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Weekly docetaxel is safe and effective in the treatment of advanced-stage acquired immunodeficiency syndrome-related Kaposi sarcoma.

Identifieur interne : 001C32 ( Ncbi/Merge ); précédent : 001C31; suivant : 001C33

Weekly docetaxel is safe and effective in the treatment of advanced-stage acquired immunodeficiency syndrome-related Kaposi sarcoma.

Auteurs : Soon Thye Lim [États-Unis] ; Anil Tupule ; Byron M. Espina ; Alexandra M. Levine

Source :

RBID : pubmed:15578686

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English descriptors

Abstract

Intravenous paclitaxel, 100 mg/m(2), given over 3 hours every 2 weeks is associated with a response rate of 59% in patients with recurrent or refractory acquired immunodeficiency syndrome (AIDS)-related Kaposi sarcoma (KS). However, this regimen is associated with significant myelosuppression, and the inconvenience of a 3-hour infusion. Moreover, no effective therapies have been defined for use after treatment failure with this agent. A Phase II trial was conducted with weekly docetaxel in patients with advanced-stage KS to assess safety and antitumor activity.

DOI: 10.1002/cncr.20780
PubMed: 15578686

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pubmed:15578686

Le document en format XML

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<title xml:lang="en">Weekly docetaxel is safe and effective in the treatment of advanced-stage acquired immunodeficiency syndrome-related Kaposi sarcoma.</title>
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<nlm:affiliation>Department of Hematology, University of Southern California Keck School of Medicine/Norris Comprehensive Cancer Center, Los Angeles, California 90033, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Hematology, University of Southern California Keck School of Medicine/Norris Comprehensive Cancer Center, Los Angeles, California 90033</wicri:regionArea>
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<name sortKey="Tupule, Anil" sort="Tupule, Anil" uniqKey="Tupule A" first="Anil" last="Tupule">Anil Tupule</name>
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<term>Follow-Up Studies</term>
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<term>Skin Neoplasms (mortality)</term>
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<term>Adulte</term>
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<term>Perfusions veineuses</term>
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<div type="abstract" xml:lang="en">Intravenous paclitaxel, 100 mg/m(2), given over 3 hours every 2 weeks is associated with a response rate of 59% in patients with recurrent or refractory acquired immunodeficiency syndrome (AIDS)-related Kaposi sarcoma (KS). However, this regimen is associated with significant myelosuppression, and the inconvenience of a 3-hour infusion. Moreover, no effective therapies have been defined for use after treatment failure with this agent. A Phase II trial was conducted with weekly docetaxel in patients with advanced-stage KS to assess safety and antitumor activity.</div>
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<Month>01</Month>
<Day>17</Day>
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<DateCompleted>
<Year>2005</Year>
<Month>02</Month>
<Day>10</Day>
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<DateRevised>
<Year>2013</Year>
<Month>05</Month>
<Day>28</Day>
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<Issue>2</Issue>
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<Year>2005</Year>
<Month>Jan</Month>
<Day>15</Day>
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<Title>Cancer</Title>
<ISOAbbreviation>Cancer</ISOAbbreviation>
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<ArticleTitle>Weekly docetaxel is safe and effective in the treatment of advanced-stage acquired immunodeficiency syndrome-related Kaposi sarcoma.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Intravenous paclitaxel, 100 mg/m(2), given over 3 hours every 2 weeks is associated with a response rate of 59% in patients with recurrent or refractory acquired immunodeficiency syndrome (AIDS)-related Kaposi sarcoma (KS). However, this regimen is associated with significant myelosuppression, and the inconvenience of a 3-hour infusion. Moreover, no effective therapies have been defined for use after treatment failure with this agent. A Phase II trial was conducted with weekly docetaxel in patients with advanced-stage KS to assess safety and antitumor activity.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Docetaxel was administered at a dose of 25 mg/m(2) intravenously over 15-30 minutes weekly for 8 weeks. Thereafter, if the patient experienced stable disease or better response, treatment doses were given every other week until complete disease remission, disease progression, or unacceptable toxicity occurred.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twelve patients were accrued-9 had > 25 mucocutaneous lesions, 1 had lymphedema, and 2 had visceral involvement. Ten patients (83%) had previous systemic chemotherapy, including 4 who received previous paclitaxel. Treatment was well tolerated, with no Grade 4 toxicity of any type. Grade 3 neutropenia occurred in 33% of patients but no patient had neutropenic fever. Five patients (42%) achieved a partial response, including 1 who had previously failed to respond to paclitaxel. The median time to disease progression was 26 months (range, 5-53 months). With a median follow-up period of 45 months, the median survival point had not been reached.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Weekly docetaxel is safe, with reasonable antitumor activity in patients with advanced-stage, recurrent, or refractory AIDS-related KS.</AbstractText>
<CopyrightInformation>(c) 2004 American Cancer Society.</CopyrightInformation>
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<LastName>Lim</LastName>
<ForeName>Soon Thye</ForeName>
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