'JEB' - a carboplatin based regimen for malignant germ cell tumours in children
1990

Carboplatin Treatment for Children's Tumors

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): C.R. Pinkerton, V. Broadbent, A. Horwich, J. Levitt, T.J. McElwain, S.T. Meller, M. Mott, A. Oakhill, J. Pritchard

Primary Institution: The Royal Marsden Hospital

Hypothesis

Can a carboplatin-based regimen effectively treat malignant germ cell tumors in children?

Conclusion

The JEB regimen is effective and well-tolerated, showing comparable efficacy to cisplatin-based treatments with less toxicity.

Supporting Evidence

  • Complete marker response was achieved in 19 out of 19 evaluable patients.
  • Complete remission of measurable tumor occurred in 16 out of 19 patients.
  • The regimen was well tolerated apart from myelosuppression.
  • Three patients relapsed, but two remain in second complete remission after further treatment.
  • One death was attributed to probable bleomycin pulmonary toxicity.

Takeaway

This study tested a new treatment for kids with certain tumors, and it worked well without causing too much harm.

Methodology

21 children aged 1 to 16 years received the JEB regimen, which included carboplatin, etoposide, and bleomycin, with doses adjusted based on renal function.

Limitations

The study had a small sample size and lacked a control group for comparison.

Participant Demographics

Children aged 1 to 16 years, with a median age of 11 years.

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