Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UNIPROT:P04141 (granulocyte-macrophage colony-stimulating factor)
 6,790 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A dose-finding study was performed in 27 ovarian cancer patients to define the maximum tolerated dose of a 3-hour infusion of paclitaxel (Taxol; Bristol-Myers Squibb Company, Princeton, NJ) in combination with a fixed dose of carboplatin. The median age of the patients was 55 years (age range, 30 to 74 years), the median performance status was 0 (range, 0 to 2), and the sizes of tumors residual to first surgery were identified as > or = 1 cm (14 patients) or less than 1 cm (13 patients). All patients received carboplatin at a fixed dose of 300 mg/m2 over 1 hour. Paclitaxel was administered as a 3-hour infusion at five dose levels, starting at 150 mg/m2 and increasing in 25 mg/m2 increments to 250 mg/m2. In the absence of toxicity, courses were repeated every 4 weeks for a total of six cycles. Mild emesis, general alopecia, and moderate myalgias occurred. Hypersensitivity and cardiotoxicity were observed in 7.4% and 14.8% of patients, respectively. Moderate peripheral neuropathy was experienced by 30% of patients. Grade 3 and 4 neutropenia lasted less than 7 days; no patients required hospitalization for sepsis or febrile neutropenia, and no supportive treatment with granulocyte/granulocyte-macrophage colony-stimulating factor was needed. Twenty-one patients were evaluable for response. Overall response rate (complete response+partial response) was 81%, and responses were observed at all paclitaxel dose levels. The maximum tolerated dose was not achieved. In conclusion, with a fixed dose (300 mg/m2) of carboplatin, paclitaxel can be administered by 3-hour infusion at 250 mg/m2 with manageable toxicity and no supportive care is needed.
 ...
PMID:Pilot study with fixed-dose carboplatin and escalating paclitaxel in advanced ovarian cancer. 855 81

A dose-finding study involving 27 untreated patients with ovarian cancer was performed to define the maximum tolerated dose of a 3-hour infusion of paclitaxel (Taxol; Bristol-Myers Squibb Company, Princeton, NJ) combined with a fixed dose of carboplatin. The median age of the study patients was 55 years (age range, 30 to 74 years), the median Eastern Cooperative Oncology Group performance status was 0 (range, 0 to 2), and residual tumor to first surgery was > or = 1 cm in 14 patients and less than 1 cm in 13 patients. All patients received carboplatin at a fixed dose of 300 mg/m2 over 1 hour. Paclitaxel was administered at five dose levels starting at 150 mg/m2 and increasing in 25-mg/m2 increments to 250 mg/m2. In the absence of toxicity, courses were repeated every 4 weeks for a total of six cycles. World Health Organization grade 1 hypersensitivity and cardiotoxicity were observed in 7.4% and 14.8% of patients, respectively. Moderate peripheral neuropathy was experienced by 29.6% of patients. Grades 3 and 4 neutropenia lasted less than 7 days; no patient required hospitalization for sepsis or febrile neutropenia, and no supportive treatment with granulocyte or granulocyte-macrophage colony-stimulating factor was needed. The maximum tolerated paclitaxel dose was not achieved.
 ...
PMID:A phase I trial with fixed-dose carboplatin and escalating doses of paclitaxel in advanced ovarian cancer. 904 31

Although small cell lung cancer (SCLC) remains largely incurable, considerable progress has been made over the past 20 years in the development of combination chemotherapy regimens that significantly improve patient survival and quality of life. Several platinum plus etoposide regimens used alone, concomitantly with radiotherapy in limited-stage SCLC, or alternating with cyclophosphamide, doxorubicin, and vincristine are currently considered the treatments of choice for most patients. However, several other regimens of equal or nearly equal efficacy can be used, especially when patient occupation or other medical conditions, such as congestive heart failure, arrythmias, renal dysfunction, arthritis or pre-existing peripheral neuropathy, or hearing loss, require avoidance of cisplatin, doxorubicin, or vincristine. Although high-dose chemotherapy regimens aimed at exploiting an apparent dose-intensity-response relationship continue to be of interest, no data justify their routine use outside of a controlled clinical trial setting. Hematopoietic colony stimulating factors have been shown to reduce infectious complications, allow the maintenance of dose rates, and offer the potential that dose-intensive regimens might be investigated more safely. However, their high cost, the question of whether maintenance or intensification of dose rates is useful, and a report of an adverse radiation therapy interaction with granulocyte-macrophage colony-stimulating factor indicate that additional studies are needed to better define the role of this interesting class of agents in the treatment of this disease. Continued advances in autologous bone marrow transplantation technology that will allow safe administration of dose-intensive chemotherapy regimens, in the development of potent new microtubule and topoisomerse inhibitors (taxanes and camptothecins), and in identification of novel biological and molecular targets (autocrine growth factor loops and suppressor genes) hold great promise for significant improvements in the treatment of SCLC in the near future.
 ...
PMID:Chemotherapy in Small Cell Lung Cancer: The Current State of the Art. 1071 23