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盐酸多柔比星脂质体注射液治疗晚期胰腺腺癌患者的II期试验。

A phase II trial of doxorubicin HCl Liposome Injection in patients with advanced pancreatic adenocarcinoma.

作者信息

Schwartz G K, Casper E S

机构信息

Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

出版信息

Invest New Drugs. 1995;13(1):77-82. doi: 10.1007/BF02614225.

Abstract

We conducted a phase II study with doxorubicin encapsulated in a liposomal preparation (Doxorubicin HCl Liposome Injection) at a dose of 75 mg/m2 administered as a one hour infusion once every three weeks. Sixteen patients were entered to the trial and 15 are evaluable for response. Hematologic toxicity was significant. The median white blood count was 1.6 x 10(3)/microliters (range: 0.1-9.5), median absolute neutrophil count 0.6 x 10(3)/microliters (range: 0-5.8) and median platelet count was 142.0 x 10(3)/microliters (range: 20-327). Gastrointestinal toxicity was generally mild. Despite two minor responses in liver metastases with a significant decrease in CEA in one of these patients, no major responses were observed, excluding with 95% confidence, a response rate in excess of 20%.

摘要

我们开展了一项II期研究,使用脂质体制剂包裹的阿霉素(盐酸阿霉素脂质体注射液),剂量为75mg/m²,每三周静脉输注1小时。16例患者进入试验,15例可评估疗效。血液学毒性显著。白细胞计数中位数为1.6×10³/微升(范围:0.1 - 9.5),绝对中性粒细胞计数中位数为0.6×10³/微升(范围:0 - 5.8),血小板计数中位数为142.0×10³/微升(范围:20 - 327)。胃肠道毒性一般较轻。尽管有2例肝转移患者出现轻微缓解,其中1例患者的癌胚抗原显著下降,但未观察到主要缓解,排除95%置信区间,缓解率超过20%。

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