Paclitaxel in doxorubicin-refractory or mitoxantrone-refractory breast cancer: a phase I/II trial of 96-hour infusion.

作者: W H Wilson , S L Berg , G Bryant , R E Wittes , S Bates

DOI: 10.1200/JCO.1994.12.8.1621

关键词: OncologyBreast cancerPaclitaxelMucositisMetastatic breast cancerPhases of clinical researchMitoxantroneDoxorubicinInternal medicinePharmacokineticsMedicine

摘要: PURPOSEA phase I study of paclitaxel infused over 96-hours was performed to determine toxicity, maximum-tolerated dose (MTD), and pharmacokinetics in patients with incurable lymphomas solid tumors. A II at the MTD doxorubicin/mitoxantrone-refractory metastatic breast cancer.PATIENTS AND METHODSIn study, levels ranged from 120 160 mg/m2, administered on a 21-day cycle. Patients cancer who had either no response or partial (PR) doxorubicin mitoxantrone measurable disease were eligible for studies. Expression multidrug resistance (mdr-1) gene determined tumor biopsies by mRNA quantitative polymerase chain reaction.RESULTSTwelve received total 73 cycles study. Dose-limiting mucositis and/or grade IV granulocytopenia reached 140 mg/m2 selected as dose. Thirty-...

参考文章(19)
Hryniuk Wm, The importance of dose intensity in the outcome of chemotherapy. Important advances in oncology. pp. 121- 141 ,(1988)
David S. Ettinger, Philip J. Burke, Robert W. Tucker, Ross C. Donehower, Eric K. Rowinsky, Judith E. Karp, Phase I and pharmacodynamic study of taxol in refractory acute leukemias. Cancer Research. ,vol. 49, pp. 4640- 4647 ,(1989)
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Lizabeth Deutsch Murphy, Cynthia Elaine Herzog, Joanthan Brett Rudick, Antonio Tito Fojo, Susan Elaine Bates, Use of the polymerase chain reaction in the quantitation of MDR-1 gene expression Biochemistry. ,vol. 29, pp. 10351- 10356 ,(1990) , 10.1021/BI00497A009
David R. Spriggs, Carlo Tondini, Taxol administered as a 120 hour infusion. Investigational New Drugs. ,vol. 10, pp. 275- 278 ,(1992) , 10.1007/BF00944181
Gi‐Ming Lai, Yi‐Nan Chen, Lyn A Mickley, Antonio T Fojo, Susan E Bates, None, P-glycoprotein expression and schedule dependence of adriamycin cytotoxicity in human colon carcinoma cell lines International Journal of Cancer. ,vol. 49, pp. 696- 703 ,(1991) , 10.1002/IJC.2910490512
A. R. JONCKHEERE, A DISTRIBUTION-FREE k-SAMPLE TEST AGAINST ORDERED ALTERNATIVES Biometrika. ,vol. 41, pp. 133- 145 ,(1954) , 10.1093/BIOMET/41.1-2.133
Narima M. Lopes, Earl G. Adams, Thomas W. Pitts, Bijoy K. Bhuyan, Cell kill kinetics and cell cycle effects of taxol on human and hamster ovarian cell lines. Cancer Chemotherapy and Pharmacology. ,vol. 32, pp. 235- 242 ,(1993) , 10.1007/BF00685842
PETER B. SCHIFF, JANE FANT, SUSAN B. HORWITZ, Promotion of microtubule assembly in vitro by taxol Nature. ,vol. 277, pp. 665- 667 ,(1979) , 10.1038/277665A0
P. B. Schiff, S. B. Horwitz, Taxol stabilizes microtubules in mouse fibroblast cells. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 77, pp. 1561- 1565 ,(1980) , 10.1073/PNAS.77.3.1561