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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >A pilot study of salvage irinotecan monotherapy for advanced biliary tract cancer.
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A pilot study of salvage irinotecan monotherapy for advanced biliary tract cancer.

机译:挽救伊立替康单药治疗晚期胆道癌的初步研究。

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摘要

To evaluate the treatment outcomes of irinotecan monotherapy for patients with advanced biliary tract cancer refractory to gemcitabine, cisplatin, and oral fluoropyrimidine.Irinotecan (100 mg/m(2)) was administered intravenously on days 1, 8, and 15, repeated every four weeks.Thirteen patients were enrolled. The dose intensity was only 55.0%. The response rate and disease control rate were 1/13 (7.7%) and 3/13 (23.1%), respectively. The median overall survival and time-to-progression were 6.7 months (95% confidence interval=3.0-10.4 months) and 1.8 months (95% confidence interval=1.6-3.9 months), respectively. Grade 3/4 adverse events included leukopenia (7/13), neutropenia (8/13), anemia (6/13), nausea (1/13), vomiting (1/13), anorexia (2/13), diarrhea (1/13), and constipation (1/13).Irinotecan monotherapy had a modest antitumor effect even for patients who were refractory to gemcitabine, cisplatin, and oral fluoropyrimidine. However, this regimen was not fully tolerated as third-line or fourth-line therapy. Therefore, further evaluation of a modified irinotecan regimen is necessary.
机译:为了评估伊立替康单一疗法对难治性吉西他滨,顺铂和口服氟嘧啶的晚期胆道癌患者的治疗效果。伊立替康(100 mg / m(2))在第1、8和15天静脉注射周。招募了十三名患者。剂量强度仅为55.0%。缓解率和疾病控制率分别为1/13(7.7%)和3/13(23.1%)。中位总生存期和进展时间分别为6.7个月(95%置信区间= 3.0-10.4个月)和1.8个月(95%置信区间= 1.6-3.9个月)。 3/4级不良事件包括白细胞减少症(7/13),中性粒细胞减少症(8/13),贫血(6/13),恶心(1/13),呕吐(1/13),厌食症(2/13),腹泻(1/13)和便秘(1/13)。伊立替康单药治疗即使对吉西他滨,顺铂和口服氟嘧啶难治的患者也具有适度的抗肿瘤作用。但是,这种方案不能完全耐受作为三线或四线治疗。因此,有必要进一步评估改良的伊立替康治疗方案。

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