Phase I Study of Weekly Cisplatin, Bolus Fluorouracil and Escalating Doses of Irinotecan in Advanced Solid Tumors

被引:1
作者
Ku, Geoffrey Y. [1 ]
O'Reilly, Eileen M. [1 ]
Saltz, Leonard B. [1 ]
Schrag, Deborah [3 ]
Maki, Robert G. [2 ]
Kelsen, David P. [1 ]
Ilson, David H. [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Gastrointestinal Oncol Serv, Dept Med, New York, NY 10065 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med, Melanoma & Sarcoma Serv, New York, NY 10021 USA
[3] Dana Farber Canc Inst, Ctr Gastrointestinal Oncol, Boston, MA 02115 USA
关键词
Cisplatin; 5-Fluorouracil; Irinotecan; Phase I trial; METASTATIC COLORECTAL-CANCER; ADVANCED ESOPHAGEAL CANCER; RANDOMIZED-TRIAL; PLUS FLUOROURACIL; ORAL CAPECITABINE; GASTRIC-CANCER; RADIOTHERAPY; LEUCOVORIN; CHEMOTHERAPY; EPIRUBICIN;
D O I
10.1080/07357900802406327
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: We performed a phase I study of 5-fluorouracil (5-FU), cisplatin and irinotecan. Methods: Twenty-nine patients received cisplatin 25 mg/m2 and bolus 5-FU 425 mg/m2, along with irinotecan at 40, 50, and 65 mg/m2 weekly for 4 out of 6 weeks. Results: The maximum tolerated dose (MTD) for untreated patients was irinotecan 65 mg/m2 while the MTD for previously treated patients was irinotecan 40 mg/m2. Neutropenia and diarrhea were the major dose-limiting toxicities. Antitumor activity was noted in gastric, esophageal and pancreatic cancers. Conclusion: Because of the toxicity profile, combinations with continuous infusion 5-FU or capecitabine should be explored.
引用
收藏
页码:402 / 406
页数:5
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