Weekly Low-Dose Docetaxel in Advanced Hormone-Resistant Prostate Cancer Patients Previously Exposed to Chemotherapy
Objective: The aim of this study was to evaluate the activity and tolerability of docetaxel in patients with hormone-resistant prostate cancer previously exposed to chemotherapy. Methods: We enrolled 27 patients with hormone-resistant prostatic cancer that had progressed during first-line chemothera...
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Veröffentlicht in: | Oncology 2003-01, Vol.64 (4), p.300-305 |
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creator | Petrioli, Roberto Pozzessere, Daniele Messinese, Simona Sabatino, Marianna Di Palma, Teresa Marsili, Stefania Correale, Pierpaolo Manganelli, Antonio Salvestrini, Francesco Francini, Guido |
description | Objective: The aim of this study was to evaluate the activity and tolerability of docetaxel in patients with hormone-resistant prostate cancer previously exposed to chemotherapy. Methods: We enrolled 27 patients with hormone-resistant prostatic cancer that had progressed during first-line chemotherapy. The primary end-point was palliative response defined as a 2-point reduction in the 6-point present pain intensity scale, and an improvement in Karnofsky performance status of one 10-point category. The treatment consisted of weekly docetaxel 25 mg/m² body surface area administered by means of a 1-hour intravenous infusion with corticosteroid premedication. Results: The primary criterion of palliative response was met in 13 patients (48%) after eight treatment cycles; its median duration was 6 months (range 1–8). Mean global quality of life improved in 8 and 10 patients after respectively four and eight treatment cycles. After a median follow-up of 8 months, 21 patients had died: the median survival was 9+ months (range 2–18). Weekly docetaxel was very well tolerated: grade 3 neutropenia occurred in 1 patient and grade 3 anemia in 2. Conclusions: Weekly low-dose docetaxel is an effective and well-tolerated treatment for patients with hormone-resistant prostate cancer previously exposed to chemotherapy. |
doi_str_mv | 10.1159/000070285 |
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Methods: We enrolled 27 patients with hormone-resistant prostatic cancer that had progressed during first-line chemotherapy. The primary end-point was palliative response defined as a 2-point reduction in the 6-point present pain intensity scale, and an improvement in Karnofsky performance status of one 10-point category. The treatment consisted of weekly docetaxel 25 mg/m² body surface area administered by means of a 1-hour intravenous infusion with corticosteroid premedication. Results: The primary criterion of palliative response was met in 13 patients (48%) after eight treatment cycles; its median duration was 6 months (range 1–8). Mean global quality of life improved in 8 and 10 patients after respectively four and eight treatment cycles. After a median follow-up of 8 months, 21 patients had died: the median survival was 9+ months (range 2–18). Weekly docetaxel was very well tolerated: grade 3 neutropenia occurred in 1 patient and grade 3 anemia in 2. Conclusions: Weekly low-dose docetaxel is an effective and well-tolerated treatment for patients with hormone-resistant prostate cancer previously exposed to chemotherapy.</description><identifier>ISSN: 0030-2414</identifier><identifier>EISSN: 1423-0232</identifier><identifier>DOI: 10.1159/000070285</identifier><identifier>PMID: 12759524</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged ; Antineoplastic agents ; Antineoplastic Agents, Phytogenic - administration & dosage ; Antineoplastic Agents, Phytogenic - adverse effects ; Biological and medical sciences ; Chemotherapy ; Clinical Study ; Drug Administration Schedule ; Humans ; Infusions, Intravenous ; Male ; Medical sciences ; Middle Aged ; Paclitaxel - administration & dosage ; Paclitaxel - adverse effects ; Paclitaxel - analogs & derivatives ; Palliative Care - methods ; Pharmacology. Drug treatments ; Prostatic Neoplasms - drug therapy ; Prostatic Neoplasms - pathology ; Quality of Life ; Taxoids ; Treatment Outcome</subject><ispartof>Oncology, 2003-01, Vol.64 (4), p.300-305</ispartof><rights>2003 S. Karger AG, Basel</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 S. Karger AG, Basel</rights><rights>Copyright (c) 2003 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-eccfe6533829e3b793030a2148dac318f25bc4eb619f62e9d4f71d6f550b3d7a3</citedby><cites>FETCH-LOGICAL-c385t-eccfe6533829e3b793030a2148dac318f25bc4eb619f62e9d4f71d6f550b3d7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14749979$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12759524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petrioli, Roberto</creatorcontrib><creatorcontrib>Pozzessere, Daniele</creatorcontrib><creatorcontrib>Messinese, Simona</creatorcontrib><creatorcontrib>Sabatino, Marianna</creatorcontrib><creatorcontrib>Di Palma, Teresa</creatorcontrib><creatorcontrib>Marsili, Stefania</creatorcontrib><creatorcontrib>Correale, Pierpaolo</creatorcontrib><creatorcontrib>Manganelli, Antonio</creatorcontrib><creatorcontrib>Salvestrini, Francesco</creatorcontrib><creatorcontrib>Francini, Guido</creatorcontrib><title>Weekly Low-Dose Docetaxel in Advanced Hormone-Resistant Prostate Cancer Patients Previously Exposed to Chemotherapy</title><title>Oncology</title><addtitle>Oncology</addtitle><description>Objective: The aim of this study was to evaluate the activity and tolerability of docetaxel in patients with hormone-resistant prostate cancer previously exposed to chemotherapy. Methods: We enrolled 27 patients with hormone-resistant prostatic cancer that had progressed during first-line chemotherapy. The primary end-point was palliative response defined as a 2-point reduction in the 6-point present pain intensity scale, and an improvement in Karnofsky performance status of one 10-point category. The treatment consisted of weekly docetaxel 25 mg/m² body surface area administered by means of a 1-hour intravenous infusion with corticosteroid premedication. Results: The primary criterion of palliative response was met in 13 patients (48%) after eight treatment cycles; its median duration was 6 months (range 1–8). Mean global quality of life improved in 8 and 10 patients after respectively four and eight treatment cycles. After a median follow-up of 8 months, 21 patients had died: the median survival was 9+ months (range 2–18). Weekly docetaxel was very well tolerated: grade 3 neutropenia occurred in 1 patient and grade 3 anemia in 2. Conclusions: Weekly low-dose docetaxel is an effective and well-tolerated treatment for patients with hormone-resistant prostate cancer previously exposed to chemotherapy.</description><subject>Aged</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Agents, Phytogenic - administration & dosage</subject><subject>Antineoplastic Agents, Phytogenic - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Clinical Study</subject><subject>Drug Administration Schedule</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Paclitaxel - administration & dosage</subject><subject>Paclitaxel - adverse effects</subject><subject>Paclitaxel - analogs & derivatives</subject><subject>Palliative Care - methods</subject><subject>Pharmacology. Drug treatments</subject><subject>Prostatic Neoplasms - drug therapy</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Quality of Life</subject><subject>Taxoids</subject><subject>Treatment Outcome</subject><issn>0030-2414</issn><issn>1423-0232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0EtrGzEUBWBREhrX7aLrQBCGLrKYVM95LMPkCYaE0tLloJGukvFjNJVkN_73kWMn2UQbCe7HEfcg9J2SM0pl9ZOkUxBWyk9oRAXjGWGcHaARIZxkTFBxhL6EMNsqKfLP6IiyQlaSiREKfwHmiw2euv_ZhQuAL5yGqJ5ggbsen5u16jUYfOP80vWQ_YLQhaj6iO-9S48IuN4Kj-9V7KCPIQ1g3blVSKGXT0OKNDg6XD_C0sVH8GrYfEWHVi0CfNvfY_Tn6vJ3fZNN765v6_NppnkpYwZaW8gl5yWrgLdFxdM6ilFRGqU5LS2TrRbQ5rSyOYPKCFtQk1spSctNofgYTXa5g3f_VhBiM3Mr36cvG8ZIKVhBZUKnO6TTQsGDbQbfLZXfNJQ023abt3aTPdkHrtolmHe5rzOBH3ugglYL61M3XXh3ohBVlRYZo-Odmyv_AP4NvH4z-XB6V09fQDMYy58B-kuWlw</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Petrioli, Roberto</creator><creator>Pozzessere, Daniele</creator><creator>Messinese, Simona</creator><creator>Sabatino, Marianna</creator><creator>Di Palma, Teresa</creator><creator>Marsili, Stefania</creator><creator>Correale, Pierpaolo</creator><creator>Manganelli, Antonio</creator><creator>Salvestrini, Francesco</creator><creator>Francini, Guido</creator><general>Karger</general><general>S. 