)80015-3}
journal = []
volume = {3:2}
journal type = {AC}
place = {Netherlands}
year = {1985}
month = {Feb}
}