Cisplatin (Monograph)
Brand name: Platinol-AQ
Drug class: Antineoplastic Agents
- Platinum-containing Agents
VA class: AN900
Chemical name: (SP-4-2)-Diamminedichloroplatinum
Molecular formula: Cl2H6N2Pt
CAS number: 15663-27-1
Warning
- Experience of Supervising Clinician
-
Use under supervision of a qualified clinician experienced in therapy with antineoplastic agents.1 Use only when adequate treatment facilities for appropriate management of therapy and complications are available.1
- Dose-Related Toxicities
-
Risk of dose-related toxicities, including myelosuppression, nausea, vomiting, and cumulative, severe renal toxicity.1 Dosages >100 mg/m2/cycle once every 3–4 weeks rarely used.1
- Ototoxicity
-
Risk of ototoxicity; more pronounced in children.1 Manifestations include tinnitus, loss of high frequency hearing, decreased hearing acuity, and, occasionally, deafness.1 276 287 288 289 290 291 292 358
- Anaphylaxis
-
Risk of anaphylactoid reactions (e.g., facial edema, bronchoconstriction, wheezing, tachycardia, hypotension); may occur within minutes following administration.1 (See Anaphylactoid Reactions under Cautions.) IV epinephrine, corticosteroids, and antihistamines have been effectively employed to alleviate symptoms.1
Introduction
Antineoplastic agent; platinum-containing compound.1 7 13
Uses for Cisplatin
Testicular Cancer
Adjunct to other antineoplastic agents for the treatment of metastatic testicular tumors (including nonseminomatous testicular carcinoma, seminoma testis, and extragonadal germ-cell tumors) in patients who have already received appropriate surgery and/or radiation therapy.1 63 403
For induction of remissions, a regimen of cisplatin, bleomycin, and vinblastine (with or without other antineoplastic agents) has been used.64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 403
For treatment of disseminated disease, a regimen of cisplatin, bleomycin, and etoposide has been used.63 335 403 406 407 408 409 410 411 412
Regimen consisting of cisplatin, ifosfamide with mesna, and either vinblastine or etoposide considered standard initial salvage (i.e., second-line) regimen in patients with recurrent disease.63 403 507
Ovarian Cancer
Used alone or in combination therapy for the treatment of ovarian cancer.1 509
Platinum-based therapy has been used for adjuvant treatment following surgery in early-stage ovarian epithelial cancer† [off-label].509
For initial (first-line) treatment of advanced ovarian epithelial cancer, combination chemotherapy with a platinum-containing agent (e.g., cisplatin, carboplatin) and paclitaxel currently is preferred regimen.63 509 Carboplatin is as effective as but less toxic than cisplatin when used in combination with either paclitaxel757 758 or cyclophosphamide; 521 522 therefore, carboplatin in combination with paclitaxel currently is a preferred regimen for initial treatment of advanced ovarian epithelial cancer.63 509 Regimen consisting of cisplatin and paclitaxel is superior to regimen consisting of cisplatin and cyclophosphamide.509 517 641
Combined therapy with IV paclitaxel, intraperitoneal cisplatin, and intraperitoneal paclitaxel† [off-label] is recommended (accepted) for the initial adjuvant treatment of optimally debulked stage III epithelial ovarian cancer in patients with good performance status (Gynecologic Oncology Group [GOG] performance status of 0–2).10001 10012
Second-line therapy for the treatment of advanced epithelial ovarian cancer when retreatment is indicated in patients with platinum-sensitive disease who relapse.1 489 509 However, carboplatin monotherapy preferred to cisplatin monotherapy by some clinicians due to its more favorable toxicity profile.489 509 Nonplatinum-based monotherapy regimens (e.g., paclitaxel) generally preferred for retreatment of platinum-resistant disease.489 509 512 514
For the adjuvant therapy of ovarian germ-cell tumors, combination chemotherapy with cisplatin, bleomycin, and etoposide currently is regimen of choice.63 415 582
Bladder Cancer
Used alone or in combination therapy for the treatment of muscle-invasive and advanced bladder cancer that is no longer amenable to surgery and/or radiation therapy.1 584 585 587 591 605 606
For adjuvant treatment of muscle-invasive bladder cancer, regimens consisting of cisplatin, methotrexate, and vinblastine with or without doxorubicin (abbreviated as M-VAC or CMV, respectively) currently is used.591 605 606
For palliative treatment of advanced or metastatic bladder cancer, M-VAC, CMV, or, alternatively, a regimen consisting of cisplatin and gemcitabine currently is used.63 134 556 584 585 626
Head and Neck Cancer
Used in combination with docetaxel and fluorouracil as induction therapy prior to radiotherapy or chemoradiotherapy in the treatment of locally advanced squamous cell carcinoma of the head and neck.765 766
Adjunct to fluorouracil or paclitaxel for the palliative treatment of recurrent or metastatic head and neck cancer† [off-label].63 527 673 674 Regimen consisting of cisplatin, methotrexate, bleomycin, and vincristine also has been used.675
Cervical Cancer
Used alone63 685 687 or in combination therapy63 684 686 687 688 as an adjunct to radiation therapy for the treatment of invasive cervical cancer† [off-label] (FIGO stages IB2 through IVA684 685 687 688 or FIGO stage IA2, IB, or IIA with poor prognostic factors).683 684 685 686 687 688 690 697
Component of various combination chemotherapeutic regimens (e.g., bleomycin, cisplatin, and ifosfamide [BIP]; bleomycin, cisplatin, mitomycin, and vincristine [BOMP]) for the treatment of metastatic or recurrent cervical cancer† [off-label].63 177 179 180 181
Non-small Cell Lung Cancer
Component of various chemotherapeutic regimens for advanced non-small cell lung cancer†.63 529 665
Currently preferred regimens include the combination of cisplatin with another agent, such as paclitaxel,63 187 529 665 666 vinorelbine,63 529 665 667 gemcitabine,63 187 529 669 670 or docetaxel.187 529
Small Cell Lung Cancer
Adjunct to other antineoplastic agents for the treatment of small cell lung cancer†.63 533
Regimens consisting of cisplatin and etoposide or irinotecan currently considered preferred regimens.63 515 533
Malignant Pleural Mesothelioma
Used in combination with pemetrexed for the treatment of malignant pleural mesothelioma in patients not eligible for surgery.63 679
Monotherapy202 203 679 680 or as adjunct to other antineoplastic agents (e.g., doxorubicin, gemcitabine, mitomycin)63 204 681 for the palliative treatment of advanced malignant pleural mesothelioma†.202 203 204 679 680 681
Esophageal Cancer
Monotherapy569 576 644 or as adjunct to other antineoplastic agents63 568 569 570 576 644 for the treatment of localized or advanced esophageal cancer†.
