Phase I Study of Combination Therapy With Weekly Nanoparticle Albumin-bound Paclitaxel and Cyclophosphamide in Metastatic Breast Cancer Patients.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 25 09 2019
revised: 08 11 2019
accepted: 11 11 2019
entrez: 8 12 2019
pubmed: 8 12 2019
medline: 18 12 2019
Statut: ppublish

Résumé

The objective of this phase I study was to determine the maximum-tolerated dose (MTD) and recommended dose (RD) of combination therapy with weekly nanoparticle albumin-bound paclitaxel (nab-paclitaxel) and cyclophosphamide (CPA) in metastatic breast cancer (MBC) patients. Five patients who had human epidermal growth factor receptor 2 (HER2) negative MBC were recruited in this study. They received nab-paclitaxel at dose levels of 100-150 mg once a week for three weeks, repeated every 4 weeks, and CPA (600 mg/m No patient had grade 4 toxicity, however, two patients discontinued protocol treatment due to adverse events at level 2. Thus, the Data and Safety Monitoring Committee recommended the MTD of nab-paclitaxel and CPA to be determined at level 2. The combination therapy with weekly nab-paclitaxel and CPA was tolerable, and the RD for these drugs for MBC were 100 and 600 mg/m

Sections du résumé

BACKGROUND/AIM OBJECTIVE
The objective of this phase I study was to determine the maximum-tolerated dose (MTD) and recommended dose (RD) of combination therapy with weekly nanoparticle albumin-bound paclitaxel (nab-paclitaxel) and cyclophosphamide (CPA) in metastatic breast cancer (MBC) patients.
PATIENTS AND METHODS METHODS
Five patients who had human epidermal growth factor receptor 2 (HER2) negative MBC were recruited in this study. They received nab-paclitaxel at dose levels of 100-150 mg once a week for three weeks, repeated every 4 weeks, and CPA (600 mg/m
RESULTS RESULTS
No patient had grade 4 toxicity, however, two patients discontinued protocol treatment due to adverse events at level 2. Thus, the Data and Safety Monitoring Committee recommended the MTD of nab-paclitaxel and CPA to be determined at level 2.
CONCLUSION CONCLUSIONS
The combination therapy with weekly nab-paclitaxel and CPA was tolerable, and the RD for these drugs for MBC were 100 and 600 mg/m

Identifiants

pubmed: 31810960
pii: 39/12/6903
doi: 10.21873/anticanres.13910
doi:

Substances chimiques

Albumin-Bound Paclitaxel 0
Cyclophosphamide 8N3DW7272P

Types de publication

Clinical Trial, Phase I Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6903-6907

Informations de copyright

Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Daisuke Ota (D)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan d-ota@mitsuihosp.or.jp.

Sotaro Akatsuka (S)

Department of Medical Oncology, Mitsui Memorial Hospital, Tokyo, Japan.

Tsunehiro Nishi (T)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

Takao Kato (T)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

Masashi Takeuchi (M)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

Munechika Tsuji (M)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

Atsushi Fukuuchi (A)

Department of Breast and Endocrine Surgery, Mitsui Memorial Hospital, Tokyo, Japan.

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Classifications MeSH