Abstract:
The objective of this phase II study was to assess the efficacy and toxicity of vinorelbine administered as a single agent in the treatment of chemonaive cervical cancer patients. 46 patients (41 eligible) with cervical cancer (epidermoid or adenocarcinoma) and measurable metastatic and/or recurrent disease localised outside irradiated areas were treated with weekly intravenous (i.v.) vinorelbine 30 mg/m2 infused over 20 min. No prior chemotherapy was allowed. Median age was 53 years (range: 33-73), and performance status 1 (0-2). 31 patients (76%) had prior radiation therapy. There were 7 partial responders (17, 95% confidence interval (CI) 7-32) and 8 stable diseases (20%). Median duration of response was 5 months (4-11). Granulocytopenia was the major toxicity, with 47% of patients exhibiting grade 3 or 4 toxicity. Dose reduction and/or treatment delay was necessary in 28 patients (78%). Peripheral neuropathy reported in 10 patients was mild (grade 1 in 9 patients and grade 2 in 1 patient). In conclusion, single agent vinorelbine has moderate activity in recurrent or metastatic cervical cancer, but its reduced neurotoxicity warrants further study in combination with cisplatin. (C) 2000 Elsevier Science Ltd.
Registro:
Documento: |
Artículo
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Título: | Phase II trial of vinorelbine in patients with advanced and/or recurrent cervical carcinoma: An EORTC Gynaecological Cancer Cooperative Group Study |
Autor: | Lhommé, C.; Vermerken, J.B.; Mickiewicz, E.; Chevalier D', B.; Alvarez, A.; Mendiola, C.; Pawinski, A.; Lentz, M.A.; Pecorelli, S. |
Filiación: | Institut Gustave Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France University Hospital Antwerpen, Wilrijkstraat, 2650 Edegem, Belgium Instituto Angel H. Roffo, Universidad de Buenos Aires, Sucre 2741 8e, Buenos Aires 1428, Argentina Centre H. Becquerel, Rue d'Amiens, 76038 Rouen Cedex, France Hospital Universitario, 12 de Octubre, Ave. Cordoba Km 5,5, Madrid E-28041, Spain EORTC and Memorial Cancer Center, Warsaw, Poland EORTC, Ave E. Mounier 83 Bte 11, 1200 Brussels, Belgium University of Brescia, Piazzale Spedale Civili, 2500 Brescia, Italy
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Palabras clave: | Cervical cancer; Chemotherapy; Phase II; Vinorelbine; navelbine; adult; advanced cancer; aged; article; cancer chemotherapy; cancer radiotherapy; clinical article; clinical trial; female; granulocytopenia; human; peripheral neuropathy; phase 2 clinical trial; priority journal; recurrent cancer; uterine cervix carcinoma; Adult; Aged; Antineoplastic Agents, Phytogenic; Constipation; Female; Humans; Middle Aged; Neoplasm Recurrence, Local; Neutropenia; Time Factors; Uterine Cervical Neoplasms; Vinblastine |
Año: | 2000
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Volumen: | 36
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Número: | 2
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Página de inicio: | 194
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Página de fin: | 199
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DOI: |
http://dx.doi.org/10.1016/S0959-8049(99)00237-3 |
Título revista: | European Journal of Cancer
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Título revista abreviado: | Eur. J. Cancer
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ISSN: | 09598049
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CODEN: | EJCAE
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CAS: | Antineoplastic Agents, Phytogenic; Vinblastine, 865-21-4; vinorelbine, 71486-22-1
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Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_09598049_v36_n2_p194_Lhomme |
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Citas:
---------- APA ----------
Lhommé, C., Vermerken, J.B., Mickiewicz, E., Chevalier D', B., Alvarez, A., Mendiola, C., Pawinski, A.,..., Pecorelli, S.
(2000)
. Phase II trial of vinorelbine in patients with advanced and/or recurrent cervical carcinoma: An EORTC Gynaecological Cancer Cooperative Group Study. European Journal of Cancer, 36(2), 194-199.
http://dx.doi.org/10.1016/S0959-8049(99)00237-3---------- CHICAGO ----------
Lhommé, C., Vermerken, J.B., Mickiewicz, E., Chevalier D', B., Alvarez, A., Mendiola, C., et al.
"Phase II trial of vinorelbine in patients with advanced and/or recurrent cervical carcinoma: An EORTC Gynaecological Cancer Cooperative Group Study"
. European Journal of Cancer 36, no. 2
(2000) : 194-199.
http://dx.doi.org/10.1016/S0959-8049(99)00237-3---------- MLA ----------
Lhommé, C., Vermerken, J.B., Mickiewicz, E., Chevalier D', B., Alvarez, A., Mendiola, C., et al.
"Phase II trial of vinorelbine in patients with advanced and/or recurrent cervical carcinoma: An EORTC Gynaecological Cancer Cooperative Group Study"
. European Journal of Cancer, vol. 36, no. 2, 2000, pp. 194-199.
http://dx.doi.org/10.1016/S0959-8049(99)00237-3---------- VANCOUVER ----------
Lhommé, C., Vermerken, J.B., Mickiewicz, E., Chevalier D', B., Alvarez, A., Mendiola, C., et al. Phase II trial of vinorelbine in patients with advanced and/or recurrent cervical carcinoma: An EORTC Gynaecological Cancer Cooperative Group Study. Eur. J. Cancer. 2000;36(2):194-199.
http://dx.doi.org/10.1016/S0959-8049(99)00237-3