Feasibility of biweekly combination chemotherapy with capecitabine, irinotecan, and oxaliplatin in patients with metastatic solid tumors: results of a two-step phase I trial: XELIRI and XELIRINOX

Background Biweekly schedule of capecitabine combined with irinotecan (XELIRI), consecutively with irinotecan and oxaliplatin (XELIRINOX), was evaluated in patients with metastatic cancer from any solid tumors. Patients and methods In this two-step phase I trial, seventeen and eleven patients were e...

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Veröffentlicht in:Cancer chemotherapy and pharmacology 2012-03, Vol.69 (3), p.807-814
Hauptverfasser: Mazard, T., Ychou, M., Thezenas, S., Poujol, S., Pinguet, F., Thirion, A., Bleuse, J. P., Portales, F., Samalin, E., Assenat, E.
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container_end_page 814
container_issue 3
container_start_page 807
container_title Cancer chemotherapy and pharmacology
container_volume 69
creator Mazard, T.
Ychou, M.
Thezenas, S.
Poujol, S.
Pinguet, F.
Thirion, A.
Bleuse, J. P.
Portales, F.
Samalin, E.
Assenat, E.
description Background Biweekly schedule of capecitabine combined with irinotecan (XELIRI), consecutively with irinotecan and oxaliplatin (XELIRINOX), was evaluated in patients with metastatic cancer from any solid tumors. Patients and methods In this two-step phase I trial, seventeen and eleven patients were enrolled in the XELIRI and XELIRINOX stages, respectively. Results In XELIRI, a total of 136 chemotherapy cycles were administered with a median number of 8 cycles per patient (2–16). Main dose-limiting toxicities (DLT) were grade 3–4 neutropenia, with one toxicity-related death. Maximum tolerated dose (MTD) for capecitabine combined with 180 mg/m 2 of irinotecan was 3,500 mg/m 2 /day. In XELIRINOX, capecitabine starting dose was 2,500 mg/m 2 /day. Fifty-eight chemotherapy cycles were administered with a median of 4 cycles per patient (1–16). DLT included 3 grade 4 neutropenia, associated with 1 grade 3 diarrhea, and 1 grade 4 pneumopathy leading to patient death. MTD for capecitabine with 180 mg/m 2 of irinotecan and 85 mg/m 2 of oxaliplatin was 3,000 mg/m 2 /day. The recommended doses for capecitabine were 3,000 and 2,500 mg/m 2 /day D1–D7 in combination with 180 mg/m 2 of irinotecan in XELIRI, plus 85 mg/m 2 of oxaliplatin in XELIRINOX (D1 = D14), respectively. Conclusion XELIRI and XELIRINOX regimens are feasible and warrant further investigation in combination with targeted therapy in metastatic colorectal cancer patients.
doi_str_mv 10.1007/s00280-011-1764-z
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P. ; Portales, F. ; Samalin, E. ; Assenat, E.</creator><creatorcontrib>Mazard, T. ; Ychou, M. ; Thezenas, S. ; Poujol, S. ; Pinguet, F. ; Thirion, A. ; Bleuse, J. P. ; Portales, F. ; Samalin, E. ; Assenat, E.</creatorcontrib><description>Background Biweekly schedule of capecitabine combined with irinotecan (XELIRI), consecutively with irinotecan and oxaliplatin (XELIRINOX), was evaluated in patients with metastatic cancer from any solid tumors. Patients and methods In this two-step phase I trial, seventeen and eleven patients were enrolled in the XELIRI and XELIRINOX stages, respectively. Results In XELIRI, a total of 136 chemotherapy cycles were administered with a median number of 8 cycles per patient (2–16). Main dose-limiting toxicities (DLT) were grade 3–4 neutropenia, with one toxicity-related death. Maximum tolerated dose (MTD) for capecitabine combined with 180 mg/m 2 of irinotecan was 3,500 mg/m 2 /day. In XELIRINOX, capecitabine starting dose was 2,500 mg/m 2 /day. Fifty-eight chemotherapy cycles were administered with a median of 4 cycles per patient (1–16). DLT included 3 grade 4 neutropenia, associated with 1 grade 3 diarrhea, and 1 grade 4 pneumopathy leading to patient death. MTD for capecitabine with 180 mg/m 2 of irinotecan and 85 mg/m 2 of oxaliplatin was 3,000 mg/m 2 /day. The recommended doses for capecitabine were 3,000 and 2,500 mg/m 2 /day D1–D7 in combination with 180 mg/m 2 of irinotecan in XELIRI, plus 85 mg/m 2 of oxaliplatin in XELIRINOX (D1 = D14), respectively. Conclusion XELIRI and XELIRINOX regimens are feasible and warrant further investigation in combination with targeted therapy in metastatic colorectal cancer patients.