For treatment of localized, resectable esophageal cancer, some experts recommend combined modality treatment with combination chemotherapy (e.g., cisplatin and fluorouracil) and concurrent radiation therapy with or without surgery.361 568 572
For palliative treatment of metastatic (local or distant) disease or recurrent or locally advanced disease not amenable to surgery or radiation therapy,63 568 570 576 644 combination therapy with cisplatin and fluorouracil is considered regimen of choice.63 568 644
Biliary Tract Cancer
Use in combination with gemcitabine is recommended (accepted) for the treatment of unresectable locally advanced or metastatic biliary tract cancer† (intrahepatic or extrahepatic cholangiocarcinoma, gallbladder cancer, or ampullary cancer), including unresectable recurrent disease following surgical resection, in patients with good performance status (ECOG performance status of 0 or 1).761 763 764
Brain Tumors
Adjunct for the treatment of astrocytic tumors†, such as anaplastic astrocytoma and glioblastoma multiforme.63
Used in combination with lomustine and vincristine as adjuvant therapy following surgical resection and radiation therapy for the treatment of medulloblastoma†.63 546
Monotherapy or in combination chemotherapy regimens (e.g., cisplatin and etoposide) as salvage therapy for recurrent oligodendroglioma†.63 213
Adjunct to etoposide for the treatment of intracranial germ cell tumors†.63 214 545
Neuroblastoma
Component of combination therapy for high-risk neuroblastoma†.63 541
In patients with intermediate-risk tumors or some patients with low-risk tumors, combination chemotherapy with moderate doses of carboplatin, cyclophosphamide, doxorubicin, and etoposide is used in conjunction with surgery (with or without radiation therapy).541 In patients with high-risk tumors, aggressive chemotherapy using higher doses of these drugs and additional drugs (e.g., ifosfamide, high-dose cisplatin, vincristine) is used.541
Related/similar drugs
Rybrevant, methotrexate, fluconazole, Diflucan, Keytruda, carboplatin, pembrolizumab
Cisplatin Dosage and Administration
General
-
Consult specialized references for procedures for proper handling and disposal of antineoplastics.1
-
Consider pretreatment with antiemetics (e.g., selective inhibitors of type 3 [5-HT3] serotonergic receptors)440 441 445 446 449 450 451 452 453 454 455 456 457 459 460 461 462 466 468 or combination antiemetic therapy (e.g., 5-HT3 receptor antagonist and corticosteroid) to prevent nausea and vomiting,.446 451 452 455 456 462 464 466 468 469 470
Hydration
-
Hydrate with 1–2 L IV fluid 8–12 hours prior to administration.1 67 245 252 344 Maintain adequate hydration and urinary output during and for 24 hours after administration to minimize nephrotoxicity.1 243 245 251 256 343 344
-
In adults, IV fluids usually administered alone or with mannitol and/or furosemide to achieve a diuresis of 150–400 mL/hour (during and for at least 4–6 hours after administration of cisplatin)245 251 252 256 343 344 or ≥100–200 mL/hour (for the next 18–24 hours65 251 252 343 344 or until vomiting stops and oral fluids are tolerated).343
-
Potassium chloride (e.g., 10–20 mEq/L) often added to IV fluids to replace losses and prevent deficiencies.245 259 344
Administer by IV infusion.1 Also has been administered intraperitoneally†.42 43 346 476 10001 10008
IV Administration
For solution and drug compatibility information, see Compatibility under Stability.
Administer by IV infusion.1
Aluminum displaces platinum from cisplatin molecule,10 11 12 causing formation of a black precipitate1 10 11 12 and loss of potency;1 12 do not use needles or IV administration sets that contain aluminum parts for preparation or administration.1
Handle cautiously (e.g., use gloves); avoid exposure during handling and preparation of IV solution.1 If skin or mucosal contact occurs, immediately and thoroughly wash skin with soap and water and flush mucosa with water.1
Dilution
Dilute preservative-free solution with 2 L of 5% dextrose and 0.33 or 0.45% sodium chloride injection containing 18.75 g of mannitol/L (i.e., 37.5 g in 2 L).1 Do not dilute with 5% dextrose injection.1
If not used within 6 hours, protect from light.1
Rate of Administration
Manufacturer recommends administering dose by IV infusion over 6–8 hours.1
Has been administered over 15 minutes to 2 hours with minimal adverse renal effects.65 243 247 252 256 257 258 261 Continuous 24-hour38 or 5-day263 264 265 IV infusions also have been used.
Rapid IV injection (e.g., over 1–5 minutes)25 27 259 290 associated with increased risk of nephrotoxicity243 or ototoxicity.290
Intraperitoneal Instillation
In patients with advanced epithelial ovarian cancer (GOG-172 study), dose was diluted in 2 L of 0.9% sodium chloride solution that was warmed to 37°C and administered as rapidly as possible through a surgically implanted peritoneal catheter.10001 10005 10015 Following peritoneal infusion, patient was asked to roll into a different position every 15 minutes for the next 2 hours to disperse the drug throughout the peritoneal cavity.10005 10015
Some clinicians have recommended mixing intraperitoneal chemotherapeutic agents in 1 L of warmed saline solution and then, in the absence of pain, administering an additional 1 L of saline solution to ensure adequate distribution within the peritoneal cavity.10011
Consult specialized sources for guidance on how to administer intraperitoneal therapy.10005 10016 Further study needed to optimize techniques for intraperitoneal therapy to minimize risk of complications (e.g., infection, catheter obstruction, catheter retraction, bowel perforation, pain, leakage, port access problems).10005 10015 10016 10017
Dosage
Contact prescriber if prescribed dose >100 mg/m2/cycle.1 (Cisplatin dosages exceeding 100 mg/m2/cycle once every 3–4 weeks are rarely used.)1 Inadvertent substitution of cisplatin for carboplatin can result in potentially fatal overdosage.419 420 421 422 (See Boxed Warning.)
Do not administer repeat course until Scr <1.5 mg/dL and/or BUN <25 mg/dL, platelet count ≥100,000/mm3, and leukocyte count ≥4000/mm3, and unless auditory acuity is within normal limits.1
Consult published protocols for dosages of other chemotherapeutic agents and alternative cisplatin dosages, the method and sequence of administration, and duration of therapy.
Adults
Testicular Cancer
IV
20 mg/m2 daily for 5 consecutive days every 3 weeks for 3 or 4 courses of therapy.1 64 65 66 67 68 69 70 71 72 73 335 408 3 cycles of therapy are sufficient for favorable-prognosis germ cell tumors.85 86
Ovarian Cancer
IV
Combination chemotherapy with paclitaxel: 75 mg/m2 once every 3 weeks.361 517
Combination chemotherapy with cyclophosphamide: 50–100 mg/m2 once every 3–4 weeks.1 361 Administer cisplatin and cyclophosphamide sequentially.1
Monotherapy: Manufacturer recommends 100 mg/m2 once every 4 weeks.1 Some experts recommend 50–100 mg/m2 once every 3 weeks;361 dosages of 30–120 mg/m2 once every 3–4 weeks have been used.97 98 101 102 103 104 105 383
Intraperitoneal
Combination chemotherapy with IV and intraperitoneal paclitaxel†: IV paclitaxel 135 mg/m2 by 24-hour infusion on day 1, followed by intraperitoneal cisplatin 100 mg/m2 on day 2 and intraperitoneal paclitaxel 60 mg/m2 on day 8, has been administered every 21 days for up to 6 cycles.10001 Modified regimens (e.g., with shorter IV infusion times that may permit outpatient administration) are being investigated.10008 10012 10013 10014
Bladder Cancer
IV
50–70 mg/m2 once every 3–4 weeks, depending on extent of prior radiation therapy and/or chemotherapy.1
In extensively pretreated patients, 50 mg/m2 once every 4 weeks.1
Head and Neck Cancer†
IV
Monotherapy: 80–120 mg/m2 once every 3 weeks38 143 144 147 149 or 50 mg/m2 on the first and eighth days of every 4 weeks.143 148
Combination chemotherapy: 50–120 mg/m2; frequency of administration depends on the specific regimen employed (consult specialized references).144 146 149 150 151 152 154 155 157 158 160 161 162 163 164 165 166 167 168 169 170
Induction therapy (in combination with docetaxel and fluorouracil): 75–100 mg/m2 once every 3 weeks.765 766
Cervical Cancer†
Invasive Cervical Cancer†
IVMonotherapy: 40 mg/m2 once weekly has been administered concurrently with radiation therapy up to a maximum of 6 doses.685 687
Combination chemotherapy (e.g., with fluorouracil): 50–75 mg/m2 has been administered concurrently with radiation therapy according to various dosage schedules.684 686 687
Metastatic or Recurrent Cervical Cancer†
IV50 mg/m2 once every 3 weeks up to a maximum of 6 courses.175 178 180 181 Higher dosages (e.g., 100 mg/m2 once every 3 weeks) produce higher response rates but also increased toxicity.175
Non-small Cell Lung Cancer†
IV
75–100 mg/m2 once every 3–4 weeks.666 667 669 670
Esophageal Cancer†
IV
Monotherapy: 50–120 mg/m2 once every 3–4 weeks.576
Combination chemotherapy: 75–100 mg/m2 once every 3–4 weeks.361 570 572 576
Biliary Tract Cancer†
IV
Combination chemotherapy with gemcitabine: Cisplatin 25 mg/m2 (as 1-hour infusion) has been given on days 1 and 8 of each 21-day cycle; administered in combination with gemcitabine (1 g/m2 as 30-minute infusion on days 1 and 8 after cisplatin).761 763 Treatment continued for 24 weeks (8 cycles) in the absence of disease progression or unacceptable toxicity.761 763
Prescribing Limits
Adults
Do not administer cycle more frequently than once every 3–4 weeks.1
Contact prescriber if prescribed dose >100 mg/m2/cycle.1 (Cisplatin dosages exceeding 100 mg/m2/per cycle once every 3–4 weeks are rarely used.)1
Consider that renal toxicity becomes more severe with repeated courses of cisplatin.1
Cervical Cancer†
Invasive cervical cancer: Maximum 6 doses.685 687
Metastatic or recurrent cervical cancer: Maximum 6 courses.175 178 180 181
Special Populations
Geriatric Patients
Careful dosage selection and monitoring of renal function recommended due to possible age-related decrease in renal function.1 756
Cautions for Cisplatin
Contraindications
-
Patients with preexisting renal impairment, myelosuppression, or hearing impairment.1
-
Known hypersensitivity to cisplatin or other platinum-containing compounds or any ingredient in the formulation.1
Warnings/Precautions
Warnings
Renal Effects
Risk of dose-related (cumulative), severe nephrotoxicity1 243 244 245 246 (manifested as increased Scr, BUN, serum uric acid concentrations, and/or decreased Clcr1 243 244 245 246 and GFR);247 339 nephrotoxicity more common and severe than with carboplatin.440 493 521 522 542 549 566
Nephrotoxicity generally occurs during second week following initiation of therapy;1 246 may occur within several days following administration of high-dose regimens.246 (See Clinical/Laboratory Monitoring under Cautions.)
