Objectives: The objective of this study was to describe the efficacy and safety of low-dose chemotherapy(≤50% of standard dose)for canine osteosarcoma.
Methods: Canine osteosarcoma treated with amputation and low-dose cisplatin or carboplatin(i.e., cisplatin ≤35 mg/m
2, carboplatin ≤150 mg/m
2)as adjuvant chemotherapy was investigated. Dogs with limb amputation and adjuvant chemotherapy(adjuvant chemotherapy group, n=10(cisplatin, n=3; carboplatin, n=7))were compared to dogs receiving no treatment(no-treatment group, n=5)or limb amputation alone(surgery-alone group, n=5)in the same period.
Results: For cisplatin, the median dose was 25 mg/m
2, median number of treatments was 12, and median interval was 3 weeks. For carboplatin, the median dose was 100 mg/m
2, median number of doses was 11, and median treatment interval was 3 weeks. Most clinical and hematological abnormalities were mild or moderate. Median survival times for the no-treatment group, surgery-alone group, and adjuvant chemotherapy group were 84 days, 60 days, and 317 days, respectively. The adjuvant chemotherapy group showed significantly increased survival compared to the no-treatment and surgery-alone groups(
P<0.05,
P=0.023).
Clinical Significance: Low-dose cisplatin or carboplatin chemotherapy may improve outcomes for cases of canine osteosarcoma with limb amputation.
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