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Drug treatments</topic><topic>Prostatic Neoplasms - drug therapy</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Quality of Life</topic><topic>Taxoids</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petrioli, Roberto</creatorcontrib><creatorcontrib>Pozzessere, Daniele</creatorcontrib><creatorcontrib>Messinese, Simona</creatorcontrib><creatorcontrib>Sabatino, Marianna</creatorcontrib><creatorcontrib>Di Palma, Teresa</creatorcontrib><creatorcontrib>Marsili, Stefania</creatorcontrib><creatorcontrib>Correale, Pierpaolo</creatorcontrib><creatorcontrib>Manganelli, Antonio</creatorcontrib><creatorcontrib>Salvestrini, Francesco</creatorcontrib><creatorcontrib>Francini, Guido</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><jtitle>Oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petrioli, Roberto</au><au>Pozzessere, Daniele</au><au>Messinese, Simona</au><au>Sabatino, Marianna</au><au>Di Palma, Teresa</au><au>Marsili, Stefania</au><au>Correale, Pierpaolo</au><au>Manganelli, Antonio</au><au>Salvestrini, Francesco</au><au>Francini, Guido</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Weekly Low-Dose Docetaxel in Advanced Hormone-Resistant Prostate Cancer Patients Previously Exposed to Chemotherapy</atitle><jtitle>Oncology</jtitle><addtitle>Oncology</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>64</volume><issue>4</issue><spage>300</spage><epage>305</epage><pages>300-305</pages><issn>0030-2414</issn><eissn>1423-0232</eissn><abstract>Objective: The aim of this study was to evaluate the activity and tolerability of docetaxel in patients with hormone-resistant prostate cancer previously exposed to chemotherapy. Methods: We enrolled 27 patients with hormone-resistant prostatic cancer that had progressed during first-line chemotherapy. The primary end-point was palliative response defined as a 2-point reduction in the 6-point present pain intensity scale, and an improvement in Karnofsky performance status of one 10-point category. The treatment consisted of weekly docetaxel 25 mg/m² body surface area administered by means of a 1-hour intravenous infusion with corticosteroid premedication. Results: The primary criterion of palliative response was met in 13 patients (48%) after eight treatment cycles; its median duration was 6 months (range 1–8). Mean global quality of life improved in 8 and 10 patients after respectively four and eight treatment cycles. After a median follow-up of 8 months, 21 patients had died: the median survival was 9+ months (range 2–18). Weekly docetaxel was very well tolerated: grade 3 neutropenia occurred in 1 patient and grade 3 anemia in 2. Conclusions: Weekly low-dose docetaxel is an effective and well-tolerated treatment for patients with hormone-resistant prostate cancer previously exposed to chemotherapy.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>12759524</pmid><doi>10.1159/000070285</doi><tpages>6</tpages></addata></record> |
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subjects | Aged Antineoplastic agents Antineoplastic Agents, Phytogenic - administration & dosage Antineoplastic Agents, Phytogenic - adverse effects Biological and medical sciences Chemotherapy Clinical Study Drug Administration Schedule Humans Infusions, Intravenous Male Medical sciences Middle Aged Paclitaxel - administration & dosage Paclitaxel - adverse effects Paclitaxel - analogs & derivatives Palliative Care - methods Pharmacology. Drug treatments Prostatic Neoplasms - drug therapy Prostatic Neoplasms - pathology Quality of Life Taxoids Treatment Outcome |
title | Weekly Low-Dose Docetaxel in Advanced Hormone-Resistant Prostate Cancer Patients Previously Exposed to Chemotherapy |
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