pegylated liposomal doxorubicin consolidation therapy after platinum-paclitaxel

pegylated liposomal doxorubicin consolidation therapy after platinum-paclitaxel

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时间:2018-10-30

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1、PegylatedLiposomalDoxorubicinConsolidationTherapyafterPlatinum/Paclitaxel【关键词】Ovarian,cancer,#8226;,Chemotherapy,#8226;,Consolidation,therapy,#8226;,Doxorubicin  ABSTRACT  Objective.Toassessthefeasibilityofusingpegylatedliposomaldoxorubicin(PLD)asaconsolidatio

2、ntherapyinpatients/paclitaxel-basedchemotherapy.  Methods.PatientsdiagnosedallydebulkedstageIIIC/IVepithelialovariancancer/paclitaxel-basedchemotherapyg/m2every28daysforfourcycles.Asurvivalanalysisethod.  Results.Ofthe30patientsenrolled,29ar-plantarerythrodyse

3、sthesiaostmontoxicity.Sixpatientsremainedclinicallyedianfolloonthsfromthepletionofprimarychemotherapy.Themedianprogression-freeintervalonths,andmedianoverallsurvivaltimeonths,otherapyadministeredtoenotherapyappearsfeasiblebasedonitstoxicityprofile.Consideringt

4、hetolerabilityofthisagent,furtherinvestigationisneededtodepicttheoptimaldoseandscheduleneededforconsolidationtherapy.  INTRODUCTION  Ovariancarcinomaistheleadingcauseofdeathinpatientsalignancies.Theestimatedincidenceandmortalityfor2005are22,220and16,210,respec

5、tively[1].Themajorityofendiagnosedonstrateaclinicallydefinedresponsetoplatinum/paclitaxelchemotherapy[2],ately30%50%[3,4]forpatientsallyresecteddisease.Unfortunately,theseresponsesarenotdurable,ajorityofpatientsdemonstratingdiseaserecurrence[35].  Severalstrat

6、egieshavebeenexploredtoimproveoutesandtheprognosisofpatientsizedtrialshavefailedtodemonstrateanoverallsurvivalbenefitotherapyinthesepatients,otherapyassociatedpreviousstudies,onerandomizedtrialdemonstratedanextendeddisease-freeintervalotherapyappeartobeidealca

7、ndidatesforadditionaltherapydesignedtoconsolidatetheinitialresponseandprolongthedisease-freeinterval.Theoptimalconsolidationagentshouldtargetpersistent,sloorcellsotherapeuticagentmightoffertheadvantageoferadicatingtumorcellsthatarytreatment.  Theanthracyclinea

8、ntibioticdoxorubicinrepresentsonesuchagentbecauseitpossessesabroadspectrumofantineoplasticactions,ors,suchastumorsofthebreast,ovary,bladder,andthyroid.Theconventionalformulationofd

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