Source:http://linkedlifedata.com/resource/pubmed/id/12376205
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
15
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pubmed:dateCreated |
2002-10-11
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pubmed:abstractText |
A randomised phase I/II trial with weekly cisplatin 70 mg/m(2) (days 1, 8, 15, 29, 36, 43) in combination with escalating doses of paclitaxel either 4-weekly or weekly was conducted in 49 patients with ovarian cancer; patients were chemotherapy-nai;ve or had a first relapse after platinum-based chemotherapy. Paclitaxel could be safely escalated to 225 mg/m(2) 4-weekly or 100 mg/m(2) weekly, with fatigue as the major adverse event. Myelosuppression, renal toxicity and neurotoxicity were mild to moderate. Pharmacokinetic analysis showed an approximately 2-fold reduction of DNA-adduct formation in leucocytes compared with cisplatin without paclitaxel. No pharmacokinetic interaction was found between paclitaxel and cisplatin. After (re-)induction, additional chemotherapy consisted of conventional paclitaxel/cisplatin, paclitaxel/carboplatin, paclitaxel single agent or carboplatin/cyclophosphamide. The overall response rate was 94% in 17 evaluable chemotherapy-nai;ve patients and 84% in 25 patients with recurrent disease. Median progression-free survival (PFS) was 17 months (chemotherapy-nai;ve: 23 months, recurrent: 11 months) and median overall survival was 41 months (chemotherapy-nai;ve: 48 months, recurrent: 24 months). In conclusion, both cisplatin/paclitaxel regimens showed excellent activity with manageable toxicity in patients with advanced ovarian cancer.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2005-13
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:12376205-Adult,
pubmed-meshheading:12376205-Aged,
pubmed-meshheading:12376205-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:12376205-Carboplatin,
pubmed-meshheading:12376205-Cisplatin,
pubmed-meshheading:12376205-Disease-Free Survival,
pubmed-meshheading:12376205-Dose-Response Relationship, Drug,
pubmed-meshheading:12376205-Drug Interactions,
pubmed-meshheading:12376205-Female,
pubmed-meshheading:12376205-Humans,
pubmed-meshheading:12376205-Middle Aged,
pubmed-meshheading:12376205-Ovarian Neoplasms,
pubmed-meshheading:12376205-Paclitaxel
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pubmed:year |
2002
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pubmed:articleTitle |
Dose-dense cisplatin/paclitaxel. a well-tolerated and highly effective chemotherapeutic regimen in patients with advanced ovarian cancer.
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pubmed:affiliation |
Department of Medical Oncology, Rotterdam Cancer Institute (Daniel den Hoed Kliniek) and University Hospital Rotterdam, PO Box 5201, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Clinical Trial, Phase II,
Clinical Trial, Phase I
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