Phase II study of weekly gemcitabine in patients with metastatic breast cancer relapsing or failing both an anthracycline and a taxane
A phase II study was performed to investigate the efficacy and tolerability of gemcitabine as third-line chemotherapy for patients with metastatic breast cancer, previously treated with both an anthracycline- and taxane-containing regimen. Twenty-three patients were treated with gemcitabine 1200 mg/...
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Veröffentlicht in: | Breast cancer research and treatment 2001-03, Vol.66 (1), p.83-87 |
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description | A phase II study was performed to investigate the efficacy and tolerability of gemcitabine as third-line chemotherapy for patients with metastatic breast cancer, previously treated with both an anthracycline- and taxane-containing regimen. Twenty-three patients were treated with gemcitabine 1200 mg/m2 in a 30-min infusion on day 1, 8 and 15 of a 28 day cycle. Seventy-four percent of the patients had visceral metastases. No complete or partial responses were observed. Six patients (26%) had stable disease with a median duration of 4.0 months. The median time to progression was 1.9 months and the median survival time was 7.8 months. Neutropenia grade 3 and 4 was observed in four patients (18%). Non-hematological toxicity grade 3 included nausea and vomiting in 14%, skin toxicity in 9% and elevation of transaminases in 23% of the patients. Gemcitabine is ineffective as third-line single agent therapy in patients failing anthracycline and taxane treatment for metastatic breast cancer. |
doi_str_mv | 10.1023/A:1010679127390 |
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H ; BONTENBAL, M ; SEYNAEVE, C ; VAN ZUYLEN, C ; DE HEUS, G ; VERWEIJ, J ; DE WIT, R</creator><creatorcontrib>SMORENBURG, C. H ; BONTENBAL, M ; SEYNAEVE, C ; VAN ZUYLEN, C ; DE HEUS, G ; VERWEIJ, J ; DE WIT, R</creatorcontrib><description>A phase II study was performed to investigate the efficacy and tolerability of gemcitabine as third-line chemotherapy for patients with metastatic breast cancer, previously treated with both an anthracycline- and taxane-containing regimen. Twenty-three patients were treated with gemcitabine 1200 mg/m2 in a 30-min infusion on day 1, 8 and 15 of a 28 day cycle. Seventy-four percent of the patients had visceral metastases. No complete or partial responses were observed. Six patients (26%) had stable disease with a median duration of 4.0 months. The median time to progression was 1.9 months and the median survival time was 7.8 months. Neutropenia grade 3 and 4 was observed in four patients (18%). Non-hematological toxicity grade 3 included nausea and vomiting in 14%, skin toxicity in 9% and elevation of transaminases in 23% of the patients. Gemcitabine is ineffective as third-line single agent therapy in patients failing anthracycline and taxane treatment for metastatic breast cancer.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1023/A:1010679127390</identifier><identifier>PMID: 11368414</identifier><identifier>CODEN: BCTRD6</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adult ; Aged ; Antibiotics, Antineoplastic - therapeutic use ; Antimetabolites, Antineoplastic - administration & dosage ; Antineoplastic agents ; Biological and medical sciences ; Breast cancer ; Breast Neoplasms - drug therapy ; Breast Neoplasms - pathology ; Bridged-Ring Compounds - therapeutic use ; Cancer research ; Cancer therapies ; Chemotherapy ; Deoxycytidine - administration & dosage ; Deoxycytidine - analogs & derivatives ; Disease-Free Survival ; Drug Administration Schedule ; Female ; Humans ; Infusions, Intravenous ; Medical sciences ; Middle Aged ; Neoplasm Metastasis ; Palliative Care ; Pharmacology. 