Abstract:
:Doxorubicin and paclitaxel are highly active agents in the treatment of advanced breast cancer. Although early trials of the combination reported high response rates, an unexpectedly high incidence of congestive heart failure observed on two of the early trials was cause for much concern. More recently, clinical trials that have limited the cumulative doxorubicin dose to 400 mg/m2 or below when given in combination with paclitaxel have not observed an increase in cardiac toxicity. In addition, a retrospective review of over 600 women with advanced breast cancer treated with doxorubicin and paclitaxel concluded that the combination could be administered safely up to a cumulative doxorubicin dose of 340-380 mg/m2. It is likely that a pharmacokinetic interaction between doxorubicin and paclitaxel is, in large part, responsible for the higher than expected incidence of congestive heart failure observed in some studies. It appears that paclitaxel decreases the clearance of doxorubicin by approximately 30% when the two drugs are administered in close succession. Because the use of combination of doxorubicin and paclitaxel may benefit women with advanced breast cancer, a review of pertinent clinical studies and the implications of the pharmacokinetic interaction is provided. Particular attention has been paid to cardiac toxicities. It can be concluded that the use of combination doxorubicin and paclitaxel is safe up to a cumulative doxorubicin dose of 340-380 mg/m2. This would allow for up to six courses of therapy with doxorubicin 60 mg/m2 and paclitaxel 175 mg/m2 by 3-hour infusion. Therapy can be continued with single-agent paclitaxel. In order to minimize cardiac risk, patients should be selected carefully and be monitored for adverse cardiac effects.
journal_name
Cancer Investjournal_title
Cancer investigationauthors
Perez EAdoi
10.1081/cnv-100000150subject
Has Abstractpub_date
2001-01-01 00:00:00pages
155-64issue
2eissn
0735-7907issn
1532-4192journal_volume
19pub_type
杂志文章,评审abstract::Mice bearing LP07 lung adenocarcinoma present some characteristics similar to those shown in patients with several malignant diseases. LP07 tumor bearers develop paraneoplastic syndromes such as cachexia, leukocytosis, and hypercalcemia, partly due to a systemic inflammatory response. We analyzed some of the mechanism...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357900500524322
更新日期:2006-03-01 00:00:00
abstract::Here 145 reported post-splenectomy infections in 115 patients with Hodgkin's disease are reviewed. Such infections can occur at any age (median age 19.8 years) and the interval from splenectomy to the infection is quite variable (median 21.9 months). Most infections are present clinically as pneumonia, septicemia, men...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357908309040933
更新日期:1983-01-01 00:00:00
abstract::Inflammation plays a role in the pathogenesis of endometriosis. Endometriosis-associated ovarian carcinogenesis might be promoted through oxidative stress-induced increased genomic instability, aberrant methylation, and aberrant chromatin remodeling, as well as mutations of tumor suppressor genes. Aberrant expression ...
journal_title:Cancer investigation
pub_type: 杂志文章,评审
doi:10.3109/07357907.2012.681821
更新日期:2012-07-01 00:00:00
abstract::Twenty four patients with epithelial ovarian cancer, who were treated by chemotherapy after debulking surgery, were monitored by serial monthly CA125 estimation and half-yearly computerized axial tomogram (CAT) of abdomen and pelvis. The efficiency of these monitoring methods and that of clinical examination were comp...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909009012069
更新日期:1990-01-01 00:00:00
abstract::The purpose of this study was to assess the usefulness of thallium-201 (Tl-201) single-photon emission-computed tomography (SPECT) scintimammography to differentiate benign from malignant breast masses in 32 female Taiwanese patients with indeterminate mammographic probability of malignancy because of mammographically...
journal_title:Cancer investigation
pub_type: 临床试验,杂志文章
doi:10.1081/cnv-120025089
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Hand-foot syndrome (HFS) has been previously reported as a side effect in 45-56% of patients treated with capecitabine. However, the natural history of HFS has not been fully characterized. In this study, we investigate the incidence, severity, and time course of HFS. DESIGN:Toxicity data collected for 41 p...
