|
Boswellic
acids in the palliative therapy of children with progressive or relapsed brain
tumors
Janssen G,
Bode U, Breu H, Dohrn B, Engelbrecht V, Gobel U
Klinik fur Padiatrische Hamatologie und Onkologie,
Universitat Dusseldorf
19
children and adolescents with intracranial tumors received a palliative therapy
with H 15 at a maximum dose of 126 mg/kg BW/day.
All patients had previously been treated with conventional therapy.
No side effects were observed during a median 9 months application.
The recently reported antiedematous effect of H 15 was documented by MRI in one
patient with a peritumoral edema, thus sparing steroid therapy with its typical
side effects.
Five/19 children reported an improvement of their general health status; this
might be a psychological effect of hope for tumor response during palliative
care. Three/17 patients with malignant tumors showed a mainly transient
improvement of neurological symptoms such as pareses and ataxia.
Three further patients showed an increased muscular strength and one cachectic
patient achieved a weight gain.
These improvements might be attributed to the antiedematous effect of H 15.
Because of the palliative situation of these patients, H 15 application was
performed without prior rebiopsy for histological evaluation.
Overlapping effects with a previous radiotherapy or chemotherapy may have
occurred.
An antiproliferative effect cannot be stated.
To prevent an uncritical use of H 15, further studies with prospective central
documentation have to be initiated to evaluate the clinical indications for H 15
in palliative therapy, optimal dosage and duration of application.
PMID:
10994549 [PubMed - indexed for MEDLINE]
Source:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10994549&dopt=Abstract
|