</description><identifier>ISSN: 0344-5704</identifier><identifier>EISSN: 1432-0843</identifier><identifier>DOI: 10.1007/s00280-011-1764-z</identifier><identifier>PMID: 22037922</identifier><identifier>CODEN: CCPHDZ</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject><![CDATA[Adult ; Aged ; Antineoplastic agents ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Antineoplastic Combined Chemotherapy Protocols - adverse effects ; Antineoplastic Combined Chemotherapy Protocols - pharmacokinetics ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biological and medical sciences ; Camptothecin - administration & dosage ; Camptothecin - adverse effects ; Camptothecin - analogs & derivatives ; Camptothecin - pharmacokinetics ; Camptothecin - therapeutic use ; Cancer Research ; Capecitabine ; Chromatography, High Pressure Liquid ; Deoxycytidine - administration & dosage ; Deoxycytidine - adverse effects ; Deoxycytidine - analogs & derivatives ; Deoxycytidine - pharmacokinetics ; Deoxycytidine - therapeutic use ; Dose-Response Relationship, Drug ; Drug Administration Schedule ; Feasibility Studies ; Female ; Fluorouracil - administration & dosage ; Fluorouracil - adverse effects ; Fluorouracil - analogs & derivatives ; Fluorouracil - pharmacokinetics ; Fluorouracil - therapeutic use ; Gastroenterology. Liver. Pancreas. Abdomen ; Glucuronosyltransferase - genetics ; Humans ; Male ; Maximum Tolerated Dose ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Mutation ; Neoplasm Metastasis ; Neoplasms - drug therapy ; Neoplasms - genetics ; Neoplasms - pathology ; Oncology ; Organoplatinum Compounds - administration & dosage ; Organoplatinum Compounds - adverse effects ; Organoplatinum Compounds - pharmacokinetics ; Organoplatinum Compounds - therapeutic use ; Original Article ; Pharmacology. Drug treatments ; Pharmacology/Toxicology ; Prospective Studies ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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P.</creatorcontrib><creatorcontrib>Portales, F.</creatorcontrib><creatorcontrib>Samalin, E.</creatorcontrib><creatorcontrib>Assenat, E.</creatorcontrib><title>Feasibility of biweekly combination chemotherapy with capecitabine, irinotecan, and oxaliplatin in patients with metastatic solid tumors: results of a two-step phase I trial: XELIRI and XELIRINOX</title><title>Cancer chemotherapy and pharmacology</title><addtitle>Cancer Chemother Pharmacol</addtitle><addtitle>Cancer Chemother Pharmacol</addtitle><description>Background Biweekly schedule of capecitabine combined with irinotecan (XELIRI), consecutively with irinotecan and oxaliplatin (XELIRINOX), was evaluated in patients with metastatic cancer from any solid tumors. Patients and methods In this two-step phase I trial, seventeen and eleven patients were enrolled in the XELIRI and XELIRINOX stages, respectively. Results In XELIRI, a total of 136 chemotherapy cycles were administered with a median number of 8 cycles per patient (2–16). Main dose-limiting toxicities (DLT) were grade 3–4 neutropenia, with one toxicity-related death. Maximum tolerated dose (MTD) for capecitabine combined with 180 mg/m 2 of irinotecan was 3,500 mg/m 2 /day. In XELIRINOX, capecitabine starting dose was 2,500 mg/m 2 /day. Fifty-eight chemotherapy cycles were administered with a median of 4 cycles per patient (1–16). DLT included 3 grade 4 neutropenia, associated with 1 grade 3 diarrhea, and 1 grade 4 pneumopathy leading to patient death. MTD for capecitabine with 180 mg/m 2 of irinotecan and 85 mg/m 2 of oxaliplatin was 3,000 mg/m 2 /day. The recommended doses for capecitabine were 3,000 and 2,500 mg/m 2 /day D1–D7 in combination with 180 mg/m 2 of