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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1997-1-14
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pubmed:abstractText |
The rationale for the development of new drug combinations is to combine optimal doses of drugs with single agent activity which are not cross-resistant and have non-overlapping toxicities. Anthracyclines are widely accepted as the agents of choice for first-line treatment of metastatic breast cancer and have been tested in combination with the taxoids, docetaxel (Taxotere) and paclitaxel (Taxol). Toxicity problems have emerged using anthracyclines and paclitaxel, with sequence- and schedule-dependent toxic effects including dose-limiting typhlitis and mucositis, as well as febrile neutropenia and, in one study, cardiomyopathy. The dose-limiting toxicities of the combination of docetaxel and doxorubicin are neutropenia and infection, and preliminary results indicate a response rate of 89%. There is a need to develop a combination treatment regimen which is non-cross-resistant with anthracyclines. Vinorelbine (Navelbine) has single agent activity against metastatic breast cancer and has been used in combination with taxoids. The dose-limiting toxicities of the vinorelbine-paclitaxel combination are febrile neutropenia, pelvic pain, fatigue and paraesthesias. The dose-limiting toxicities of the combination of docetaxel and vinorelbine are febrile neutropenia and mucositis. The overall response rate for this combination was 67% and studies are ongoing.
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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/Antibiotics, Antineoplastic,
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, Phytogenic,
http://linkedlifedata.com/resource/pubmed/chemical/Paclitaxel,
http://linkedlifedata.com/resource/pubmed/chemical/Taxoids,
http://linkedlifedata.com/resource/pubmed/chemical/docetaxel
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0959-4973
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7 Suppl 2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
47-52
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:8862712-Antibiotics, Antineoplastic,
pubmed-meshheading:8862712-Antineoplastic Agents, Phytogenic,
pubmed-meshheading:8862712-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8862712-Breast Neoplasms,
pubmed-meshheading:8862712-Humans,
pubmed-meshheading:8862712-Paclitaxel,
pubmed-meshheading:8862712-Taxoids
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pubmed:year |
1996
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pubmed:articleTitle |
Taxoids in combination chemotherapy for metastatic breast cancer.
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pubmed:affiliation |
Institut Curie, Service de Médecine Oncologique, Paris, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Review
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