Source:http://linkedlifedata.com/resource/pubmed/id/18606594
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2008-7-8
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pubmed:abstractText |
Hormone-refractory prostate cancer (HRPC) is a rapidly progressive disease which produces considerable morbidity and involves mostly men over 70, often comorbid and with poor tolerance to chemotherapy. Low-toxicity chemotherapy is a reasonable option in this setting. Vinorelbine and a corticosteroid show activity and clinical benefit responses in HRPC. An oral regimen is preferable for elderly patients. This study aimed to evaluate safety, prostate-specific antigen (PSA) response, clinical benefit and progression-free survival in chemonaive elderly HRPC patients. 33 men, median age 78.2, were treated with oral vinorelbine 60 mg/m2 days 1 and 8 every 3 weeks, escalable to 80 mg/m2 after the first cycle, and prednisone 5 mg b.i.d. The main toxicity was hematopoietic (mild at 60 mg/m2 and moderate at 80 mg/m2). Of 27 evaluable patients, 9 (33%) had PSA responses and 9 had clinical benefit, PSA-correlated in 5 cases (56%). Median progression-free survival was 13.4 weeks, median overall survival 45 weeks. Oral vinorelbine plus prednisone is safe and has moderate activity, with biochemical and clinical responses in about one-third of patients and could be an option in unfit elderly HRPC patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, Phytogenic,
http://linkedlifedata.com/resource/pubmed/chemical/Prednisolone,
http://linkedlifedata.com/resource/pubmed/chemical/Prostate-Specific Antigen,
http://linkedlifedata.com/resource/pubmed/chemical/Vinblastine,
http://linkedlifedata.com/resource/pubmed/chemical/vinorelbine
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1973-9478
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
368-73
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pubmed:dateRevised |
2009-11-3
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pubmed:meshHeading |
pubmed-meshheading:18606594-Administration, Oral,
pubmed-meshheading:18606594-Aged,
pubmed-meshheading:18606594-Aged, 80 and over,
pubmed-meshheading:18606594-Antineoplastic Agents, Phytogenic,
pubmed-meshheading:18606594-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:18606594-Disease-Free Survival,
pubmed-meshheading:18606594-Hematopoiesis,
pubmed-meshheading:18606594-Humans,
pubmed-meshheading:18606594-Male,
pubmed-meshheading:18606594-Prednisolone,
pubmed-meshheading:18606594-Prostate-Specific Antigen,
pubmed-meshheading:18606594-Prostatic Neoplasms,
pubmed-meshheading:18606594-Vinblastine
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pubmed:year |
2008
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pubmed:articleTitle |
Oral vinorelbine as first line chemotherapy in unfit elderly patients with hormone-refractory prostate cancer.
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pubmed:affiliation |
Unità Operativa di Oncologia Medica, Azienda Ospedaliera Universitaria, Policlinico G Martino Messina, Italy. nicolacaristi@libero.it
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pubmed:publicationType |
Journal Article,
Clinical Trial
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