紫杉醇连续周疗用于复发性铂类耐药的卵巢上皮癌的前瞻性研究

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:srepair555
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background.: Paclitaxel administered on a weekly basis has been reported to possess both anti-angiogenic and apoptotic-inducing effects. We investigated the activity of a weekly continuous paclitaxel regimen in patients with recurrent platinum-resistant ovarian cancer. Methods.: Patients with recurrent ovarian cancer and documented platinum-resistant disease were treated with weekly intravenous paclitaxel(60-80 mg/m2) continuously for up to 24 weeks over an 18-month period. Prospective data collection included: information on patients’demographics together with disease-and treatment-related toxicities. Response was evaluated using radiographic and CA125 criteria. Chi-squ- are tests were used to test for significant associations between categorical variables. Progression-free survival and overall survival time from commencement of weekly treatment were estimated using the Kaplan-Meier method. All P values less than 0.05 were considered to be statistically significant. Results.: Thirty-four patients were treated on protocol. Five patients(15%) reported grade 3/4 neurotoxicity at the end of 12 weeks. No dose reduction or treatment delay was required. No significant hematologic toxicity was observed. Responses were evaluable in thirty-two patients. Complete response was observed in three patients(9%), and another 14 patients showed a partial response(44%). Seven patients(22%) had disease stabilization. The estimated median progression-free survival and overall survival were 6.10 months(95%CI:3.81-8.39) and 10.43 months(95%CI: 8.49-12.38) respectively from the start of the regimen. Conclusion.: Continuous weekly paclitaxel is a well-tolerated and active regimen in patients with recurrent platinum-resistant ovarian cancer. Background: Paclitaxel administered on a weekly basis has been reported to possess both anti-angiogenic and apoptotic-inducing effects. We investigated the activity of a weekly continuous paclitaxel regimen in patients with recurrent platinum-resistant ovarian cancer. Methods .: Patients with recurrent ovarian cancer and documented platinum-resistant disease were treated with weekly intravenous paclitaxel (60-80 mg / m2) for up to 24 weeks over an 18-month period. Prospective data collection included: information on patients’demographics together with disease-and Treatment-related toxicities. Response was evaluated using radiographic and CA125 criteria. Chi-squ- are tests were used to test for significant associations between categorical variables. Progression-free survival and overall survival time from commencement of weekly treatment were estimated using the Kaplan- Meier method. All P values ​​less than 0.05 were considered to be significant significant. Results. Thirty-f Five patients (15%) reported grade 3/4 neurotoxicity at the end of 12 weeks. No dose reduction or treatment delay was required. No significant hematologic toxicity was observed. Responses were evaluable in thirty-two patients Seven patients (22%) had disease stabilization. The estimated median progression-free survival and overall survival were 6.10 months (9%), and another 14 patients showed a partial response 95% CI: 3.81-8.39) and 10.43 months (95% CI: 8.49-12.38) respectively from the start of the regimen. Conclusion .: Continuous weekly paclitaxel is a well-tolerated and active regimen in patients with recurrent platinum-resistant ovarian cancer.
其他文献
为了解决钻具泥包问题、提高钻井速度,研制出了快钻剂PF-KZJ。室内实验对快钻剂和其他同类产品进行了对比评价,结果表明,加入自研快钻剂PF-KZJ后,N80钢表面明显向油润湿转换,
本文研究和分析美国通用电气公司的企业管理人员的培养与开发,提出我国企业应加大管理人员的培养与开发力度。
<正>颅内动脉瘤病理表现为动脉壁退行性改变,动脉粥样硬化病理表现为动脉壁增生钙化,虽然二者病理结局不同,但在手术病例中常常可以发现颅内动脉瘤和载瘤动脉粥样硬化同时发
会议
目的:比较静脉注射铁剂与口服铁剂治疗慢性肾衰竭患者肾性贫血的临床效果。方法:对入选的60例肾性贫血患者以随机抽样法分为2组,每组各30例,在皮下注射基因重组人红细胞生成
经历了2016年的“资本寒冬”,2017年的资本市场出现复苏。不管是股权投资机构的数量、基金募集数量,还是基金的规模,在2017年都有很大提升。$$在近日举行的投资家网·2017中国股
报纸
近年来,智能机器人救援一直是社会的研究热点,而机器人的路径规划是提高智能机器人救援效率的关键.对于智能机器人而言,应基于环境模型进行路径规划.A Star算法是最实用且应