irinotecan in XELIRI, plus 85 mg/m 2 of oxaliplatin in XELIRINOX (D1 = D14), respectively. Conclusion XELIRI and XELIRINOX regimens are feasible and warrant further investigation in combination with targeted therapy in metastatic colorectal cancer patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration &amp; dosage</subject><subject>Antineoplastic Combined Chemotherapy Protocols - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols - pharmacokinetics</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Camptothecin - administration &amp; dosage</subject><subject>Camptothecin - adverse effects</subject><subject>Camptothecin - analogs &amp; derivatives</subject><subject>Camptothecin - pharmacokinetics</subject><subject>Camptothecin - therapeutic use</subject><subject>Cancer Research</subject><subject>Capecitabine</subject><subject>Chromatography, High Pressure Liquid</subject><subject>Deoxycytidine - administration &amp; dosage</subject><subject>Deoxycytidine - adverse effects</subject><subject>Deoxycytidine - analogs &amp; derivatives</subject><subject>Deoxycytidine - pharmacokinetics</subject><subject>Deoxycytidine - therapeutic use</subject><subject>Dose-Response Relationship, Drug</subject><subject>Drug Administration Schedule</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>Fluorouracil - adverse effects</subject><subject>Fluorouracil - analogs &amp; derivatives</subject><subject>Fluorouracil - pharmacokinetics</subject><subject>Fluorouracil - therapeutic use</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Glucuronosyltransferase - genetics</subject><subject>Humans</subject><subject>Male</subject><subject>Maximum Tolerated Dose</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Mutation</subject><subject>Neoplasm Metastasis</subject><subject>Neoplasms - drug therapy</subject><subject>Neoplasms - genetics</subject><subject>Neoplasms - pathology</subject><subject>Oncology</subject><subject>Organoplatinum Compounds - administration &amp; dosage</subject><subject>Organoplatinum Compounds - adverse effects</subject><subject>Organoplatinum Compounds - pharmacokinetics</subject><subject>Organoplatinum Compounds - therapeutic use</subject><subject>Original Article</subject><subject>Pharmacology. Drug treatments</subject><subject>Pharmacology/Toxicology</subject><subject>Prospective Studies</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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P. ; Portales, F. ; Samalin, E. ; Assenat, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-77a0e9cd48952243a45d98d2021b3f7daedea47b4da184b69c6da1e1e3ce7443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic agents</topic><topic>Antineoplastic Combined Chemotherapy Protocols - administration &amp; dosage</topic><topic>Antineoplastic Combined Chemotherapy Protocols - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols - pharmacokinetics</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Camptothecin - administration &amp; dosage</topic><topic>Camptothecin - adverse effects</topic><topic>Camptothecin - analogs &amp; derivatives</topic><topic>Camptothecin - pharmacokinetics</topic><topic>Camptothecin - therapeutic use</topic><topic>Cancer Research</topic><topic>Capecitabine</topic><topic>Chromatography, High Pressure Liquid</topic><topic>Deoxycytidine - administration &amp; dosage</topic><topic>Deoxycytidine - adverse effects</topic><topic>Deoxycytidine - analogs &amp; derivatives</topic><topic>Deoxycytidine - pharmacokinetics</topic><topic>Deoxycytidine - therapeutic use</topic><topic>Dose-Response Relationship, Drug</topic><topic>Drug Administration Schedule</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Fluorouracil - administration &amp; dosage</topic><topic>Fluorouracil - adverse effects</topic><topic>Fluorouracil - analogs &amp; derivatives</topic><topic>Fluorouracil - pharmacokinetics</topic><topic>Fluorouracil - therapeutic use</topic><topic>Gastroenterology. 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P.