Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium
Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This pha...
Ausführliche Beschreibung
Autor*in: |
Hutson, Thomas E. [verfasserIn] Vukelja, Svetislava [verfasserIn] Atienza, Daniel [verfasserIn] Awasthi, Sanjay [verfasserIn] Delaune, Robert [verfasserIn] Deutsch, Margaret [verfasserIn] Dien, Philip Y. [verfasserIn] Gregory, Thomas F. [verfasserIn] Kolodziej, Michael J. [verfasserIn] Muscato, Joseph J. [verfasserIn] Raju, Robert N. [verfasserIn] Ruxer, Robert L. [verfasserIn] Mull, Stephanie [verfasserIn] Ilegbodu, Des [verfasserIn] Hood, Karen [verfasserIn] Nicol, Steven [verfasserIn] Berry, William [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2008 |
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Schlagwörter: |
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Übergeordnetes Werk: |
Enthalten in: Investigational new drugs - Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983, 26(2008), 2 vom: 31. Jan., Seite 151-158 |
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Übergeordnetes Werk: |
volume:26 ; year:2008 ; number:2 ; day:31 ; month:01 ; pages:151-158 |
Links: |
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DOI / URN: |
10.1007/s10637-007-9111-2 |
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Katalog-ID: |
SPR01201298X |
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245 | 1 | 0 | |a Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
264 | 1 | |c 2008 | |
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520 | |a Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. | ||
650 | 4 | |a Gemcitabine |7 (dpeaa)DE-He213 | |
650 | 4 | |a Cisplatin |7 (dpeaa)DE-He213 | |
650 | 4 | |a Pemetrexed |7 (dpeaa)DE-He213 | |
650 | 4 | |a Transitional cell carcinoma |7 (dpeaa)DE-He213 | |
650 | 4 | |a Urothelium |7 (dpeaa)DE-He213 | |
700 | 1 | |a Vukelja, Svetislava |e verfasserin |4 aut | |
700 | 1 | |a Atienza, Daniel |e verfasserin |4 aut | |
700 | 1 | |a Awasthi, Sanjay |e verfasserin |4 aut | |
700 | 1 | |a Delaune, Robert |e verfasserin |4 aut | |
700 | 1 | |a Deutsch, Margaret |e verfasserin |4 aut | |
700 | 1 | |a Dien, Philip Y. |e verfasserin |4 aut | |
700 | 1 | |a Gregory, Thomas F. |e verfasserin |4 aut | |
700 | 1 | |a Kolodziej, Michael J. |e verfasserin |4 aut | |
700 | 1 | |a Muscato, Joseph J. |e verfasserin |4 aut | |
700 | 1 | |a Raju, Robert N. |e verfasserin |4 aut | |
700 | 1 | |a Ruxer, Robert L. |e verfasserin |4 aut | |
700 | 1 | |a Mull, Stephanie |e verfasserin |4 aut | |
700 | 1 | |a Ilegbodu, Des |e verfasserin |4 aut | |
700 | 1 | |a Hood, Karen |e verfasserin |4 aut | |
700 | 1 | |a Nicol, Steven |e verfasserin |4 aut | |
700 | 1 | |a Berry, William |e verfasserin |4 aut | |
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2008 |
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10.1007/s10637-007-9111-2 doi (DE-627)SPR01201298X (SPR)s10637-007-9111-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.40 bkl Hutson, Thomas E. verfasserin aut Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 Vukelja, Svetislava verfasserin aut Atienza, Daniel verfasserin aut Awasthi, Sanjay verfasserin aut Delaune, Robert verfasserin aut Deutsch, Margaret verfasserin aut Dien, Philip Y. verfasserin aut Gregory, Thomas F. verfasserin aut Kolodziej, Michael J. verfasserin aut Muscato, Joseph J. verfasserin aut Raju, Robert N. verfasserin aut Ruxer, Robert L. verfasserin aut Mull, Stephanie verfasserin aut Ilegbodu, Des verfasserin aut Hood, Karen verfasserin aut Nicol, Steven verfasserin aut Berry, William verfasserin aut Enthalten in Investigational new drugs Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983 26(2008), 2 vom: 31. Jan., Seite 151-158 (DE-627)320481492 (DE-600)2009846-7 1573-0646 nnns volume:26 year:2008 number:2 day:31 month:01 pages:151-158 https://dx.doi.org/10.1007/s10637-007-9111-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA SSG-OPC-PHA SSG-OPC-ASE GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.40 ASE AR 26 2008 2 31 01 151-158 |