High13 243 244 245 or repeated doses1 13 390 can increase severity1 13 244 390 and duration1 244 of renal impairment. Recovery generally occurs within 2–4 weeks after administration of cisplatin,244 246 256 but renal insufficiency may be irreversible (sometimes fatal).13 243 244 245
Maintain adequate hydration and urinary output during and for 24 hours after administration of cisplatin to minimize nephrotoxicity.1 243 245 251 256 343 344 (See Hydration under Dosage and Administration.)
Nervous System Effects
Risk of neurotoxicity, usually characterized by severe neuropathy (e.g., paresthesia, areflexia, loss of proprioception and vibratory sensation)1 101 276 297 298 299 300 301 302 303 304 444 in patients receiving higher single or cumulative doses, prolonged therapy (4–7 months),1 276 297 298 299 300 301 302 303 304 486 488 or greater dose frequency than recommended.1 Neurotoxicity more severe and occurs more frequently than with carboplatin.440 493 521 522
Perform neurologic examination regularly.1 If manifestations of neuropathy occur, discontinue cisplatin immediately; neuropathy may worsen even after discontinuance.1 297 488 Peripheral neuropathy may be irreversible in some patients.1 297
Possible motor (especially gait) difficulties,101 276 297 299 300 302 472 reduced or absent deep-tendon reflexes,101 297 298 300 304 leg weakness,300 301 or loss of motor function.1 Muscle cramps reported, particularly in patients receiving high cumulative dose and at advanced symptomatic stage of peripheral neuropathy.1
Loss of taste, seizures, Lhermitte’s sign, dorsal column myelopathy, and autonomic neuropathy reported.1
Otic Effects
Risk of dose-related, cumulative ototoxicity.1 (See Boxed Warning.) Hearing loss can be unilateral or bilateral and becomes more frequent and severe with repeated doses;1 may occasionally require dosage reduction or discontinuance of therapy.276 290 358 (See Clinical/Laboratory Monitoring under Cautions.)
Risk of vestibular ototoxicity1 295 296 (manifested as vertigo295 ) or vestibular dysfunction.296
Fetal/Neonatal Morbidity and Mortality
May cause fetal harm; teratogenicity and embryolethality demonstrated in animals.1 347 360 367 368 Avoid pregnancy during therapy.1 If used during pregnancy or if patient becomes pregnant, apprise of potential fetal hazard.1 347 360
Carcinogenic Effects
Malignancies (e.g., leukemia, renal fibrosarcoma) reported in rats.1 Bladder cancer reported in at least 1 patient, but causal relationship not established.330 331 Acute leukemia rarely reported in humans; in such cases, cisplatin generally was given in combination with other leukemogenic agents and/or radiation.1 331 478 479 480 481
Sensitivity Reactions
Anaphylactoid Reactions
Anaphylactoid reactions reported.1 (See Boxed Warning.) Anaphylactoid reactions usually have occurred only after multiple cycles (e.g., at least 5 doses),245 312 313 440 but also can occur after the initial dose.440 Observe patients carefully; supportive equipment and medication should be available for immediate use.1
Major Toxicities
Hematologic Effects
Risk of cumulative myelosuppression (manifested as leukopenia, thrombocytopenia, and anemia).1 13 276 Leukopenia and thrombocytopenia are dose-related.1 276 Anemia not clearly dose-related but may be severe, possibly requiring transfusions.97 245 393
Myelosuppression may be more severe in patients previously treated with other antineoplastic agents or radiation therapy.245 276 Myelosuppression less pronounced than with carboplatin.440 495 496 521 522 551
Nadir in circulating platelets, leukocytes, and hemoglobin occurs 18–23 days (range: 7.2–45 days) following single dose; levels return to pretreatment values in most patients within 39 days (range: 13–62 days).1 440 (See Clinical/Laboratory Monitoring under Cautions.)
Fever and infection reported in patients with neutropenia.1
Hemolytic anemia reported.1 Repeat course may result in increased hemolysis; carefully weigh benefit of therapy versus risk.1
GI Effects
Marked nausea and vomiting reported in virtually all patients;1 276 440 441 442 445 446 447 448 449 450 462 468 469 470 occasionally may require discontinuance of therapy.1 276 468
Increased incidence and severity in females, in young patients, following administration of high doses or by rapid infusion, and/or following concomitant administration with other emetogenic drugs (e.g., doxorubicin); patients with history of chronic heavy alcohol use may experience less frequent and severe emetogenic effects.440 450 462 468
Nausea and vomiting generally begin within 1–6 (usually 2–3) hours after administration of cisplatin; persist for up to 24 hours or longer.1 101 276 440 441 462 Average of 10–12 vomiting episodes reported within first 24 hours after initial dose.440 462 468 Various degrees of nausea, vomiting, and anorexia may persist for up to 5–10 days.1 101 259 276
Delayed nausea and vomiting (beginning or persisting ≥24 hours following chemotherapy) has occurred in patients who had attained complete emetic control on the day of cisplatin therapy.1 440 441 445 449 450 451 458 459 462 468
Cardiovascular and Cerebrovascular Effects
Bradycardia,316 left bundle-branch block,276 ST-T-wave changes with CHF,276 postural hypotension,276 MI, cerebrovascular accident, thrombotic microangiopathy, or cerebral arteritis reported rarely.1
Electrolyte Disturbances
Hypomagnesemia,1 251 268 269 270 271 272 273 342 390 hypocalcemia,1 268 269 271 342 390 hypokalemia,1 271 hypophosphatemia,1 271 and hyponatremia1 274 342 reported. SIADH reported.1
Manifestations of hypomagnesemia and/or hypocalcemia include muscle irritability268 or cramps,270 clonus,271 tremor,270 carpopedal spasm,269 271 and/or tetany.1 269 271
Electrolyte disturbances may occur within several days after administration of initial dose;268 269 342 hypomagnesemia usually develops within 3–4 weeks268 269 270 273 and appears to increase in severity with progressive courses of treatment.390 (See Clinical/Laboratory Monitoring under Cautions.)
Normal serum electrolyte concentrations generally restored by administration (usually parenteral)268 269 270 271 390 of appropriate supplemental electrolytes and drug discontinuance.1 268 269 270 271
Metabolic Effects
Hyperuricemia (resulting from drug-induced nephrotoxicity256 ) reported;1 126 256 more pronounced with doses >50 mg/m2.1 Peak uric acid concentrations generally occur 3–5 days after administration of drug.1
Allopurinol effectively reduces uric acid concentrations.1 256
Ocular Effects
Optic neuritis1 298 304 314 (principally retrobulbar),298 314 papilledema,1 314 and cerebral (cortical) blindness1 48 315 471 reported infrequently. Corticosteroids, with or without mannitol, have been used; however, efficacy of such treatment not established.1
Blurred vision and altered color perception reported following administration of higher dosages or greater dosing frequencies.1
Hepatic Effects
Mild and transient elevations of serum AST (SGOT),1 276 ALT (SGPT),276 and bilirubin1 reported. (See Clinical/Laboratory Monitoring under Cautions.)