journal_title:Cancer investigation
pub_type: 临床试验,杂志文章
doi:10.1081/cnv-120000360
更新日期:2002-01-01 00:00:00
abstract::Neurological paraneoplastic syndromes are exceedingly rare, and often difficult to recognize clinically. Paraneoplastic achalasia is a condition characterized by new-onset dysphagia that is unrelated to tumor burden, most often due to the development of auto-immune antibodies targeting esophageal tissue. Due to the ra...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357907.2020.1852412
更新日期:2021-01-06 00:00:00
abstract::The complex formed by isopentane, as a model for the isoleucine residue present in the wild-type thymidylate synthase, with 4-mercaptopyridine as a fragment of the thymidylate synthase inhibitor Thymitaq (AG337) is investigated with ab initio quantum chemical calculations at Hartree-Fock and MP2 levels, using the 3-21...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909909021431
更新日期:1999-01-01 00:00:00
abstract::N- and K-ras mutations at codons 12 and 13 were investigated using oligonucleotide hybridization analysis after PCR amplification and subsequent sequence analysis of the amplified DNA from the region of interest in the following prostatic primary and metastatic (met) carcinoma-derived cell lines: 1013L (primary), PC3 ...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909309020257
更新日期:1993-01-01 00:00:00
abstract::Mucositis is a common and often serious acute morbidity when radiation is delivered to portals encompassing the oral cavity, pharynx, or esophagus. In an effort to minimize this side effect, the combination of sucralfate and fluconazole was prescribed to 40 patients. Half were given sucralfate, 1 g in suspension q.i.d...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909509024890
更新日期:1995-01-01 00:00:00
abstract:UNLABELLED:The effect of castration on the incorporation of [35S]methionine into secreted proteins in 7,12-dimethylbenz(a)anthracene (DMBA)-induced rat mammary tumors, was investigated. Biopsy specimens were obtained from 19 tumors, 0, 24, 48, 72, and 96 h after castration. In 14 tumors, castration induced an increase ...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909209032762
更新日期:1992-01-01 00:00:00
abstract::We observed that free bile acids (CA, DCA, and CDCA) inhibited the growth of cholangiocarcinoma cells by promoting cell apoptosis, while the conjugated bile acids (GCA, GDCA, and GCDCA) stimulated cell growth. Consistently, we found that GDCA stimulated tumor growth and CDCA decreased tumor growth in xenografted mice....
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357907.2012.762781
更新日期:2013-02-01 00:00:00
abstract::There appears to be exceptional and growing public enthusiasm for botanical, or "herbal", medicines, especially amongst cancer patients. This has recently begun to be matched by increasing scientific attention. Whilst it is known that plant extracts are active against cancer, the standard approach has been to isolate,...
journal_title:Cancer investigation
pub_type: 杂志文章,评审
doi:10.1081/cnv-120005926
更新日期:2002-01-01 00:00:00
abstract::The results of a prospective trial with a specifically devised chemotherapy regimen in elderly patients with unfavorable non-Hodgkin's lymphoma (NHL) are reported. Between April 1983 and April 1986, 37 consecutive patients 70 years old or more (median age 80) received etoposide and prednimustine (E + P) 100 mg/m2 p.o....
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909009018923
更新日期:1990-01-01 00:00:00
abstract::Endothelin-1 (ET-1) is a potent mitogen in various precursor tumor cells, including endometrial adenocarcinoma. It is proposed that ET-1 produced by endometrial adenocarcinoma may participate in the angiogenesis of this carcinoma in vivo. Endothelin converting enzyme-1 (ECE-1) is the key enzyme that synthesizes ET-1. ...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1081/cnv-100107738
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:This Phase II study was undertaken to define the efficacy and toxicity of the combination of docetaxel and irinotecan for the second-line treatment of non-small cell lung cancer (NSCLC). PATIENTS AND METHODS:Forty-six patients with measurable NSCLC who had relapsed after an initial response to chemotherapy or ...
