Phase II trial to topotecan in hepatocellular carcinoma: a Southwest Oncology Group study.

作者: James G. Wall , Jacqueline K. Benedetti , Mark A. O'Rourke , Ronald B. Natale , John S. Macdonald

DOI: 10.1023/A:1005851804533

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摘要: Hepatocellular carcinoma remains a highly chemoresistant neoplasm. In this study of the topoisomerase I inhibitor topotecan response rate 13.9% (95% confidence interval 4.7%-29.5%) was obtained utilizing five consecutive day bolus infusion schedule. There were no complete responses and median survival only eight months. Furthermore, treatment with produced significant toxicity two-thirds patients experiencing life-threatening (grade 4) neutropenia. When used in dose schedule, does not appear to be effective for advanced hepatocellular carcinoma.

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