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Article

Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin

  • Authors:
    • Masayuki Nagasawa
    • Susumu Kageyama
    • Tetsuya Yoshida
    • Yuki Okinaka
    • Shigehisa Kubota
    • Akinori Wada
    • Kenichi Kobayashi
    • Keiji Tomita
    • Ryosuke Murai
    • Teruhiko Tsuru
    • Kazuyoshi Johnin
    • Mitsuhiro Narita
    • Akihiro Kawauchi
  • View Affiliations / Copyright

    Affiliations: Department of Urology, Shiga University of Medical Science, Otsu, Shiga 520‑2192, Japan
  • Pages: 2551-2556
    |
    Published online on: December 20, 2018
       https://doi.org/10.3892/ol.2018.9859
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Abstract

The present study evaluated the impact of nedaplatin‑containing chemotherapy on renal function in 35 patients with urothelial carcinoma (UC) between 2001 and 2014 who were unfit for cisplatin treatment. As comparative controls, the present study also examined 35 patients with the same disease who underwent cisplatin‑containing chemotherapy during the same period. The changes in the estimated glomerular filtration rate (eGFR) prior to and following the administration of nedaplatin during each cycle of chemotherapy was investigated. The present study also reported the overall response rates and adverse events in each group. A total of 31 cycles of the gemcitabine/nedaplatin regimen and 66 cycles of the methotrexate/epirubicin/nedaplatin regimen were administered. In the nedaplatin group, the mean eGFRs prior to and following chemotherapy were 45.4 and 47.8 ml/min/1.73 m2, respectively. The eGFR of the post‑chemotherapy group was significantly increased (P<0.001). On the other hand, in the cisplatin group, the eGFR following chemotherapy was significantly lower than the rate prior to chemotherapy (P<0.001). The overall response rates were 30.4 and 66.7% in the nedaplatin and cisplatin groups, respectively. In the two groups, myelosuppression was the most common side effect, but the occurrence rates in both groups were similar, and these adverse events were manageable. With regard to nephrotoxicity, nedaplatin‑containing chemotherapy for cisplatin‑unfit patients with UC is a safe treatment modality.
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Copy and paste a formatted citation
Spandidos Publications style
Nagasawa M, Kageyama S, Yoshida T, Okinaka Y, Kubota S, Wada A, Kobayashi K, Tomita K, Murai R, Tsuru T, Tsuru T, et al: Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin. Oncol Lett 17: 2551-2556, 2019.
APA
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A. ... Kawauchi, A. (2019). Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin. Oncology Letters, 17, 2551-2556. https://doi.org/10.3892/ol.2018.9859
MLA
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A., Kobayashi, K., Tomita, K., Murai, R., Tsuru, T., Johnin, K., Narita, M., Kawauchi, A."Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin". Oncology Letters 17.2 (2019): 2551-2556.
Chicago
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A., Kobayashi, K., Tomita, K., Murai, R., Tsuru, T., Johnin, K., Narita, M., Kawauchi, A."Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin". Oncology Letters 17, no. 2 (2019): 2551-2556. https://doi.org/10.3892/ol.2018.9859
Copy and paste a formatted citation
x
Spandidos Publications style
Nagasawa M, Kageyama S, Yoshida T, Okinaka Y, Kubota S, Wada A, Kobayashi K, Tomita K, Murai R, Tsuru T, Tsuru T, et al: Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin. Oncol Lett 17: 2551-2556, 2019.
APA
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A. ... Kawauchi, A. (2019). Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin. Oncology Letters, 17, 2551-2556. https://doi.org/10.3892/ol.2018.9859
MLA
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A., Kobayashi, K., Tomita, K., Murai, R., Tsuru, T., Johnin, K., Narita, M., Kawauchi, A."Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin". Oncology Letters 17.2 (2019): 2551-2556.
Chicago
Nagasawa, M., Kageyama, S., Yoshida, T., Okinaka, Y., Kubota, S., Wada, A., Kobayashi, K., Tomita, K., Murai, R., Tsuru, T., Johnin, K., Narita, M., Kawauchi, A."Changes in renal function following nedaplatin‑containing chemotherapy in patients with urothelial carcinoma unfit for cisplatin". Oncology Letters 17, no. 2 (2019): 2551-2556. https://doi.org/10.3892/ol.2018.9859
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