Ninety-six-hour paclitaxel infusion after progression during short taxane exposure: a phase II pharmacokinetic and pharmacodynamic study in metastatic breast cancer.

作者: A D Seidman , D Hochhauser , M Gollub , B Edelman , T J Yao

DOI: 10.1200/JCO.1996.14.6.1877

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摘要: PURPOSEA phase II trial of paclitaxel infused over 96 hours in patients with metastatic breast cancer demonstrated disease progression (PD) during short-infusion taxane treatment was performed to evaluate schedule-dependent activity prolonged drug exposure. The tolerability this strategy and its pharmacokinetic profile pharmacodynamic correlates were also investigated.PATIENTS AND METHODSPaclitaxel administered 26 at 120 140 mg/m2 intravenously hours. Twenty-three had PD while receiving prior 3-hour paclitaxel, two 1-hour docetaxel, one infusions docetaxel then paclitaxel. Twenty-one (81%) no response the short infusion (primary resistance) five (19%) partial responses (PRs) brief duration before (secondary resistance). Plasma concentrations assessed 24, 48, 72, hours.RESULTSAfter delivery 195 cycles, seven of...

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