Phase I dose-escalation study of docetaxel, nedaplatin, and 5-fluorouracil combination chemotherapy in patients with advanced esophageal cancer

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作者
Tatsuya Miyazaki
Makoto Sohda
Naritaka Tanaka
Shigemasa Suzuki
Keisuke Ieta
Makoto Sakai
Akihiko Sano
Takehiko Yokobori
Takanori Inose
Masanobu Nakajima
Minoru Fukuchi
Hitoshi Ojima
Hiroyuki Kato
Hiroyuki Kuwano
机构
[1] Gunma University Graduate School,Department of General Surgical Science (Surgery 1)
[2] Dokkyo Medical University,First Department of Surgery
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关键词
Docetaxel; Nedaplatin; 5-Fluorouracil; Chemotherapy; Esophageal cancer;
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摘要
More effective protocols are needed for unresectable and recurrent esophageal cancer. Therefore, we conducted a phase I trial to establish the recommended dose of docetaxel, nedaplatin, and 5-fluorouracil (DNF) as combination chemotherapy. Fourteen patients with esophageal cancer were enrolled and received DNF combination therapy at different dose levels according to the treatment and examination plan. Dose-limiting toxicities (DLTs) included febrile neutropenia. DLTs occurred in 3/5 patients at level 4. The recommended doses (level 3) of DNF were 60 mg/m2 (day 1), 70 mg/m2 (day 1), and 700 mg/m2 (days 1–5), respectively, given at 3-week intervals. In conclusion, DNF combined chemotherapy for advanced esophageal cancer was associated with relatively minor adverse events and was safely administered at the recommended dose. A phase II study is now underway.
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页码:853 / 857
页数:4
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