Phase II trial of 96-hour paclitaxel in previously treated patients with advanced esophageal cancer.

Abstract:

BACKGROUND:A 96-hour infusion schedule of paclitaxel demonstrates tolerability and antitumor activity in lung cancer and breast cancer refractory to short-duration infusion paclitaxel. Given the activity of paclitaxel in esophageal cancer, a phase II trial of 96-hour infusion paclitaxel in esophageal cancer was undertaken. METHODS:Both adenocarcinoma and squamous cell histology were included. Paclitaxel was administered at 140 mg/m2 over 96 hours every 21 days. Patients who had metastatic disease to the liver and transaminases greater than two times normal value received 120 mg/m2. Response to treatment was evaluated after the first two cycles and subsequently every third cycle. RESULTS:Ten men and four women were entered. All were eligible for response and had stage IV disease. Thirteen patients were previously treated. All 13 received prior short-duration paclitaxel-containing chemotherapy regimens. Eleven patients had adenocarcinoma and three squamous cell cancer. Patients completed a mean of two cycles (range one to eight) prior to disease progression. No major responses were observed. Toxicity was minimal and included grade 3/4 neutropenia in 14% of patients. One patient with adenocarcinoma demonstrated stable disease for 28 weeks. CONCLUSION:No major activity was observed in a population of previously treated patients. Ninety-six-hour paclitaxel in metastatic esophageal cancer is generally well tolerated with minimal toxicity; however, it is ineffective in previously treated patients. Further evaluation of this schedule of paclitaxel in combination with concurrent radiotherapy, where its radiosensitizing potential may be useful, is ongoing in locally advanced esophageal cancer.

journal_name

Cancer Invest

journal_title

Cancer investigation

authors

Anderson SE,O'Reilly EM,Kelsen DP,Ilson DH

doi

10.1081/cnv-120022360

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

512-6

issue

4

eissn

0735-7907

issn

1532-4192

journal_volume

21

pub_type

临床试验,杂志文章
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    journal_title:Cancer investigation

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  • Disialoganglioside directed immunotherapy of neuroblastoma.

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    journal_title:Cancer investigation

    pub_type: 杂志文章,评审

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    journal_title:Cancer investigation

    pub_type: 杂志文章

    doi:10.3109/07357900802491451

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    pub_type: 杂志文章,评审

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    pub_type: 临床试验,杂志文章

    doi:10.3109/07357909509011686

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    更新日期:1995-01-01 00:00:00

  • Symptomatic acute mucositis can be minimized or prophylaxed by the combination of sucralfate and fluconazole.

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    journal_title:Cancer investigation

    pub_type: 杂志文章

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  • Type 2 Diabetes Associated with Abnormal p53 Immunohistochemical Patterns in Colorectal Cancer.

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    pub_type: 杂志文章

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  • A stopping rule for standard chemotherapy for metastatic breast cancer: lessons from a survey of Maryland medical oncologists.

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    journal_title:Cancer investigation

    pub_type: 杂志文章

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    journal_title:Cancer investigation

    pub_type: 杂志文章

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章

    doi:10.3109/07357909709047596

    authors: Foroud T

    更新日期:1997-01-01 00:00:00

  • Trypsin-2 enhances carcinoma invasion by processing tight junctions and activating ProMT1-MMP.

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    journal_title:Cancer investigation

    pub_type: 杂志文章

    doi:10.3109/07357907.2012.716467

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    更新日期:2012-10-01 00:00:00

  • Safety of Combination Immune Checkpoint Inhibitors Compared to Monotherapy; A Systematic Review and Meta-Analysis.

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    journal_title:Cancer investigation

    pub_type: 杂志文章,meta分析

    doi:10.1080/07357907.2020.1714053

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    更新日期:2020-03-01 00:00:00

  • Late infections following splenectomy in Hodgkin's disease.

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  • Overexpression of glucose transporter-1 (GLUT-1) predicts poor prognosis in epithelial ovarian cancer.

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    pub_type: 杂志文章

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