Local Effects
Soft tissue toxicity (e.g., severe cellulitis with residual fibrosis,322 482 and full-thickness skin necrosis323 482 ) reported following extravasation of drug.1 482
Infusion of solutions with concentration >0.5 mg/mL may result in tissue cellulitis, fibrosis, and necrosis.1
General Precautions
Clinical/Laboratory Monitoring
Monitor Scr, BUN, Clcr, and serum magnesium, sodium, potassium, and calcium concentrations prior to initiating therapy and prior to each subsequent course.1 Do not administer repeat dose until Scr <1.5 mg/dL and/or BUN <25 mg/dL.1 (See Dosage under Dosage and Administration.)
Monitor peripheral blood counts weekly.1
Perform neurologic examination regularly.1
Monitor liver function periodically.1
Perform audiometric testing prior to initiating therapy and prior to each subsequent dose.1 Do not administer repeat doses unless auditory acuity is within normal limits.1
Specific Populations
Pregnancy
Category D.1 (See Fetal/Neonatal Morbidity and Mortality under Cautions.)
Lactation
Distributed into milk.1 Discontinue nursing.1 347 360 361
Pediatric Use
Safety and efficacy not established.1 34 205 206 207 208
More severe ototoxic effects.1 289 Increased risk of hypomagnesemia.269
Geriatric Use
Insufficient experience in patients ≥65 years of age to determine whether geriatric patients respond differently than younger adults.756
Possible increased risk for myelosuppression, infectious complications, peripheral neuropathy, and nephrotoxicity.1 756
Careful dosage selection and monitoring of renal function recommended due to possible age-related decrease in renal function.1 756
Common Adverse Effects
Nausea, vomiting, nephrotoxicity, ototoxicity, myelosuppression.1 (See Warnings under Cautions.)
Drug Interactions
No evidence to date that cisplatin undergoes enzymatic biotransformation.7 14
Renally Excreted Drugs
Potentially altered elimination of renally excreted drugs,347 361 possibly as a result of cisplatin-induced nephrotoxicity.337
Specific Drugs
Drug |
Interaction |
Comments |
---|---|---|
Aminoglycosides |
Increased risk of nephrotoxicity.1 245 248 253 254 255 Increased risk of ototoxicity.1 |
Avoid concomitant use; if must be used concomitantly (during or shortly after cisplatin therapy), exercise extreme caution.245 248 251 253 254 Some clinicians recommend avoiding aminoglycoside for at least 2 weeks after cisplatin to minimize risk.245 |
Amphotericin B |
||
Anticonvulsants (e.g., phenytoin) |
Possible decreased phenytoin concentrations (due to decreased absorption and/or increased metabolism).414 |
Monitor serum phenytoin concentrations; adjust dosage accordingly.414 |
Bleomycin |
Possible altered renal elimination of bleomycin.337 |
Possible synergistic antineoplastic effects.362 |
Diuretics, loop (e.g., ethacrynic acid, furosemide) |
Increased risk of ototoxicity.1 |
|
Etoposide |
Possible decreased etoposide elimination.378 |
Possible synergistic antineoplastic effects.80 94 193 154 355 363 364 366 |
Methotrexate |
Possible altered renal elimination of methotrexate.338 |
Possible synergistic antineoplastic effects.362 |
Pyridoxine |
Response duration adversely affected when used concomitantly with cisplatin and altretamine (hexamethylmelamine).1 |
Cisplatin Pharmacokinetics
Absorption
Following rapid IV injection over 1–5 minutes25 27 or rapid IV infusion over 15 minutes30 31 386 or 1 hour,26 36 peak plasma drug27 and platinum25 26 27 30 31 36 386 concentrations occur immediately.
Distribution
Extent
After cisplatin administration, platinum is widely distributed into body fluids and tissues,44 45 with highest platinum concentrations in the kidneys,1 44 59 liver,1 44 45 59 and prostate;1 44 somewhat lower concentrations in the bladder,1 44 muscle,1 44 59 testes,1 44 59 pancreas,1 44 59 and spleen;1 44 59 and lowest concentrations in the small and large intestines,1 44 45 59 adrenals,1 44 59 heart,1 44 59 lungs,1 44 59 lymph nodes,59 thyroid,59 gallbladder,59 thymus,59 cerebrum,1 44 49 cerebellum,1 44 49 ovaries,44 and uterus.44 Distributed minimally into leukocytes25 and erythrocytes.60 371 386
Platinum present in tissues for as long as 180 days after administration of last dose.1
Possible accumulation of platinum compound when administered on a daily basis.1
Crosses the placenta44 and is distributed into milk.1
Plasma Protein Binding
Platinum from cisplatin is 90% irreversibly bound51 (mainly to albumin, transferrin, and γ-globulin).1 36 51 Only nonprotein-bound platinum is cytotoxic.26 50
Special Populations
Increased plasma concentrations of nonprotein-bound platinum in patients with renal impairment.31
Elimination
Metabolism
No evidence to date that cisplatin undergoes enzymatic biotransformation.7 14 Chloride ligands of the cisplatin complex believed to be displaced by water, forming positively charged platinum complexes that react with nucleophilic sites.7 14
Elimination Route
Excreted principally in urine (predominantly via glomerular filtration26 54 141 391 ) as intact cisplatin25 53 55 and platinum-containing product(s);1 25 26 28 29 30 31 36 52 55 approximately 10–50% of dose excreted within 24–48 hours.1 25 26 28 29 30 37 391
Fecal elimination1 29 45 appears to be insignificant.1
May undergo enterohepatic circulation.36 39 40 371
Minimally removed by hemodialysis.57 58
Half-life
Intact cisplatin: 20–30 minutes (initial phase) following rapid IV injection or infusion.1 27
Total platinum: 8.1–49 minutes (initial phase)25 26 29 36 46 371 386 and 30.5–107 hours25 26 29 36 46 or possibly longer386 (terminal phase) following rapid IV injection or infusion.25 26 29 36 46 386 Following 6-hour IV infusion, terminal elimination half-life is 73–290 hours.28 29 37
Nonprotein-bound platinum: 2.7–30 minutes (initial phase)26 31 371 386 and 32–53.5 minutes (terminal phase) following rapid IV injection or infusion.26 30 31 371 386
Special Populations
Impaired elimination38 58 and prolonged terminal half-life in renal impairment.58
Stability
Storage
Parenteral
Injection
15–25°C; do not refrigerate (since precipitation may occur).1 4 5 402 Protect from light.1 3 402
Following initial entry of vial, cisplatin is stable for 28 days (protected from light) or 7 days (under fluorescent room light).1
Protect diluted solution from light if not used within 6 hours.1
IV Solution |
Cisplatin Concentration (mg/ml) |
Duration of Stability (time and temperature) |
---|---|---|
5% Dextrose and 0.45 or 0.9% Sodium Chloride |
0.05, 0.5 |
at least 24 h at room temperatureHID |
5% Dextrose and 0.33% Sodium Chloride with 1.875% Mannitol (with or without 0.15% Potassium Chloride) |
0.05, 0.1, 0.2 |
at least 72 h at 4 or 25°C5 |
5% Dextrose and 0.45% Sodium Chloride with 1.875% Mannitol |
0.05, 0.1, 0.2 |
at least 72 h at 4 or 25°C5 |
0.2% Sodium Chloride |
0.2 |
at least 24 h at room temperature4 |
0.225% Sodium Chloride |
0.05, 0.1, 0.2 |
at least 72 h at 4 or 25°C5 |
0.3% Sodium Chloride |
0.05, 0.1, 0.2 |
at least 72 h at 4 or 25°C5 |
0.45% Sodium Chloride |
0.2 |
at least 24 h at room temperature4 |
0.05, 0.5 |
at least 24 h at 25°C6 |
|
0.9% Sodium Chloride |
0.2 |
at least 24 h at room temperature4 |
0.05, 0.5 |
at least 24 h at 25°C6 |
Compatibility
Aluminum displaces platinum from cisplatin molecule,10 11 12 causing formation of a black precipitate1 10 11 12 and loss of potency;1 12 do not use needles or IV administration sets that contain aluminum parts for preparation or administration.1
Parenteral
Solution CompatibilityHID
Compatible |
---|
