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10-EdAM用于头颈部鳞状细胞癌患者的II期研究,这些患者此前未接受过化疗。

Phase II study of 10-EdAM in patients with squamous cell carcinoma of the head and neck, previously untreated with chemotherapy.

作者信息

Green M D, Sherman P, Zalcberg J

机构信息

Department of Medical Oncology, Royal Melbourne Hospital, Parkville, Victoria, Australia.

出版信息

Invest New Drugs. 1992 Apr;10(1):31-4. doi: 10.1007/BF01275477.

DOI:10.1007/BF01275477
PMID:1607252
Abstract

Fifteen patients with advanced head and neck cancer not curable with radiation or surgery were entered into a phase II study of 10-EdAM. None of the patients had received prior chemotherapy. 10-EdAM was administered intravenously at a dose of 80 mg/m2 each week. Four patients were not eligible for evaluation. Two died before completing four cycles of chemotherapy, one refused further treatment and one developed hepatic toxicity resulting in withdrawal. Of the remaining patients, three had a partial response. The major toxicities were leukopenia and mucositis.

摘要

15例无法通过放疗或手术治愈的晚期头颈癌患者进入了10-EdAM的II期研究。所有患者此前均未接受过化疗。10-EdAM以每周80 mg/m²的剂量静脉给药。4例患者不符合评估条件。2例在完成4个化疗周期前死亡,1例拒绝进一步治疗,1例出现肝毒性而退出研究。其余患者中,3例有部分缓解。主要毒性为白细胞减少和粘膜炎。

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本文引用的文献

1
New folate analogs of the 10-deaza-aminopterin series. Further evidence for markedly increased antitumor efficacy compared with methotrexate in ascitic and solid murine tumor models.10-脱氮-氨基蝶呤系列的新型叶酸类似物。在腹水型和实体瘤小鼠模型中,与甲氨蝶呤相比,抗肿瘤疗效显著提高的进一步证据。
Cancer Chemother Pharmacol. 1984;12(1):26-30.
2
Phase I trial and clinical pharmacological evaluation of 10-ethyl-10-deazaaminopterin in adult patients with advanced cancer.10-乙基-10-脱氮氨基蝶呤在晚期癌症成年患者中的I期试验及临床药理学评估
Cancer Res. 1988 Oct 1;48(19):5573-9.
3
Trimetrexate as a single agent in patients with advanced head and neck cancer.
三甲曲沙单药治疗晚期头颈癌患者。
Semin Oncol. 1988 Apr;15(2 Suppl 2):22-6.
4
Phase II study of 10-ethyl-10-deaza-aminopterin in patients with stage III and IV non-small-cell lung cancer.10-乙基-10-脱氮氨基蝶呤用于Ⅲ期和Ⅳ期非小细胞肺癌患者的Ⅱ期研究。
J Clin Oncol. 1988 Mar;6(3):446-50. doi: 10.1200/JCO.1988.6.3.446.