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10.1007/s10637-007-9111-2 doi (DE-627)SPR01201298X (SPR)s10637-007-9111-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.40 bkl Hutson, Thomas E. verfasserin aut Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 Vukelja, Svetislava verfasserin aut Atienza, Daniel verfasserin aut Awasthi, Sanjay verfasserin aut Delaune, Robert verfasserin aut Deutsch, Margaret verfasserin aut Dien, Philip Y. verfasserin aut Gregory, Thomas F. verfasserin aut Kolodziej, Michael J. verfasserin aut Muscato, Joseph J. verfasserin aut Raju, Robert N. verfasserin aut Ruxer, Robert L. verfasserin aut Mull, Stephanie verfasserin aut Ilegbodu, Des verfasserin aut Hood, Karen verfasserin aut Nicol, Steven verfasserin aut Berry, William verfasserin aut Enthalten in Investigational new drugs Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983 26(2008), 2 vom: 31. Jan., Seite 151-158 (DE-627)320481492 (DE-600)2009846-7 1573-0646 nnns volume:26 year:2008 number:2 day:31 month:01 pages:151-158 https://dx.doi.org/10.1007/s10637-007-9111-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA SSG-OPC-PHA SSG-OPC-ASE GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.40 ASE AR 26 2008 2 31 01 151-158 |
allfields_unstemmed |
10.1007/s10637-007-9111-2 doi (DE-627)SPR01201298X (SPR)s10637-007-9111-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.40 bkl Hutson, Thomas E. verfasserin aut Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 Vukelja, Svetislava verfasserin aut Atienza, Daniel verfasserin aut Awasthi, Sanjay verfasserin aut Delaune, Robert verfasserin aut Deutsch, Margaret verfasserin aut Dien, Philip Y. verfasserin aut Gregory, Thomas F. verfasserin aut Kolodziej, Michael J. verfasserin aut Muscato, Joseph J. verfasserin aut Raju, Robert N. verfasserin aut Ruxer, Robert L. verfasserin aut Mull, Stephanie verfasserin aut Ilegbodu, Des verfasserin aut Hood, Karen verfasserin aut Nicol, Steven verfasserin aut Berry, William verfasserin aut Enthalten in Investigational new drugs Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983 26(2008), 2 vom: 31. Jan., Seite 151-158 (DE-627)320481492 (DE-600)2009846-7 1573-0646 nnns volume:26 year:2008 number:2 day:31 month:01 pages:151-158 https://dx.doi.org/10.1007/s10637-007-9111-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA SSG-OPC-PHA SSG-OPC-ASE GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.40 ASE AR 26 2008 2 31 01 151-158 |
allfieldsGer |
10.1007/s10637-007-9111-2 doi (DE-627)SPR01201298X (SPR)s10637-007-9111-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.40 bkl Hutson, Thomas E. verfasserin aut Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 Vukelja, Svetislava verfasserin aut Atienza, Daniel verfasserin aut Awasthi, Sanjay verfasserin aut Delaune, Robert verfasserin aut Deutsch, Margaret verfasserin aut Dien, Philip Y. verfasserin aut Gregory, Thomas F. verfasserin aut Kolodziej, Michael J. verfasserin aut Muscato, Joseph J. verfasserin aut Raju, Robert N. verfasserin aut Ruxer, Robert L. verfasserin aut Mull, Stephanie verfasserin aut Ilegbodu, Des verfasserin aut Hood, Karen verfasserin aut Nicol, Steven verfasserin aut Berry, William verfasserin aut Enthalten in Investigational new drugs Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983 26(2008), 2 vom: 31. Jan., Seite 151-158 (DE-627)320481492 (DE-600)2009846-7 1573-0646 nnns volume:26 year:2008 number:2 day:31 month:01 pages:151-158 https://dx.doi.org/10.1007/s10637-007-9111-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA SSG-OPC-PHA SSG-OPC-ASE GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.40 ASE AR 26 2008 2 31 01 151-158 |