Dextrose 5% in sodium chloride 0.225, 0.45, or 0.9% |
Dextrose 5% in sodium chloride 0.33 or 0.45% with mannitol 1.875% |
Dextrose 5% in sodium chloride 0.33% with potassium chloride 20 mEq/L and mannitol 1.875% |
Sodium chloride 0.225, 0.3, 0.45, or 0.9% |
Incompatible |
Sodium bicarbonate 5% |
Variable |
Dextrose 5% in water |
Drug Compatibility
Compatible |
---|
Carboplatin |
Cyclophosphamide with etoposide |
Etoposide |
Etoposide with floxuridine |
Floxuridine |
Floxuridine with leucovorin calcium |
Hydroxyzine HCl |
Ifosfamide |
Ifosfamide with etoposide |
Leucovorin calcium |
Magnesium sulfate |
Mannitol |
Ondansetron HCl |
Incompatible |
Etoposide with mannitol and potassium chloride |
Fluorouracil |
Mesna |
Thiotepa |
Variable |
Paclitaxel |
Compatible |
---|
Allopurinol sodium |
Anidulafungin |
Aztreonam |
Bleomycin sulfate |
Caspofungin acetate |
Cladribine |
Cyclophosphamide |
Doripenem |
Doxorubicin HCl |
Doxorubicin HCl liposome injection |
Droperidol |
Etoposide phosphate |
Filgrastim |
Fludarabine phosphate |
Fluorouracil |
Furosemide |
Gemcitabine HCl |
Granisetron HCl |
Heparin sodium |
Leucovorin calcium |
Linezolid |
Melphalan HCl |
Methotrexate sodium |
Metoclopramide HCl |
Mitomycin |
Ondansetron HCl |
Paclitaxel |
Palonosetron HCI |
Pemetrexed disodium |
Propofol |
Sargramostim |
Teniposide |
Topotecan HCl |
Vinblastine sulfate |
Vincristine sulfate |
Vinorelbine tartrate |
Incompatible |
Amifostine |
Amphotericin B cholesteryl sulfate complex |
Gallium nitrate |
Piperacillin sodium–tazobactam sodium |
Thiotepa |
Actions
-
Heavy metal complex containing a platinum atom surrounded by 2 chloride atoms and 2 ammonia molecules.1 7 13 16
-
Chloride ligands of the cisplatin complex are displaced by water (aquation), forming positively charged platinum complexes.7 14 489 490 491 492 493 These toxic platinum complexes bind to specific DNA base sequences,15 489 490 493 494 producing intrastrand and interstrand DNA cross-links,14 15 17 20 125 which are thought to inhibit DNA replication, transcription, and ultimately cell division.489 490 493
-
Exhibits immunosuppressive,13 radiosensitizing,23 24 49 and antimicrobial properties.13
-
Risk of nausea, vomiting, nephrotoxicity, myelosuppression, and ototoxicity.1
-
Importance of informing clinicians of existing or contemplated therapy, including prescription and OTC drugs and dietary or herbal supplements, as well as any concomitant illnesses.1
-
Importance of women informing their clinician if they are or plan to become pregnant or plan to breast-feed.1 Necessity for clinicians to advise women to avoid pregnancy during therapy; advise pregnant women of risk to the fetus.1
-
Importance of informing patients of other important precautionary information. (See Cautions.)
Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.
Please refer to the ASHP Drug Shortages Resource Center for information on shortages of one or more of these preparations.
* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name
Routes |
Dosage Forms |
Strengths |
Brand Names |
Manufacturer |
---|---|---|---|---|
Parenteral |
Injection, for IV infusion |
1 mg/mL (50 or 100 mg)* |
CISplatin Injection |
|
Platinol-AQ |
Bristol-Myers Squibb |
AHFS DI Essentials™. © Copyright 2024, Selected Revisions July 27, 2015. American Society of Health-System Pharmacists, Inc., 4500 East-West Highway, Suite 900, Bethesda, Maryland 20814.
† Off-label: Use is not currently included in the labeling approved by the US Food and Drug Administration.
1. Bristol-Myers Squibb. Platinol-AQ (cisplatin injection) prescribing information. Princeton, NJ; 2002 Nov.
HID2. Trissel LA. Handbook on injectable drugs. 3rd ed. Bethesda, MD: American Society of Health-System Pharmacists, Inc.; 1983:126-8.
3. United States Pharmacopeia Dispensing Information, 1984. Vol 1. Rockville, MD: The United States Pharmacopeial Convention, Inc.; 1983:349.
4. Greene RF, Chatterji DC, Hirawaki PK et al. Stability of cisplatin in aqueous solution. Am J Hosp Pharm. 1979; 36:38-43. http://www.ncbi.nlm.nih.gov/pubmed/758783?dopt=AbstractPlus
5. Mariana EP, Southard BJ, Woolever JT et al. Physical compatibility and chemical stability of cisplatin in various diluents and in large volume parenterals. In: Prestayko AW, Crooke ST, Carter SK, eds. Cisplatin: current status and new developments. New York: Academic Press, Inc., 1980:305-16.
6. Hincal AA, Long DF, Repta AJ. Cis-platin stability in aqueous parenteral vehicles. J Parenter Drug Assoc. 1979; 33:107-16. http://www.ncbi.nlm.nih.gov/pubmed/256991?dopt=AbstractPlus
7. Rosenberg B. Anticancer activity of cis-dichlorodiammineplatinum (II) and some relevant chemistry. Cancer Treat Rep. 1979; 63:1433-8. http://www.ncbi.nlm.nih.gov/pubmed/498145?dopt=AbstractPlus
8. LeRoy AF. Some quantitative data on cis-dichlorodiammineplatinum (II) species in solution. Cancer Treat Rep. 1979; 63:231-3. http://www.ncbi.nlm.nih.gov/pubmed/36228?dopt=AbstractPlus
9. Hussain AA, Haddadin M, Iga K. Reaction of cisplatin with sodium bisulfite. J Pharm Sci. 1980; 69:364-5. http://www.ncbi.nlm.nih.gov/pubmed/7189779?dopt=AbstractPlus
10. Brillaud AR. Interaction of Platinol (cisplatin) and the metal aluminum. Syracuse, NY: Bristol Laboratories. 1979 Jul.
11. Bohart RD, Ogawa G. An observation on the stability of cis-dichlorodiammineplatinum (II): a caution regarding its administration. Cancer Treat Rep. 1979; 63:2117-8. http://www.ncbi.nlm.nih.gov/pubmed/575070?dopt=AbstractPlus
12. Prestayko AW, Cadiz M, Crooke ST. Incompatibility of aluminum-containing IV administration equipment with cis-dichlorodiammineplatinum (II) administration. Cancer Treat Rep. 1979; 63:2118-9. http://www.ncbi.nlm.nih.gov/pubmed/575071?dopt=AbstractPlus
13. Rozencweig M, Von Hoff DD, Slavik M et al. Cis-diamminedichloroplatinum (II): a new anticancer drug. Ann Intern Med. 1977; 86:803-12. http://www.ncbi.nlm.nih.gov/pubmed/326117?dopt=AbstractPlus
14. Zwelling LA, Kohn KW. Mechanism of action of cis-dichlorodiammineplatinum (II). Cancer Treat Rep. 1979; 63:1439-44. http://www.ncbi.nlm.nih.gov/pubmed/387221?dopt=AbstractPlus
15. Kelman AD, Peresie HJ. Mode of DNA binding of cis-platinum (II) antitumor drugs: a base-dependent mechanism is proposed. Cancer Treat Rep. 1979; 63:1445-52. http://www.ncbi.nlm.nih.gov/pubmed/387222?dopt=AbstractPlus
16. Connors TA, Cleare MJ, Harrap KR. Structure-activity relationships of the antitumor platinum coordination complexes. Cancer Treat Rep. 1979; 63:1499-1502. http://www.ncbi.nlm.nih.gov/pubmed/498149?dopt=AbstractPlus
17. Roberts JJ, Pascoe JM. Cross-linking of complementary strands of DNA in mammalian cells by antitumor platinum compounds. Nature. 1972; 235:282-4. http://www.ncbi.nlm.nih.gov/pubmed/4551181?dopt=AbstractPlus
18. Howle JA, Gale GR. Cis-dichlorodiammineplatinum (II): persistent and selective inhibition of deoxyribonucleic acid synthesis in vivo. Biochem Pharmacol. 1970; 19:2757-62. http://www.ncbi.nlm.nih.gov/pubmed/5478584?dopt=AbstractPlus
19. Harder HC, Rosenberg B. Inhibitory effects of anti-tumor platinum compounds on DNA, RNA and protein syntheses in mammalian cells in vitro. Int J Cancer. 1970; 6:207-16. http://www.ncbi.nlm.nih.gov/pubmed/5479434?dopt=AbstractPlus
20. Zwelling LA, Kohn KW. Effects of cisplatin on DNA and the possible relationships to cytotoxicity and mutagenicity in mammalian cells. In: Prestayko AW, Crooke ST, Carter SK, eds. Cisplatin: current status and new developments. New York: Academic Press, Inc.; 1980:21-35.
