Dose finding study of paclitaxel and carboplatin for ovarian cancer (JKTB)

M. Yasuda, E. Kimura, K. Ochiai, S. Tada, Y. Udagawa, D. Aoki, S. Nozawa, Y. Kikuchi, T. Kita, M. Nishida, H. Tsunoda

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Abstract

We conducted a dose-finding study for combination therapy of paclitaxel (Taxol; TXL) and carboplatin (Paraplatin; CBDCA). TXL is a novel plant-derived anticancer agent that is a diterpene derivative possessing the taxane ring. The subjects were patients with ovarian carcinoma, who were evaluated by a modified Fibonacci method. The dosage of TXL was 150 to 180 mg/m2. CBDCA was administered by dose escalation from AUC = 4 to 7. The administration schedule was as follows. Pre-medication was administered before TXL was given. TXL was then administered by intravenous infusion over 3 hours, followed by CBDCA. The dose of CBDCA was determined using the Calvert formula: [AUCX (GFR + 25)]. GFR was calculated with the Jelliffe equation. The non-hematological toxicities observed in 15 eligible cases were mainly grade 1, with no grade 3 or above, and no increase in severity was observed with stepping up. The hematological toxicities were grade 3 leukopenia in 5 of 15 cases, neutropenia in 5 cases and thrombocytopenia in 0 cases. No grade 4 toxicity was observed. The lowest counts of leukocytes and neutrophils were reached after 10.8 and 11.7 days, respectively. The toxicities were reversible in most cases with subsequent recovery. The above findings indicate that the recommended dosages for TJ therapy for Japanese ovarian cancer patients should be TXL 180 mg/m2 and CBDCA at a target of AUC = 6.

Original languageEnglish
Pages (from-to)493-498
Number of pages6
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume28
Issue number4
Publication statusPublished - 2001 Apr
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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    Yasuda, M., Kimura, E., Ochiai, K., Tada, S., Udagawa, Y., Aoki, D., Nozawa, S., Kikuchi, Y., Kita, T., Nishida, M., & Tsunoda, H. (2001). Dose finding study of paclitaxel and carboplatin for ovarian cancer (JKTB). Gan to kagaku ryoho. Cancer & chemotherapy, 28(4), 493-498.