Tolerance of normal human brain to boron neutron capture therapy

Appl Radiat Isot. 2004 Nov;61(5):1083-7. doi: 10.1016/j.apradiso.2004.05.009.

Abstract

Data from the Harvard-MIT and the BNL Phase I and Phase I/II clinical trials, conducted between 1994 and 1999, have been analyzed and combined, providing the most complete data set yet available on the tolerance of the normal human brain to BPA-mediated boron neutron capture therapy. Both peak (1cm(3)) dose and average whole-brain dose show a steep dose-response relationship using somnolence syndrome as the clinical endpoint. Probit analysis indicates that the doses associated with a 50% incidence for somnolence (ED(50)+/-SE) were 6.2+/-1.0 Gy(w) for average whole-brain dose and 14.1+/-1.8 Gy(w) for peak brain dose.

Publication types

  • Clinical Trial
  • Clinical Trial, Phase I
  • Clinical Trial, Phase II
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Boron Compounds / therapeutic use
  • Boron Neutron Capture Therapy / adverse effects*
  • Brain / radiation effects*
  • Brain Neoplasms / radiotherapy
  • Disorders of Excessive Somnolence / etiology
  • Glioblastoma / radiotherapy
  • Humans
  • Melanoma / radiotherapy
  • Phenylalanine / analogs & derivatives*
  • Phenylalanine / therapeutic use
  • Radiation Tolerance

Substances

  • 4-dihydroxyborylphenylalanine
  • Boron Compounds
  • Phenylalanine