21. Drewinko B, Gottlieb JA. Action of cis-dichlorodiammineplatinum (II) (NSC-119875) at the cellular level. Cancer Chemother Rep. 1975; 59:665-73. http://www.ncbi.nlm.nih.gov/pubmed/1203891?dopt=AbstractPlus
22. Rosenberg B. Possible mechanism for the antitumor activity of platinum coordination complexes. Cancer Chemother Rep. 1975; 59:589-98. http://www.ncbi.nlm.nih.gov/pubmed/54213?dopt=AbstractPlus
23. Alvarez MV, Cobreros G, Heras A et al. Studies on cis-dichlorodiammineplatinum (II) as a radiosensitizer. Br J Cancer. 1978; 37(Suppl. 3):68-72.
24. Murthy AK, Rossof AH, Anderson KM et al. Cytotoxicity and influence on radiation dose response curve of cis-diamminedichloroplatinum (II) (cis-DDP). Int J Radiat Oncol Biol Phys. 1979; 5:1411-5. http://www.ncbi.nlm.nih.gov/pubmed/575126?dopt=AbstractPlus
25. DeConti RC, Toftness BR, Lange RC et al. Clinical and pharmacological studies with cis-diamminedichloroplatinum (II). Cancer Res. 1973; 33:1310-5. http://www.ncbi.nlm.nih.gov/pubmed/4515709?dopt=AbstractPlus
26. Gormley PE, Bull JM, LeRoy AF et al. Kinetics of cis-dichlorodiammineplatinum. Clin Pharmacol Ther. 1979; 25:351-7. http://www.ncbi.nlm.nih.gov/pubmed/761445?dopt=AbstractPlus
27. Himmelstein KJ, Patton TF, Belt RJ et al. Clinical kinetics of intact cisplatin and some related species. Clin Pharmacol Ther. 1981; 29:658-64. http://www.ncbi.nlm.nih.gov/pubmed/7194166?dopt=AbstractPlus
28. Ostrow S, Egorin MJ, Hahn D et al. High-dose cisplatin therapy using mannitol versus furosemide diuresis: comparative pharmacokinetics and toxicity. Cancer Treat Rep. 1981; 65:73-8. http://www.ncbi.nlm.nih.gov/pubmed/6784924?dopt=AbstractPlus
29. Casper ES, Kelsen DP, Alcock NW et al. Platinum concentrations in bile and plasma following rapid and 6-hour infusions of cis-dichlorodiammineplatinum (II). Cancer Treat Rep. 1979; 63:2023-5. http://www.ncbi.nlm.nih.gov/pubmed/575066?dopt=AbstractPlus
30. Patton TF, Himmelstein KJ, Belt R et al. Plasma levels and urinary excretion of filterable platinum species following bolus injection and IV infusion of cis-dichlorodiammineplatinum (II) in man. Cancer Treat Rep. 1978; 62:1359-62. http://www.ncbi.nlm.nih.gov/pubmed/688279?dopt=AbstractPlus
31. Belt RJ, Himmelstein KJ, Patton TF et al. Pharmacokinetics of non-protein-bound platinum species following administration of cis-dichlorodiammineplatinum (II). Cancer Treat Rep. 1979; 63:1515-21. http://www.ncbi.nlm.nih.gov/pubmed/498151?dopt=AbstractPlus
32. Patton TF, Repta AJ, Sternson LA et al. Pharmacokinetics of intact cisplatin in plasma. Infusion versus bolus dosing. Int J Pharm. 1982; 10:77-85.
33. Crom WR, Evans WE, Pratt CB et al. Cisplatin disposition in children and adolescents with cancer. Cancer Chemother Pharmacol. 1981; 6:95-9. http://www.ncbi.nlm.nih.gov/pubmed/7196807?dopt=AbstractPlus
34. Pratt CB, Hayes A, Green AA et al. Pharmacokinetic evaluation of cisplatin in children with malignant solid tumors: a phase II study. Cancer Treat Rep. 1981; 65:1021-6. http://www.ncbi.nlm.nih.gov/pubmed/7197583?dopt=AbstractPlus
35. Evans WE, Crom WR, Tsiatis A et al. Pharmacokinetic modeling of cisplatin disposition in children and adolescents with cancer. Cancer Chemother Pharmacol. 1982; 10:22-6. http://www.ncbi.nlm.nih.gov/pubmed/6891625?dopt=AbstractPlus
36. Gullo JJ, Litterst CL, Maguire PJ et al. Pharmacokinetics and protein binding of cis-dichlorodiammineplatinum (II) administered as a one hour or as a twenty hour infusion. Cancer Chemother Pharmacol. 1980; 5:21-6. http://www.ncbi.nlm.nih.gov/pubmed/6161715?dopt=AbstractPlus
37. Ostrow S, Egorin M, Aisner J et al. High-dose cis-diamminedichloroplatinum therapy in patients with advanced breast cancer: pharmacokinetics, toxicity, and therapeutic efficacy. Cancer Clin Trials. 1980; 3:23-7. http://www.ncbi.nlm.nih.gov/pubmed/7190082?dopt=AbstractPlus
38. Jacobs C, Bertino JR, Goffinet DR et al. 24-Hour infusion of cis-platinum in head and neck cancers. Cancer. 1978; 42:2135-40. http://www.ncbi.nlm.nih.gov/pubmed/719601?dopt=AbstractPlus
39. Vermorken JB, van der Vijgh WJF, Pinedo HM. Pharmacokinetic evidence for an enterohepatic circulation in a patient treated with cis-dichlorodiammineplatinum (II). Res Commun Chem Pathol Pharmacol. 1980; 28:319-28. http://www.ncbi.nlm.nih.gov/pubmed/7190316?dopt=AbstractPlus
40. Stewart DJ, Benjamin RS, Zimmerman S et al. Clinical pharmacology of intraarterial cis-diamminedichloroplatinum (II). Cancer Res. 1983; 43:917-20. http://www.ncbi.nlm.nih.gov/pubmed/6681533?dopt=AbstractPlus
41. Jaffe N, Knapp J, Chuang VP et al. Osteosarcoma: intra-arterial treatment of the primary tumor with cis-diammine-dichloroplatinum II (CDP). Angiographic, pathologic, and pharmacologic studies. Cancer. 1983; 51:402-7. http://www.ncbi.nlm.nih.gov/pubmed/6571796?dopt=AbstractPlus
42. Howell SB, Pfeifle CL, Wung WE et al. Intraperitoneal cisplatin with systemic thiosulfate protection. Ann Intern Med. 1982; 97:845-51. http://www.ncbi.nlm.nih.gov/pubmed/6890785?dopt=AbstractPlus
43. Casper ES, Kelsen DP, Alcock NW et al. Ip cisplatin in patients with malignant ascites: pharmacokinetic evaluation and comparison with IV route. Cancer Treat Rep. 1983; 67:235-8. http://www.ncbi.nlm.nih.gov/pubmed/6682012?dopt=AbstractPlus
44. Stewart DJ, Benjamin RS, Luna M et al. Human tissue distribution of platinum after cis-diamminedichloroplatinum. Cancer Chemother Pharmacol. 1982; 10:51-4. http://www.ncbi.nlm.nih.gov/pubmed/6891626?dopt=AbstractPlus
45. Smith PHS, Taylor DM. Distribution and retention of the antitumor agent 195mPt-cis-dichlorodiammine platinum (II) in man. J Nucl Med. 1974; 15:349-51. http://www.ncbi.nlm.nih.gov/pubmed/4823268?dopt=AbstractPlus
46. Armand JP, Macquet JP, LeRoy AF. Cerebrospinal fluid-platinum kinetics of cisplatin in man. Cancer Treat Rep. 1983; 67:1035-7. http://www.ncbi.nlm.nih.gov/pubmed/6685570?dopt=AbstractPlus
47. Ginsberg S, Kirshner J, Reich S et al. Systemic chemotherapy for a primary germ cell tumor of the brain: a pharmacokinetic study. Cancer Treat Rep. 1981; 65:477-83. http://www.ncbi.nlm.nih.gov/pubmed/6165472?dopt=AbstractPlus
48. Berman IJ, Mann MP. Seizures and transient cortical blindness associated with cis-platinum (II) diamminedichloride (PDD) therapy in a thirty-year-old man. Cancer. 1980; 45:764-6. http://www.ncbi.nlm.nih.gov/pubmed/7188878?dopt=AbstractPlus
49. Stewart DJ, Leavens M, Maor M et al. Human central nervous system distribution of cis-diamminedichloroplatinum and use as a radiosensitizer in malignant brain tumors. Cancer Res. 1982; 42:2474-9. http://www.ncbi.nlm.nih.gov/pubmed/6280860?dopt=AbstractPlus
50. Holdener EE, Park CH, Belt RJ et al. Effect of mannitol (MA) and human plasma (HP) on cytotoxicity of cis-diammine dichloroplatinum (DDP). Clin Res. 1978; 26:436A.