</au><au>Portales, F.</au><au>Samalin, E.</au><au>Assenat, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of biweekly combination chemotherapy with capecitabine, irinotecan, and oxaliplatin in patients with metastatic solid tumors: results of a two-step phase I trial: XELIRI and XELIRINOX</atitle><jtitle>Cancer chemotherapy and pharmacology</jtitle><stitle>Cancer Chemother Pharmacol</stitle><addtitle>Cancer Chemother Pharmacol</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>69</volume><issue>3</issue><spage>807</spage><epage>814</epage><pages>807-814</pages><issn>0344-5704</issn><eissn>1432-0843</eissn><coden>CCPHDZ</coden><abstract>Background Biweekly schedule of capecitabine combined with irinotecan (XELIRI), consecutively with irinotecan and oxaliplatin (XELIRINOX), was evaluated in patients with metastatic cancer from any solid tumors. Patients and methods In this two-step phase I trial, seventeen and eleven patients were enrolled in the XELIRI and XELIRINOX stages, respectively. Results In XELIRI, a total of 136 chemotherapy cycles were administered with a median number of 8 cycles per patient (2–16). Main dose-limiting toxicities (DLT) were grade 3–4 neutropenia, with one toxicity-related death. Maximum tolerated dose (MTD) for capecitabine combined with 180 mg/m 2 of irinotecan was 3,500 mg/m 2 /day. In XELIRINOX, capecitabine starting dose was 2,500 mg/m 2 /day. Fifty-eight chemotherapy cycles were administered with a median of 4 cycles per patient (1–16). DLT included 3 grade 4 neutropenia, associated with 1 grade 3 diarrhea, and 1 grade 4 pneumopathy leading to patient death. MTD for capecitabine with 180 mg/m 2 of irinotecan and 85 mg/m 2 of oxaliplatin was 3,000 mg/m 2 /day. The recommended doses for capecitabine were 3,000 and 2,500 mg/m 2 /day D1–D7 in combination with 180 mg/m 2 of irinotecan in XELIRI, plus 85 mg/m 2 of oxaliplatin in XELIRINOX (D1 = D14), respectively. Conclusion XELIRI and XELIRINOX regimens are feasible and warrant further investigation in combination with targeted therapy in metastatic colorectal cancer patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22037922</pmid><doi>10.1007/s00280-011-1764-z</doi><tpages>8</tpages></addata></record>
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1432-0843
language eng
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subjects Adult
Aged
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - pharmacokinetics
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Camptothecin - administration & dosage
Camptothecin - adverse effects
Camptothecin - analogs & derivatives
Camptothecin - pharmacokinetics
Camptothecin - therapeutic use
Cancer Research
Capecitabine
Chromatography, High Pressure Liquid
Deoxycytidine - administration & dosage
Deoxycytidine - adverse effects
Deoxycytidine - analogs & derivatives
Deoxycytidine - pharmacokinetics
Deoxycytidine - therapeutic use
Dose-Response Relationship, Drug
Drug Administration Schedule
Feasibility Studies
Female
Fluorouracil - administration & dosage
Fluorouracil - adverse effects
Fluorouracil - analogs & derivatives
Fluorouracil - pharmacokinetics
Fluorouracil - therapeutic use
Gastroenterology. Liver. Pancreas. Abdomen
Glucuronosyltransferase - genetics
Humans
Male
Maximum Tolerated Dose
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Mutation
Neoplasm Metastasis
Neoplasms - drug therapy
Neoplasms - genetics
Neoplasms - pathology
Oncology
Organoplatinum Compounds - administration & dosage
Organoplatinum Compounds - adverse effects
Organoplatinum Compounds - pharmacokinetics
Organoplatinum Compounds - therapeutic use
Original Article
Pharmacology. Drug treatments
Pharmacology/Toxicology
Prospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Feasibility of biweekly combination chemotherapy with capecitabine, irinotecan, and oxaliplatin in patients with metastatic solid tumors: results of a two-step phase I trial: XELIRI and XELIRINOX
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