Intermittent chemotherapy in metastatic androgen-independent prostate cancer

被引:44
作者
Beer, TM
Garzotto, M
Henner, WD
Eilers, KM
Wersinger, EM
机构
[1] Oregon Hlth Sci Univ, Dept Med, Div Hematol & Med Oncol, Portland, OR 97239 USA
[2] Portland VA Med Ctr, Div Urol, Portland, OR 97207 USA
关键词
docetaxel; calcitriol; vitamin D; prostate cancer; chemotherapy;
D O I
10.1038/sj.bjc.6601232
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Intermittent use of chemotherapy for androgen-independent prostate cancer ( AIPC) instead of treatment until disease progression may reduce toxicity. We prospectively tested this approach in eight AIPC patients responding to calcitriol plus docetaxel who reached a serum prostate-specific antigen (PSA) <4 ng ml(-1). Chemotherapy was suspended until a rise in PSA ≥50% and 1 ng ml(-1). The median duration of treatment holiday was 20 weeks (13 - 43+ weeks) and all patients retained sensitivity to re-treatment. Chemotherapy holiday was associated with an improvement of fatigue ( P = 0.05). Intermittent chemotherapy for AIPC is feasible and deserves further study.
引用
收藏
页码:968 / 970
页数:3
相关论文
共 12 条
[1]   THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY [J].
AARONSON, NK ;
AHMEDZAI, S ;
BERGMAN, B ;
BULLINGER, M ;
CULL, A ;
DUEZ, NJ ;
FILIBERTI, A ;
FLECHTNER, H ;
FLEISHMAN, SB ;
DEHAES, JCJM ;
KAASA, S ;
KLEE, M ;
OSOBA, D ;
RAZAVI, D ;
ROFE, PB ;
SCHRAUB, S ;
SNEEUW, K ;
SULLIVAN, M ;
TAKEDA, F .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (05) :365-376
[2]   Weekly high-dose calcitriol and docetaxel in advanced prostate cancer [J].
Beer, TM ;
Hough, KM ;
Garzotto, M ;
Lowe, BA ;
Henner, WD .
SEMINARS IN ONCOLOGY, 2001, 28 (04) :49-55
[3]   Eligibility and response guidelines for phase II clinical trials in androgen-independent prostate cancer: Recommendations from the prostate-specific antigen working group [J].
Bubley, GJ ;
Carducci, M ;
Dahut, W ;
Dawson, N ;
Daliani, D ;
Eisenberger, M ;
Figg, WD ;
Freidlin, B ;
Halabi, S ;
Hudes, G ;
Hussain, M ;
Kaplan, R ;
Myers, C ;
Oh, W ;
Petrylak, DP ;
Reed, E ;
Roth, B ;
Sartor, O ;
Scher, H ;
Simons, J ;
Sinibaldi, V ;
Small, EJ ;
Smith, MR ;
Trump, DL ;
Vollmer, R ;
Wilding, G .
JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (11) :3461-3467
[4]   Chemotherapy for prostate cancer [J].
Gilligan, T ;
Kantoff, PW .
UROLOGY, 2002, 60 (3A) :94-100
[5]  
GOLDENBERG SL, 1995, UROLOGY, V45, P839
[6]   Intermittent androgen suppression with leuprolide and flutamide for prostate cancer: A pilot study [J].
Higano, CS ;
Ellis, W ;
Russell, K ;
Lange, PH .
UROLOGY, 1996, 48 (05) :800-804
[7]   Hydrocortisone with or without mitoxantrone in men with hormone-refractory prostate cancer: Results of the Cancer and Leukemia Group B 9182 study [J].
Kantoff, PW ;
Halabi, S ;
Conaway, M ;
Picus, J ;
Kirshner, J ;
Hars, V ;
Trump, D ;
Winer, EP ;
Vogelzang, NJ .
JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (08) :2506-2513
[8]   Health-related quality of life in men with metastatic prostate cancer treated with prednisone alone or mitoxantrone and prednisone [J].
Osoba, D ;
Tannock, IF ;
Ernst, DS ;
Neville, AJ .
JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (06) :1654-1663
[9]   Interpreting the significance of changes in health-related quality-of-life scores [J].
Osoba, D ;
Rodrigues, G ;
Myles, J ;
Zee, B ;
Pater, J .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (01) :139-144
[10]   PSYCHOMETRIC PROPERTIES AND RESPONSIVENESS OF THE EORTC QUALITY-OF-LIFE QUESTIONNAIRE (QLQ-C30) IN PATIENTS WITH BREAST, OVARIAN AND LUNG-CANCER [J].
OSOBA, D ;
ZEE, B ;
PATER, J ;
WARR, D ;
KAIZER, L ;
LATREILLE, J .
QUALITY OF LIFE RESEARCH, 1994, 3 (05) :353-364