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Razoxane and dexrazoxane are two novel drugs with some uniquely
useful features. They block cell division at the G2/M border, but
nowhere else, so that they have a low toxicity profile. They
suppress tumor metastasis and haemorrhages through normalization of
pathological blood vessels. Razoxane potentiates radiotherapy
especially in the treatment of soft tissue sarcomas and
gastrointestinal neoplasms. They protect normal tissues against
toxic chemicals, e.g. the myocardium against anthracyclines or
subcutaneous tissue against injuries caused by incidental
extravasations of anthracyclines. Dexrazoxane is the only drug
approved by the FDA/EMEA for the specific purpose of preventing
cardiac damage when giving the widely used and effective antitumor
anthracyclines. The reduction of cardiotoxicity is achieved without
response reduction or reducing of time to progression of tumors.
While the full analysis of their actions at the molecular level is
not yet completely understood, it seems most likely that it is via
an inhibition on the topoisomerase II a. Moreover, the drugs have
the ability to chelate several metals including iron, copper or
zinc. The protection of normal tissues is nowhere more important
than that of brain, and there are indications that the proteins
thought to be responsible for the ravages of Alzheimers disease
could be stabilized by one or both these drugs.
The Metastasis Group of the European Organization for Research on
Treatment of Cancer (EORTC) held an International Meeting at the
Royal Institution in London on April 2lst-23rd, 1980. The subject
was "Clinical and Experimental Aspects of Metastasis" and these
Proceedings are the record of that Meeting. Almost all of those who
presented a paper or a poster have written up their contributions
as chapters of the Proceedings and we have made no distinction here
between posters and oral communications. The Organizers and Editors
owe a considerable debt of gratitude to all the contributors who
without exception presented the results of their work in a clear
and concise manner that did much to reveal the essence of the
complex problems central to current thinking on met astasis.
Moreover most manuscripts arrived well within the deadline - a
circumstance which in our experience is unusual. Of the large
audience who attended the Meeting many had come from the far
distant corners of the World and to them as well as to the
presenters of papers the Organizers wish to express their deep
appreciation."
The International Society of Chemotherapy meets every two years to
review progress in chemotherapy of infections and of malignant
disease. Each meeting gets larger to encompass the extension of
chemotherapy into new areas. In some instances, exp sion has been
rapid, for example in cephalosporins, pen icillins and combination
chemotherapy of cancer - in others slow, as in the field of
parasitology. New problems of resistance and untoward effects
arise; reduction of host toxicity without loss of antitumour
activity by new substances occupies wide attention. The improved
results with cancer chemotherapy, es pecially in leukaemias, are
leading to a greater prevalence of severe infection in patients so
treated, pharmacokinetics of drugs in normal and diseased subjects
is rece1v1ng increasing attention along with related problems of
bioavailability and interactions between drugs. Meanwhile the
attack on some of the major bacterial infections, such as
gonorrhoea and tubercu losis, which were among the first infections
to feel the impact of chemotherapy, still continue to be major
world problems and are now under attack with new agents and new
methods. From this wide field and the 1,000 papers read at the
Congress we have produced Proceedings which reflect the variety and
vigour of research in this important field of medicine. It was not
possible to include all of the papers presented at the Congress but
we have attempted to include most aspects of cur rent progress in
chemotherapy."
The International Society of Chemotherapy meets every two years to
review progress in chemotherapy of infections and of malignant
disease. Each meeting gets larger to encompass the extension of
chemotherapy into new areas. In some instances, expansion has been
rapid, for example in cephalosporins, pen icillins and combination
chemotherapy of cancer - in others slow, as in the field of
parasitology. New problems of resistance and untoward effects
arise; reduction of host toxicity without loss of antitumour
activity by new substances occupies wide attention. The improved
results with cancer chemotherapy, es pecially in leukaemias, are
leading to a greater prevalence of severe infection in patients so
treated, pharmacokinetics of drugs in normal and diseased subjects
is receiving increasing attention along with related problems of
bioavailability and interactions between drugs. Meanwhile the
attack on some of the major bacterial infections, such as
gonorrhoea and tubercu losis, which were among the first infections
to feel the impact of chemotherapy, still continue to be major
world problems and are now under attack with new agents and new
methods. From this wide field and the 1,000 papers read at the
Congress we have produced Proceedings which reflect the variety and
vigour of research in this important field of medicine. It was not
possible to include all of the papers presented at the Congress but
we have attempted to include most aspects of cur rent progress in
chemotherapy."
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