Weekly paclitaxel in the treatment of recurrent ovarian cancer

作者: Richard D. Baird , David S. P. Tan , Stan B. Kaye

DOI: 10.1038/NRCLINONC.2010.120

关键词: Recurrent Ovarian CancerRegimenOvarian cancerMedicineWeekly paclitaxelResponse DurationDrugPaclitaxelPharmacologyInternal medicineCarboplatinOncology

摘要: Weekly paclitaxel is a highly active and well tolerated regimen that increasingly being adopted for the treatment of relapsed ovarian cancer. This usually administered at 80-90 mg/m(2)/week, use 1 h infusion helps minimize myelosuppression. When compared with 3-weekly schedule, weekly better tolerated, reduced frequency grade 3-4 toxic effects. Single-agent cancer yields response rates in range 20-62%; however, duration can be short. Responses to have been observed patients whose tumors are resistant paclitaxel. The level activity disease has led its detailed evaluation first-line setting, interest enhanced by results Japanese Gynecological Oncology Group study demonstrated survival advantage combination carboplatin as initial treatment. efficacy may due greater drug exposure, direct antiangiogenic effect, or both. Current research topics include molecular-targeted agents molecular profiling select

参考文章(56)
W. Freund, J. Lipke, T.-U. Hausamen, T. M. Löffler, Schedule- and dose-intensified paclitaxel as weekly 1-hour infusion in pretreated solid tumors: results of a phase I/II trial. Seminars in Oncology. ,vol. 23, pp. 32- 34 ,(1996)
C Aghajanian, D Spriggs, R R Barakat, D Fennelly, N R Abu-Rustum, F Shapiro, Salvage weekly paclitaxel in recurrent ovarian cancer. Seminars in Oncology. ,vol. 24, ,(1997)
David M. Boruta, Wesley C. Fowler, Paola A. Gehrig, John F. Boggess, Leslie A. Walton, Linda Van Le, Weekly Paclitaxel Infusion as Salvage Therapy in Ovarian Cancer Cancer Investigation. ,vol. 21, pp. 675- 681 ,(2003) , 10.1081/CNV-120023765
G J Creemers, G Bolis, M Gore, G Scarfone, A J Lacave, J P Guastalla, R Despax, G Favalli, R Kreinberg, S Van Belle, I Hudson, J Verweij, W W Ten Bokkel Huinink, Topotecan, an active drug in the second-line treatment of epithelial ovarian cancer: results of a large European phase II study. Journal of Clinical Oncology. ,vol. 14, pp. 3056- 3061 ,(1996) , 10.1200/JCO.1996.14.12.3056
L Gianni, C M Kearns, A Giani, G Capri, L Viganó, A Lacatelli, G Bonadonna, M J Egorin, Nonlinear pharmacokinetics and metabolism of paclitaxel and its pharmacokinetic/pharmacodynamic relationships in humans. Journal of Clinical Oncology. ,vol. 13, pp. 180- 190 ,(1995) , 10.1200/JCO.1995.13.1.180
D Fennelly, C Aghajanian, F Shapiro, C O'Flaherty, M McKenzie, C O'Connor, W Tong, L Norton, D Spriggs, Phase I and pharmacologic study of paclitaxel administered weekly in patients with relapsed ovarian cancer. Journal of Clinical Oncology. ,vol. 15, pp. 187- 192 ,(1997) , 10.1200/JCO.1997.15.1.187
M. Linch, F. Stavridi, J. Hook, Y. Barbachano, M. Gore, S.B. Kaye, Experience in a UK cancer centre of weekly paclitaxel in the treatment of relapsed ovarian and primary peritoneal cancer Gynecologic Oncology. ,vol. 109, pp. 27- 32 ,(2008) , 10.1016/J.YGYNO.2008.01.007
Mary Ann Jordan, Leslie Wilson, Microtubules as a target for anticancer drugs. Nature Reviews Cancer. ,vol. 4, pp. 253- 265 ,(2004) , 10.1038/NRC1317
Maurie Markman, Karen A. Iseminger, Kenneth D. Hatch, William T. Creasman, Willard Barnes, Brent Dubeshter, Tamoxifen in Platinum-Refractory Ovarian Cancer: A Gynecologic Oncology Group Ancillary Report Gynecologic Oncology. ,vol. 62, pp. 4- 6 ,(1996) , 10.1006/GYNO.1996.0181