allfieldsSound |
10.1007/s10637-007-9111-2 doi (DE-627)SPR01201298X (SPR)s10637-007-9111-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.40 bkl Hutson, Thomas E. verfasserin aut Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 Vukelja, Svetislava verfasserin aut Atienza, Daniel verfasserin aut Awasthi, Sanjay verfasserin aut Delaune, Robert verfasserin aut Deutsch, Margaret verfasserin aut Dien, Philip Y. verfasserin aut Gregory, Thomas F. verfasserin aut Kolodziej, Michael J. verfasserin aut Muscato, Joseph J. verfasserin aut Raju, Robert N. verfasserin aut Ruxer, Robert L. verfasserin aut Mull, Stephanie verfasserin aut Ilegbodu, Des verfasserin aut Hood, Karen verfasserin aut Nicol, Steven verfasserin aut Berry, William verfasserin aut Enthalten in Investigational new drugs Dordrecht [u.a.] : Springer Science + Business Media B.V, 1983 26(2008), 2 vom: 31. Jan., Seite 151-158 (DE-627)320481492 (DE-600)2009846-7 1573-0646 nnns volume:26 year:2008 number:2 day:31 month:01 pages:151-158 https://dx.doi.org/10.1007/s10637-007-9111-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA SSG-OPC-PHA SSG-OPC-ASE GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.40 ASE AR 26 2008 2 31 01 151-158 |
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Enthalten in Investigational new drugs 26(2008), 2 vom: 31. Jan., Seite 151-158 volume:26 year:2008 number:2 day:31 month:01 pages:151-158 |
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Gemcitabine Cisplatin Pemetrexed Transitional cell carcinoma Urothelium |
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Hutson, Thomas E. @@aut@@ Vukelja, Svetislava @@aut@@ Atienza, Daniel @@aut@@ Awasthi, Sanjay @@aut@@ Delaune, Robert @@aut@@ Deutsch, Margaret @@aut@@ Dien, Philip Y. @@aut@@ Gregory, Thomas F. @@aut@@ Kolodziej, Michael J. @@aut@@ Muscato, Joseph J. @@aut@@ Raju, Robert N. @@aut@@ Ruxer, Robert L. @@aut@@ Mull, Stephanie @@aut@@ Ilegbodu, Des @@aut@@ Hood, Karen @@aut@@ Nicol, Steven @@aut@@ Berry, William @@aut@@ |
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2008-01-31T00:00:00Z |
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author |
Hutson, Thomas E. |
spellingShingle |
Hutson, Thomas E. ddc 610 bkl 44.40 misc Gemcitabine misc Cisplatin misc Pemetrexed misc Transitional cell carcinoma misc Urothelium Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
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610 ASE 44.40 bkl Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium Gemcitabine (dpeaa)DE-He213 Cisplatin (dpeaa)DE-He213 Pemetrexed (dpeaa)DE-He213 Transitional cell carcinoma (dpeaa)DE-He213 Urothelium (dpeaa)DE-He213 |
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ddc 610 bkl 44.40 misc Gemcitabine misc Cisplatin misc Pemetrexed misc Transitional cell carcinoma misc Urothelium |
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ddc 610 bkl 44.40 misc Gemcitabine misc Cisplatin misc Pemetrexed misc Transitional cell carcinoma misc Urothelium |
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Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
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(DE-627)SPR01201298X (SPR)s10637-007-9111-2-e |
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Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