journal_title:Cancer investigation
pub_type: 杂志文章,多中心研究
doi:10.1080/07357900600705318
更新日期:2006-06-01 00:00:00
abstract::Previously, we developed an orthotopic xenograft model of human glioblastoma multiforme (GBM) with high EGFR expression and invasiveness in Balb/c nu/nu nude mice. Now we also developed the same orthotopic xenograft model in transgenic nude mice with green fluorescent protein (GFP) expression. The present orthotopic x...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357907.2012.697232
更新日期:2012-08-01 00:00:00
abstract::Abnormal p53 immunohistochemical pattern (p53-AP) including overexpression, complete absence and heterogeneity is surrogate of TP53 mutation. Using 742 cases of colorectal cancer (CRC), we show p53-AP is more common among type 2 diabetes (T2DM) patients than non-T2DM. Univariately, T2DM was significantly associated wi...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357907.2020.1852411
更新日期:2021-01-01 00:00:00
abstract::Currently, bladder cancer ranks as the second most common genitourinary malignancy which is exacting significant morbidity and mortality worldwide. Although there are abundant epidemiological and basic studies which strongly suggest the role of androgen hormone in bladder cancer, the underlying mechanism is not fully ...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357907.2013.853077
更新日期:2013-12-01 00:00:00
abstract::Methylation pattern is presented here for first time as a potential molecular marker of changes on SSTR2A and SHP-1(I) gene promoter related to breast and prostate carcinoma. Our results have shown low concordances with SSTR2A and methylated state in prostate cancer and moderate relationship with unmethylated CpG-27 i...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357907.2014.1001892
更新日期:2015-03-01 00:00:00
abstract::Multifractionated dosing (MFD) schedules for chemotherapy administration such as weekly or twice weekly administration are intended to maximize dose intensity while minimizing toxicity, but the cumulative drug effect may result in neutropenia necessitating interruption of dose fractions and thereby compromising dose i...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357909909032865
更新日期:1999-01-01 00:00:00
abstract::IFN regulatory factor 4 binding protein (IBP) has been shown to play an important role in the progression of malignant tumors such as breast cancer cells, but its function in oral squamous cell carcinoma (OSCC) remains unclear. We found that IBP ectopically expressed in some OSCC specimens but not in normal oral mucos...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357907.2012.734355
更新日期:2012-12-01 00:00:00
abstract::Reversible epidermal growth factor receptor tyrosine kinase inhibitors are often used for the treatment of non-small cell lung cancer following failure of cytotoxic chemotherapy. While these agents are active in a subset of patients, most develop resistance and progress within the course of 1 year. In nearly half of t...
journal_title:Cancer investigation
pub_type: 杂志文章,评审
doi:10.3109/07357901003631072
更新日期:2010-05-01 00:00:00
abstract::A case control study was undertaken to investigate the association of polymorphisms in cytochrome P4501A1 (CYP1A1) with squamous cell carcinoma of head and neck (HNSCC) in North Indian population. The variant genotypes of CYP1A1*2A and CYP1A1*2C were found to be overrepresented in cases when compared to controls. The ...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357900902849657
更新日期:2009-10-01 00:00:00
abstract::Decisions about the treatment of recurrent ovarian cancer are usually based on the treatment-free interval. Patients relapsing with an interval of more than six months are usually retreated with platinum-based chemotherapy. Non platinum drugs (such as paclitaxel, gemcitabine, liposomal doxorubicin or topotecan) are al...
journal_title:Cancer investigation
pub_type: 杂志文章,评审
doi:10.1081/cnv-200030117
更新日期:2004-01-01 00:00:00
abstract::CD147 is highly expressed on many tumor cells; its role for tumor invasiveness and metastasis has been deduced from its capacity to induce MMPs, i.e., MMP-1, -2, -3, and -9. However, in the murine B16 melanoma model, MMP-2/-9 expression occurs independent of CD147. To scrutinize the impact of CD147 on metastasis forma...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357900802392675
更新日期:2009-03-01 00:00:00
abstract::The aim of the current study was to determine the signaling differences between gamma- and proton beam-irradiations. A549 lung adenocarcinoma cells were irradiated with 2 Gy proton beam or gamma-radiation. Proton beam was found to be more cytotoxic than gamma-radiation. Proton beam-irradiated cells showed phosphorylat...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357901003630991
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to compare the manganese superoxide dismutase (MnSOD) expression in matched tumor and normal tissue. METHODS:One hundred lung cancer specimens and matched normal lung parenchyma from the same patient were evaluated for MnSOD expression. RESULTS:The median normal MnSOD expression...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.3109/07357900903405918
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:To investigate the relative risk factor of food items for colorectal cancer in four time periods through a case-control study in a Chinese rural area. METHODS:Colorectal cancer patients diagnosed at a county cancer center, Hebei Province, China, and non-cancer outpatients with similar age, sex, and place of...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1081/cnv-120002145
更新日期:2002-01-01 00:00:00
abstract::Decisive indulgence of angiogenesis requires a more holistic assessment and several in vivo assays have been developed that permit a more realistic appraisal of the angiogenic response. One of the most popular assays to study angiogenic activity is the chick chorioallantoic membrane (CAM). Although CAM assay is a vita...
journal_title:Cancer investigation
pub_type: 杂志文章
doi:10.1080/07357900600894773
更新日期:2006-10-01 00:00:00