Patient Demographics, Response, and Survival
Dose administered | Response | Survival | |||||||||
Patient no. | Age at treatment (y) | MYCN status | No. of prior relapses | Prestudy status | Prestudy 123I-MIBG score | Actual 131I-MIBG (MBq/kg) | Arsenic trioxide (mg/kg/d) | INRC | Relative 131I-MIBG score | Progression-free survival (mo) | Overall survival (mo) |
MP | |||||||||||
1 | 9.8 | N/A | 1 | SD | 7 | 656.6 | 0.15 | N/A | 1.00 | 63.1* | 63.1* |
2 | 13.3 | N/A | 1 | SD | 9 | 668.4 | 0.15 | N/A | 1.00 | 100.2* | 100.2* |
NB | |||||||||||
3 | 9.2 | NA | 1 | SD | 13 | 444 | 0.15 | NR | 0.85 | 100.6* | 100.6* |
4 | 7.7 | NA | 0 | SD | 11 | 462.5 | 0.15 | NR | 1.00 | 79.2 | 99.0* |
5 | 9.9 | NA | 1 | SD | 8 | 673.2 | 0.15 | NR | 0.88 | 94.1* | 94.1* |
6 | 6.0 | NA | 2 | PD | 6 | 669.7 | 0† | NR | 1.00 | 6.5 | 15.5 |
7 | 2.0 | Ampl | 0 | SD | 2‡ | 647.5 | 0.25 | NR | 1.00 | 91.8* | 91.8* |
8 | 2.8 | NA | 1 | SD | 20 | 677.1 | 0.25 | NR | 1.00 | 83.3* | 83.3* |
9 | 3.3 | Ampl | 2 | PD | 2‡ | 662.3 | 0.25 | PD | 1.00 | 0.9 | 3.7 |
10 | 4.7 | NA | 0 | SD | 14 | 632.7 | 0.25 | NR | 1.00 | 71.8* | 71.8* |
11 | 5.8 | NA | 5 | PD | 2‡ | 662.3 | 0.25 | PD | 1.00 | 0.7 | 4.8 |
12 | 6.1 | Ampl | 2 | PD | 21 | 691.9 | 0.25 | PD | 0.90 | 2.8 | 4.0 |
13 | 6.1 | NA | 4 | PD | 2‡ | 677.1 | 0.25 | PD | 1.00 | 1.4 | 8.7 |
14 | 6.2 | Ampl | 3 | SD | 5 | 662.3 | 0.25 | PD | 1.00 | 6.5 | 14.4 |
15 | 7.8 | NA | 4 | SD | 13 | 636.4 | 0.25 | NR | 1.00 | 3.7 | 14.7 |
16 | 8.3 | NA | 3 | SD | 21 | 658.6 | 0.25 | NR | 0.95 | 3.6 | 8.8 |
17 | 8.4 | NA | 0 | SD | 9 | 684.5 | 0.25 | NR | 0.88 | 83.3* | 83.3* |
18 | 8.4 | NA | 1 | PD | 10 | 654.9 | 0.25 | PD | 1.30 | 1.2 | 27.2 |
19 | 8.7 | NA | 3 | PD | 6 | 688.2 | 0.25 | PD | 1.50 | 1.2 | 9.8 |
20 | 15.2 | NA | 1 | SD | 9 | 647.5 | 0.25 | NR | 1.00 | 6.2 | 23.7 |
21 | 30.4 | NA | 2 | PD | 8 | 658.6 | 0.25§ | NR | 0.63 | 11.5 | 61.6 |
↵* Continue to be progression-free.
↵† Arsenic trioxide not administered because of central-line–induced arrhythmia.
↵‡ MIBG–avid soft-tissue disease only.
↵§ Only 6 of 10 planned arsenic trioxide doses were administered because of diarrhea and electrolyte imbalance.
INRC = International Neuroblastoma Response Criteria; NB = neuroblastoma; N/A = not applicable; NA = not amplified; Ampl = amplified; SD = stable disease; PD = progressive disease; NR = no response.