Gemcitabine combined with gefitinib in patients with inoperable or metastatic pancreatic cancer: A phase II study of the Hellenic Cooperative Oncology Group with biomarker evaluation

被引:52
作者
Fountzilas, George [8 ]
Bobos, Mattheos
Kalogera-Fountzila, Anna
Xiros, Nikolaos [1 ]
Murray, Samuel [2 ]
Linardou, Helena [2 ]
Karayannopoulou, Georgia
Koutras, Angelos K. [3 ]
Bafaloukos, Dimitrios [2 ]
Samantas, Epaminondas [4 ]
Christodoulou, Christos [5 ]
Economopoulos, Theofanis [1 ]
Kalogeras, Konstantine T. [6 ]
Kosmidis, Paris [7 ]
机构
[1] Univ Gen Hosp Attikon, Athens, Greece
[2] Metropolitan Hosp, Piraeus, Greece
[3] Univ Hosp Patras, Patras, Greece
[4] Agii Anargiri Canc Hosp, Athens, Greece
[5] Henry Dunant Hosp, Athens, Greece
[6] Hellen Cooperat Oncol Grp Data Off, Athens, Greece
[7] Hygeia Hosp, Athens, Greece
[8] Aristotle Univ Thessaloniki, Sch Med, PAPAGEORGIOU Hosp, Dept Med Oncol, Thessaloniki, Macedonia, Greece
关键词
chemotherapy; gefitinib; gemcitabine; pancreatic cancer;
D O I
10.1080/07357900801918611
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The combination of gemcitabine and gefitinib was evaluated in advanced pancreatic cancer. Totally, 53 patients were treated with a 7 week cycle of gemcitabine (1,000 mg/m2 given weekly) followed by six 4 week cycles of gemcitabine given on days 1, 8 and 15. Gefitinib 250 mg was administered daily. Responses were seen in 6, and stabilization of the disease in 12 patients. The main toxicity was myelotoxicity (92%). The 6-month progression-free survival (PFS) was 30%. Median PFS was 4.1 months and median survival 7.3 months with a 1 year survival rate of 27%. The above combination demonstrated promising activity in advanced pancreatic cancer.
引用
收藏
页码:784 / 793
页数:10
相关论文
共 42 条
[1]   Randomized phase III study of exatecan and gemcitabine compared with gemcitabine alone in untreated advanced pancreatic cancer [J].
Abou-Alfa, Ghassan K. ;
Letourneau, Richard ;
Harker, Graydon ;
Modiano, Manuel ;
Hurwitz, Herbert ;
Tchekmedyian, Nerses Simon ;
Feit, Kevie ;
Ackerman, Judie ;
De Jager, Robert L. ;
Eckhardt, S. Gail ;
O'Reilly, Eileen M. .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (27) :4441-4447
[2]   COMPREHENSIVE CRITERIA FOR ASSESSING THERAPY-INDUCED TOXICITY [J].
AJANI, JA ;
WELCH, SR ;
RABER, MN ;
FIELDS, WS ;
KRAKOFF, IH .
CANCER INVESTIGATION, 1990, 8 (02) :147-159
[3]   The PI 3-kinase/Akt signaling pathway is activated due to aberrant Pten expression and targets transcription factors NF-κB and c-Myc in pancreatic cancer cells [J].
Asano, T ;
Yao, YX ;
Zhu, JJ ;
Li, DH ;
Abbruzzese, JL ;
Reddy, SAG .
ONCOGENE, 2004, 23 (53) :8571-8580
[4]  
Bruns CJ, 2000, CANCER RES, V60, P2926
[5]  
Bruns CJ, 2000, CLIN CANCER RES, V6, P1936
[6]  
CASCINU S, 2007, J CLIN ONCOL S18, V25
[7]  
Choe G, 2003, CANCER RES, V63, P2742
[8]   RETRACTED: Potentiation of the effect of erlotinib by genistein in pancreatic cancer:: The role of Akt and nuclear factor-κB (Retracted article. See vol. 78, pg. 5472, 2018) [J].
El-Rayes, Basil F. ;
Ali, Shadan ;
Ali, Ifrah F. ;
Philip, Philip A. ;
Abbruzzese, James ;
Sarkar, Fazlul H. .
CANCER RESEARCH, 2006, 66 (21) :10553-10559
[9]  
Fernandez M, 2002, CLIN CANCER RES, V8, P1695
[10]  
Fountzilas G, 2006, ANTICANCER RES, V26, P4675