51. Repta AJ, Long DF. Reactions of cisplatin with human plasma and plasma fractions. In: Prestayko AW, Crooke ST, Carter SK, eds. Cisplatin: current status and new developments. New York: Academic Press, Inc.; 1980:285-304.
52. Frick GA, Ballentine R, Driever CW et al. Renal excretion kinetics of high-dose cis-dichlorodiammineplatinum (II) administered with hydration and mannitol diuresis. Cancer Treat Rep. 1979; 63:13-6. http://www.ncbi.nlm.nih.gov/pubmed/421230?dopt=AbstractPlus
53. Riley CM, Sternson LA, Repta AJ et al. Intact cisplatin in urine following intravenous infusion. J Pharm Pharmacol. 1982; 34:826.
54. Jacobs C. Kalman SM, Tretton M et al. Renal handling of cis-diamminedichloroplatinum (II). Cancer Treat Rep. 1980; 64:1223-6. http://www.ncbi.nlm.nih.gov/pubmed/7193518?dopt=AbstractPlus
55. LeRoy AF, Wehling M, Gormley P et al. Quantitative changes in cis-dichlorodiammineplatinum (II) speciation in excreted urine with time after IV infusion in man: methods of analysis, preliminary studies, and clinical results. Cancer Treat Rep. 1980; 64:123-32. http://www.ncbi.nlm.nih.gov/pubmed/7189692?dopt=AbstractPlus
56. Hrushesky WJM, Borch R, Levi F. Circadian time dependence of cisplatin urinary kinetics. Clin Pharmacol Ther. 1982; 32-330-9. (IDIS 159074)
57. Gouyette A, Lemoine R, Adhemar JP et al. Kinetics of cisplatin in an anuric patient undergoing hemofiltration dialysis. Cancer Treat Rep. 1981; 65:665-8. http://www.ncbi.nlm.nih.gov/pubmed/7195773?dopt=AbstractPlus
58. Prestayko AW, Luft FC, Einhorn L et al. Cis-platinum pharmacokinetics in a patient with renal dysfunction. Med Pediatr Oncol. 1978; 5:183-8. http://www.ncbi.nlm.nih.gov/pubmed/745586?dopt=AbstractPlus
59. Hill JM, Loeb E, MacLellan A et al. Clinical studies of platinum coordination compounds in the treatment of various malignant diseases. Cancer Chemother Rep. 1975; 59:647-59. http://www.ncbi.nlm.nih.gov/pubmed/1203889?dopt=AbstractPlus
60. Long DF, Patton TF, Repta AJ. Platinum levels in human erythrocytes following intravenous administration of cisplatin: importance of erythrocytes as a distribution site for platinum species. Biopharm Drug Dispos. 1981; 2:137-46. http://www.ncbi.nlm.nih.gov/pubmed/7195748?dopt=AbstractPlus
61. Dorr RT. Incompatibilities with parenteral anticancer drugs. Am J IV Therapy. 1979; 6:42,45,46,52.
62. Howell SB, Taetle R. The effect of sodium thiosulfate on cis-dichlorodiammineplatinum (II) toxicity and antitumor activity in the L1210 leukemia. Cancer Treat Rep. 1980; 64:611-6. http://www.ncbi.nlm.nih.gov/pubmed/7191778?dopt=AbstractPlus
63. Anon. Drugs of choice for cancer. Treat Guidel Med Lett. 2003; 1:41-52. http://www.ncbi.nlm.nih.gov/pubmed/15529105?dopt=AbstractPlus
64. Hainsworth JD, Greco FA. Testicular germ cell neoplasms. Am J Med. 1983; 75:817-32. http://www.ncbi.nlm.nih.gov/pubmed/6195919?dopt=AbstractPlus
65. Einhorn LH, Donohue J. cis-Diamminedichloroplatinum, vinblastine, and bleomycin combination chemotherapy in disseminated testicular cancer. Ann Intern Med. 1977; 87:293-8. http://www.ncbi.nlm.nih.gov/pubmed/71004?dopt=AbstractPlus
66. Einhorn LH. Combination chemotherapy with cis-dichlorodiammineplatinum (II) in disseminated testicular cancer. Cancer Treat Rep. 1979; 63:1659-62. http://www.ncbi.nlm.nih.gov/pubmed/91434?dopt=AbstractPlus
67. Einhorn LH, Williams SD. Chemotherapy of disseminated testicular cancer: a random prospective study. Cancer. 1980; 46:1339-44. http://www.ncbi.nlm.nih.gov/pubmed/6158370?dopt=AbstractPlus
68. Ramsey EW, Bowman DM, Weinerman B. The management of disseminated testicular cancer. Br J Urol. 1980; 52:45-9. http://www.ncbi.nlm.nih.gov/pubmed/6159033?dopt=AbstractPlus
69. Oliver RTD, Rohatiner AA, Wrigley PFM et al. Chemotherapy of metastatic testicular tumors. Br J Urol. 1980; 52:34-7. http://www.ncbi.nlm.nih.gov/pubmed/6159032?dopt=AbstractPlus
70. Stoter G, Sleijfer DT, Vendrik CPJ et al. Combination chemotherapy with cis-diammine-dichloro-platinum, vinblastine, and bleomycin in advanced testicular non-seminoma. Lancet. 1979; 1:941-5. http://www.ncbi.nlm.nih.gov/pubmed/87614?dopt=AbstractPlus
71. Bosl GJ, Lange PH, Fraley EE et al. Vinblastine, bleomycin, and cis-diamminedichloroplatinum in the treatment of advanced testicular carcinoma. Am J Med. 1980; 68:492-6. http://www.ncbi.nlm.nih.gov/pubmed/6154414?dopt=AbstractPlus
72. Garnick MB, Canellos GP, Richie JP. Treatment and surgical staging of testicular and primary extragonadal germ cell cancer. JAMA. 1983; 250:1733-41. http://www.ncbi.nlm.nih.gov/pubmed/6684188?dopt=AbstractPlus
73. Einhorn LH. Testicular cancer as a model for a curable neoplasm: the Richard and Hinda Rosenthal Foundation Award Lecture. Cancer Res. 1981; 41:3275-80. http://www.ncbi.nlm.nih.gov/pubmed/6167346?dopt=AbstractPlus
74. Vugrin D, Herr HW, Whitmore WF Jr et al. VAB-6 Combination chemotherapy in disseminated cancer of the testis. Ann Intern Med. 1981; 95:59-61. http://www.ncbi.nlm.nih.gov/pubmed/6166230?dopt=AbstractPlus
75. Einhorn LH, Williams SD, Mandelbaum I et al. Surgical resection in disseminated testicular cancer following chemotherapeutic cytoreduction. Cancer. 1981; 48:904-8. http://www.ncbi.nlm.nih.gov/pubmed/6168361?dopt=AbstractPlus
76. Vugrin D, Whitmore WF Jr, Sogani PC et al. Combined chemotherapy and surgery in treatment of advanced germ-cell tumors. Cancer. 1981; 47:2228-31. http://www.ncbi.nlm.nih.gov/pubmed/7226117?dopt=AbstractPlus
