Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2003-7-18
pubmed:abstractText
The aim of this phase II study was to investigate the tolerance and efficacy of a second-line irinotecan/mitomycin C combination in patients with advanced gastric or colorectal cancer, pretreated with 5-fluorouracil. Forty patients who had received 5-fluorouracil-based chemotherapy for advanced disease or adjuvant 5-fluorouracil treatment were enrolled. Chemotherapy consisted of irinotecan 125 mg/m2 and mitomycin C 5 mg/m2, given every 2 weeks. Treatment was continued until progression or limiting toxicity occurred. Five partial responses (12.5%), 22 cases of stable disease (55%) and 13 of progression (32.5%) were registered, giving an overall response rate of 12.5% [95% confidence interval (CI), 4.2-26.8%] and an overall control of tumor growth in 67.5% (95% CI, 50.8-81.4%) of patients. Median progression-free survival was 5 months, median survival time 8 months, and 1-year probability of survival was 21.6%. Diarrhea and neutropenia affected 25% and 12.5% of patients respectively, with only 7.5% experiencing grade 3-4 toxicity. There were no chemotherapy-related deaths or hospitalizations. This combination regimen was shown to be moderately effective with substantially lower toxicity than irinotecan monotherapy in 5-fluorouracil-pretreated patients with advanced gastric or colorectal cancer. It may represent an attractive option in patients at high risk for developing specific irinotecan toxicity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1120-009X
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
275-81
pubmed:dateRevised
2009-8-4
pubmed:meshHeading
pubmed-meshheading:12868555-Adenocarcinoma, pubmed-meshheading:12868555-Adult, pubmed-meshheading:12868555-Aged, pubmed-meshheading:12868555-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:12868555-Camptothecin, pubmed-meshheading:12868555-Chi-Square Distribution, pubmed-meshheading:12868555-Colorectal Neoplasms, pubmed-meshheading:12868555-Dose-Response Relationship, Drug, pubmed-meshheading:12868555-Drug Administration Schedule, pubmed-meshheading:12868555-Drug Toxicity, pubmed-meshheading:12868555-Female, pubmed-meshheading:12868555-Fluorouracil, pubmed-meshheading:12868555-Follow-Up Studies, pubmed-meshheading:12868555-Humans, pubmed-meshheading:12868555-Male, pubmed-meshheading:12868555-Maximum Tolerated Dose, pubmed-meshheading:12868555-Middle Aged, pubmed-meshheading:12868555-Mitomycin, pubmed-meshheading:12868555-Neoplasm Staging, pubmed-meshheading:12868555-Odds Ratio, pubmed-meshheading:12868555-Probability, pubmed-meshheading:12868555-Risk Assessment, pubmed-meshheading:12868555-Salvage Therapy, pubmed-meshheading:12868555-Stomach Neoplasms, pubmed-meshheading:12868555-Survival Analysis
pubmed:year
2003
pubmed:articleTitle
Phase II study of irinotecan and mitomycin C in 5-fluorouracil-pretreated patients with advanced colorectal and gastric cancer.
pubmed:affiliation
Oncology Dept, Ioannina University Hospital, Ioannina, Greece. abamias@med.uoa.gr
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Clinical Trial, Phase II