Thirty patients with recurrent and/or metastatic head and neck cancer were treated with sequentially administered methotrexate (MTX) and piritrexim (PTX). The treatment schedule consisted of intravenous (IV) MTX (50 mg/m') administered on day 1 and oral PTX (75 mg/mz) administered twice daily on day
Phase I/II study of S-1 combined with carboplatin in recurrent and/or metastatic head and neck cancer as outpatient chemotherapy
β Scribed by Akihito Watanabe; Masanobu Taniguchi; Tetsuro Yamashita; Michihiro Ueda; Tatsuya Abe; Takaya Kusumi; Masao Hosokawa; Shigeyuki Sasaki
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 115 KB
- Volume
- 28
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Background.
The aims of this study were to determine the recommended dose (RD) in combination chemotherapy of Sβ1 and carboplatin in recurrent and/or metastatic head and neck cancer (phase I) and to examine response rate and toxicities at RD (phase II).
Methods.
Sβ1 was given orally at a fixed dose of 40, 50, or 60 mg twice daily based on the patient's body surface area for 21 days followed by a 14βday rest. In phase I, carboplatin was given intravenously to a cohort of three patients on day 8 at a dose of 2.5, 3.0, 3.5, or 4.0 area under the curve (AUC) values, depending on the doseβlimiting toxicities (DLTs).
Results.
In phase I, the RD was estimated as 2.5 AUC. In phase II, thrombocytopenia and leukopenia were most commonly found as hematologic DLTs, which were manageable without hospitalization. The response rate was 40.9%.
Conclusions.
This regimen is considered to be active against recurrent and/or metastatic head and neck cancer in an outpatient setting. Β© 2006 Wiley Periodicals, Inc. Head Neck, 2006
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