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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1986-6-6
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pubmed:abstractText |
Taxol is a plant product derived from the western yew, Taxus brevifolia. We have conducted a phase I clinical study of Taxol used intravenously daily for 5 days at 3-week intervals. The starting dose was 5 mg/m2 daily, and the highest dose used was 40 mg/m2 daily for 5 days. The daily dosage of Taxol was mixed in 250 mL of intravenous fluid and infused over a period of 1 hour. A total of 20 patients with metastatic solid tumors refractory to standard therapy received 45 courses of therapy. Taxol was generally well tolerated and caused no significant nausea or vomiting. A mild degree of diarrhea was reported by six patients, and a moderate degree of stomatitis at the higher dose levels developed in four patients. All patients treated in the dosage range of 20 mg/m2 to 40 mg/m2 experienced nearly complete alopecia. Myelosuppression, predominantly in the form of leukopenia, was the dose-limiting toxicity. The nadir of leukopenia was reached between days 8 and 12 followed by complete recovery between days 15 and 21. Leukopenia was first observed following the Taxol dosage level of 20 mg/m2/d, was moderately severe at the dosage level of 30 mg/m2/d, and was severe at the dosage level of 40 mg/m2/d. No objective tumor regression was observed. A starting dosage level of 30 mg/m2/d for 5 days is recommended for phase II trials using this schedule.
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pubmed:grant | |
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 |
May
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pubmed:issn |
0732-183X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
762-6
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:2871137-Adult,
pubmed-meshheading:2871137-Aged,
pubmed-meshheading:2871137-Alkaloids,
pubmed-meshheading:2871137-Antineoplastic Agents, Phytogenic,
pubmed-meshheading:2871137-Bone Marrow,
pubmed-meshheading:2871137-Dose-Response Relationship, Drug,
pubmed-meshheading:2871137-Drug Evaluation,
pubmed-meshheading:2871137-Female,
pubmed-meshheading:2871137-Hematopoiesis,
pubmed-meshheading:2871137-Humans,
pubmed-meshheading:2871137-Male,
pubmed-meshheading:2871137-Middle Aged,
pubmed-meshheading:2871137-Neoplasm Metastasis,
pubmed-meshheading:2871137-Neoplasms,
pubmed-meshheading:2871137-Paclitaxel,
pubmed-meshheading:2871137-Time Factors
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pubmed:year |
1986
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pubmed:articleTitle |
Phase I study of taxol using a 5-day intermittent schedule.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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