77. Vugrin D, Whitmore WF Jr, Golbey RB. VAB-6 Combination chemotherapy without maintenance in treatment of disseminated cancer of the testis. Cancer. 1983; 51:211-5. http://www.ncbi.nlm.nih.gov/pubmed/6185197?dopt=AbstractPlus
78. Einhorn LH, Williams SD, Troner M et al. The role of maintenance therapy in disseminated testicular cancer. N Engl J Med. 1981; 305:727-31. http://www.ncbi.nlm.nih.gov/pubmed/7022214?dopt=AbstractPlus
79. Anderson T. Advances in chemotherapy of testicular neoplasms. In: Anderson T, moderator. Testicular germ-cell neoplasms: recent advances in diagnosis and therapy. Ann Intern Med. 1979; 90:373-85. http://www.ncbi.nlm.nih.gov/pubmed/85422?dopt=AbstractPlus
80. Williams SD, Einhorn LH. Etoposide salvage therapy for refractory germ cell tumors: an update. Cancer Treat Rev. 1982; 9(Suppl. A): 67-71. http://www.ncbi.nlm.nih.gov/pubmed/6290056?dopt=AbstractPlus
81. Vugrin D, Whitmore WF Jr, Herr HW et al. VAB-6 Combination chemotherapy in resected stage II-B testis cancer. Cancer. 1983; 51:5-8. http://www.ncbi.nlm.nih.gov/pubmed/6185195?dopt=AbstractPlus
82. Kennedy BJ, Vogelzang NJ, Brown J et al. Adjuvant chemotherapy for stage II non-seminomatous germ cell tumors in the testes (NSGCTT). Proc Am Soc Clin Oncol. 1982; 1:116.
83. Einhorn LH, Williams SD. Chemotherapy of disseminated seminoma. Cancer Clin Trials. 1980; 3:307-13. http://www.ncbi.nlm.nih.gov/pubmed/6159120?dopt=AbstractPlus
84. Ball D, Barrett A, Peckham MJ et al. The management of metastatic seminoma testis. Cancer. 1982; 50:2289-94. http://www.ncbi.nlm.nih.gov/pubmed/6182973?dopt=AbstractPlus
85. de Wit R, Roberts JT, Wilkinson PM et al. Equivalence of three or four cycles of bleomycin, etoposide, and cisplatin chemotherapy and of a 3- or 5-day schedule in good-prognosis germ cell cancer: a randomized study of the European Organization for Research and Treatment of Cancer Genitourinary Tract Cancer Cooperative Group and the Medical Research Council. J Clin Oncol. 2001; 19:1629-40. http://www.ncbi.nlm.nih.gov/pubmed/11250991?dopt=AbstractPlus
86. Einhorn LH, Williams SD, Loehrer PJ et al. Evaluation of optimal duration of chemotherapy in favorable-prognosis disseminated germ cell tumors: a Southeastern Cancer Study Group protocol. J Clin Oncol. 1989; 7:387-91. http://www.ncbi.nlm.nih.gov/pubmed/2465391?dopt=AbstractPlus
87. Feun LG, Samson MK, Stephens RL. Vinblastine (VLB), bleomycin (BLEO), cis-diamminedichloroplatinum (DDP) in disseminated extragonadal germ cell tumors. Cancer. 1980; 45:2543-9. http://www.ncbi.nlm.nih.gov/pubmed/6155194?dopt=AbstractPlus
88. Funes HC, Mendez M, Alonso E et al. Mediastinal germ cell tumors treated with cisplatin, bleomycin, and vinblastine (PVB). Proc Annu Meet Am Assoc Cancer Res Proc Annu Meet Am Soc Clin Oncol. 1981; 22:474.
89. Hainsworth JD, Einhorn LH, Williams SD et al. Advanced extragonadal germ-cell tumors. Ann Intern Med. 1982; 97:7-11. http://www.ncbi.nlm.nih.gov/pubmed/6178336?dopt=AbstractPlus
90. Richardson RL, Schoumacher RA, Fer MF et al. The unrecognized extragonadal germ cell cancer syndrome. Ann Intern Med. 1981; 94:181-6. http://www.ncbi.nlm.nih.gov/pubmed/6162409?dopt=AbstractPlus
91. Hong WK, Bhutani R, Gerzof SG et al. Chemotherapy for primary retroperitoneal yolk sac tumor: report of a case. Cancer. 1981; 47:19-21. http://www.ncbi.nlm.nih.gov/pubmed/6161688?dopt=AbstractPlus
92. Thomas WJ, Kelleher JF, Duval/Arnould B. Successful treatment of metastatic extragonadal endodermal sinus (yolk sac) tumor in childhood. Cancer. 1981; 48:2371-4. http://www.ncbi.nlm.nih.gov/pubmed/6170420?dopt=AbstractPlus
93. Kuzur ME, Cobleigh MA, Greco FA et al. Endodermal sinus tumor of the mediastinum. Cancer. 1982; 50:766-74. http://www.ncbi.nlm.nih.gov/pubmed/7093910?dopt=AbstractPlus
94. Mortimer J, Bukowski RM, Montie J et al. VP16-213, cisplatinum, and adriamycin salvage therapy of refractory and/or recurrent nonseminomatous germ cell neoplasms. Cancer Chemother Pharmacol. 1982; 7:215-8. http://www.ncbi.nlm.nih.gov/pubmed/6282486?dopt=AbstractPlus
95. Read G, Johnson RJ, Wilkinson PM et al. Prospective study of follow up alone in stage I teratoma of the testis. BMJ. 1983; 287:1503-5. http://www.pubmedcentral.nih.gov/picrender.fcgi?tool=pmcentrez&artid=1549955&blobtype=pdf http://www.ncbi.nlm.nih.gov/pubmed/6196076?dopt=AbstractPlus
96. Katz ME, Schwartz PE, Kapp DS et al. Epithelial carcinoma of the ovary: current strategies. Ann Intern Med. 1981; 95:98-111. http://www.ncbi.nlm.nih.gov/pubmed/6787963?dopt=AbstractPlus
97. Wiltshaw E, Subramarian S, Alexopoulos C et al. Cancer of the ovary: a summary of experience with cis-dichlorodiammineplatinum(II) at the Royal Marsden Hospital. Cancer Treat Rep. 1979; 63:1545-8. http://www.ncbi.nlm.nih.gov/pubmed/387225?dopt=AbstractPlus
98. Young RC, Von Hoff DD, Gormley P et al. cis-Dichlorodiammineplatinum(II) for the treatment of advanced ovarian cancer. Cancer Treat Rep. 1979; 63:1539-44. http://www.ncbi.nlm.nih.gov/pubmed/387224?dopt=AbstractPlus
99. Bruckner HW, Cohen CJ, Wallach RC et al. Treatment of advanced ovarian cancer with cis-dichlorodiammineplatinum(II): poor-risk patients with intensive prior therapy. Cancer Treat Rep. 1978; 62:555-8. http://www.ncbi.nlm.nih.gov/pubmed/350392?dopt=AbstractPlus
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