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H</creatorcontrib><creatorcontrib>BONTENBAL, M</creatorcontrib><creatorcontrib>SEYNAEVE, C</creatorcontrib><creatorcontrib>VAN ZUYLEN, C</creatorcontrib><creatorcontrib>DE HEUS, G</creatorcontrib><creatorcontrib>VERWEIJ, J</creatorcontrib><creatorcontrib>DE WIT, R</creatorcontrib><title>Phase II study of weekly gemcitabine in patients with metastatic breast cancer relapsing or failing both an anthracycline and a taxane</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><description>A phase II study was performed to investigate the efficacy and tolerability of gemcitabine as third-line chemotherapy for patients with metastatic breast cancer, previously treated with both an anthracycline- and taxane-containing regimen. Twenty-three patients were treated with gemcitabine 1200 mg/m2 in a 30-min infusion on day 1, 8 and 15 of a 28 day cycle. Seventy-four percent of the patients had visceral metastases. No complete or partial responses were observed. Six patients (26%) had stable disease with a median duration of 4.0 months. The median time to progression was 1.9 months and the median survival time was 7.8 months. Neutropenia grade 3 and 4 was observed in four patients (18%). Non-hematological toxicity grade 3 included nausea and vomiting in 14%, skin toxicity in 9% and elevation of transaminases in 23% of the patients. Gemcitabine is ineffective as third-line single agent therapy in patients failing anthracycline and taxane treatment for metastatic breast cancer.</description><subject>Adult</subject><subject>Aged</subject><subject>Antibiotics, Antineoplastic - therapeutic use</subject><subject>Antimetabolites, Antineoplastic - administration & dosage</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - pathology</subject><subject>Bridged-Ring Compounds - therapeutic use</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Deoxycytidine - administration & dosage</subject><subject>Deoxycytidine - analogs & derivatives</subject><subject>Disease-Free Survival</subject><subject>Drug Administration Schedule</subject><subject>Female</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Metastasis</subject><subject>Palliative Care</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Taxoids</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SMORENBURG, C. 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H</au><au>BONTENBAL, M</au><au>SEYNAEVE, C</au><au>VAN ZUYLEN, C</au><au>DE HEUS, G</au><au>VERWEIJ, J</au><au>DE WIT, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phase II study of weekly gemcitabine in patients with metastatic breast cancer relapsing or failing both an anthracycline and a taxane</atitle><jtitle>Breast cancer research and treatment</jtitle><addtitle>Breast Cancer Res Treat</addtitle><date>2001-03</date><risdate>2001</risdate><volume>66</volume><issue>1</issue><spage>83</spage><epage>87</epage><pages>83-87</pages><issn>0167-6806</issn><eissn>1573-7217</eissn><coden>BCTRD6</coden><abstract>A phase II study was performed to investigate the efficacy and tolerability of gemcitabine as third-line chemotherapy for patients with metastatic breast cancer, previously treated with both an anthracycline- and taxane-containing regimen. Twenty-three patients were treated with gemcitabine 1200 mg/m2 in a 30-min infusion on day 1, 8 and 15 of a 28 day cycle. Seventy-four percent of the patients had visceral metastases. No complete or partial responses were observed. Six patients (26%) had stable disease with a median duration of 4.0 months. The median time to progression was 1.9 months and the median survival time was 7.8 months. Neutropenia grade 3 and 4 was observed in four patients (18%). Non-hematological toxicity grade 3 included nausea and vomiting in 14%, skin toxicity in 9% and elevation of transaminases in 23% of the patients. Gemcitabine is ineffective as third-line single agent therapy in patients failing anthracycline and taxane treatment for metastatic breast cancer.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>11368414</pmid><doi>10.1023/A:1010679127390</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Antibiotics, Antineoplastic - therapeutic use Antimetabolites, Antineoplastic - administration & dosage Antineoplastic agents Biological and medical sciences Breast cancer Breast Neoplasms - drug therapy Breast Neoplasms - pathology Bridged-Ring Compounds - therapeutic use Cancer research Cancer therapies Chemotherapy Deoxycytidine - administration & dosage Deoxycytidine - analogs & derivatives Disease-Free Survival Drug Administration Schedule Female Humans Infusions, Intravenous Medical sciences Middle Aged Neoplasm Metastasis Palliative Care Pharmacology. Drug treatments Taxoids Treatment Failure |
title | Phase II study of weekly gemcitabine in patients with metastatic breast cancer relapsing or failing both an anthracycline and a taxane |
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