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Hutson, Thomas E. Vukelja, Svetislava Atienza, Daniel Awasthi, Sanjay Delaune, Robert Deutsch, Margaret Dien, Philip Y. Gregory, Thomas F. Kolodziej, Michael J. Muscato, Joseph J. Raju, Robert N. Ruxer, Robert L. Mull, Stephanie Ilegbodu, Des Hood, Karen Nicol, Steven Berry, William |
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610 ASE 44.40 bkl |
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Hutson, Thomas E. |
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10.1007/s10637-007-9111-2 |
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610 |
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phase i study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
title_auth |
Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
abstract |
Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. |
abstractGer |
Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. |
abstract_unstemmed |
Summary Objectives: Gemcitabine (G) plus cisplatin (C) is standard care for metastatic transitional cell carcinoma (TCC) of the urothelium. Pemetrexed (P), alone or in combination with G, is active in metastatic TCC. However, the safety and efficacy of P combined with GC therapy is unknown. This phase I trial was designed to determine the maximum tolerated dose (MTD) of GC followed by P + G in patients with metastatic TCC. Methods: Cohorts of 3 to 6 patients received escalating doses 28-day cycles (maximum 6 cycles): G 800–1,000 mg/$ m^{2} $ on days 1 and 15; P 400–500 mg/$ m^{2} $ on day 15; and C 50–70 mg/$ m^{2} $ on day 1. All patients received folic acid, vitamin $ B_{12} $, and full supportive care. The 3+3 standard phase I escalation rule was used to determine MTD. Results: Fifteen patients registered: 13/15 white males; median age 70 years (range, 53–82); 11/15 had KPS ≥ 90. At dose level 0, 2/4 patients experienced unrelated DLTs, and 1 patient was replaced (completed <1 cycle). Dose escalation proceeded to dose level 1. At level 1, 4/6 patients experienced DLTs; dosing decreased to level 0 and 4/5 patients experienced DLTs. The MTD was not determined. The 2 patients that completed 6 cycles both had partial responses. Grades 3–4 hematologic toxicities included neutropenia (60%), leukopenia (20%), and febrile neutropenia (13%). Conclusion: Adding P to the standard GC regimen as first-line therapy for metastatic TCC produced no benefit. The MTD exceeded therapeutic gemcitabine and cisplatin doses for urothelial cancer and thus the study was aborted. |
collection_details |
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container_issue |
2 |
title_short |
Phase I study of a 3-drug regimen of gemcitabine/cisplatin/pemetrexed in patients with metastatic transitional cell carcinoma of the urothelium |
url |
https://dx.doi.org/10.1007/s10637-007-9111-2 |
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author2 |
Vukelja, Svetislava Atienza, Daniel Awasthi, Sanjay Delaune, Robert Deutsch, Margaret Dien, Philip Y. Gregory, Thomas F. Kolodziej, Michael J. Muscato, Joseph J. Raju, Robert N. Ruxer, Robert L. Mull, Stephanie Ilegbodu, Des Hood, Karen Nicol, Steven Berry, William |
author2Str |
Vukelja, Svetislava Atienza, Daniel Awasthi, Sanjay Delaune, Robert Deutsch, Margaret Dien, Philip Y. Gregory, Thomas F. Kolodziej, Michael J. Muscato, Joseph J. Raju, Robert N. Ruxer, Robert L. Mull, Stephanie Ilegbodu, Des Hood, Karen Nicol, Steven Berry, William |
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320481492 |
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doi_str |
10.1007/s10637-007-9111-2 |
up_date |
2024-07-04T01:23:23.305Z |
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|
score |
7.399805 |