Second-line intra-arterial chemotherapy in advanced pancreatic adenocarcinoma.

Autor: Barletta E; Department of Oncology, G. Rummo Hospital, 82100, Benevento, Italy. emiddiobarletta@libero.it, Fiore F, Daniele B, Ottaiano A, D'Angelo R, Ferrari E, Formato R, Tortoriello A, Turitto G, Bruni GS, Pignata S, Iaffaioli RV
Jazyk: angličtina
Zdroj: Frontiers in bioscience : a journal and virtual library [Front Biosci] 2006 Jan 01; Vol. 11, pp. 782-7. Date of Electronic Publication: 2006 Jan 01.
DOI: 10.2741/1836
Abstrakt: The present study was conducted to evaluate activity and toxicity of the FLEC (folinic acid 100 mg/m2; 5-fluorouracil 1000 mg/m2; carboplatin 300 mg/m2; epirubicin 60 mg/m2) schedule as second-line treatment for progressive locally advanced or metastatic pancreatic cancer (LAMPC). FLEC was administered every 3 weeks with an angiographic catheter introduced into the tumor vascular bed. Thirty-two patients were enrolled. Twenty patients had a PS of 2. Twenty-five patients had metastatic disease to liver. Seven (21.9%) partial responses were observed (WHO criteria). Fifteen patients (46.9%) had stable disease and ten patients (31.2%) had progressive disease. The median OS from the diagnosis was 11.8 months. PS (p=0.0308) and pain (WHO scale, p=0.0222; analogic scale, p=0.0446) significantly improved after therapy. No patient discontinued treatment because of toxicity (NCI-CTC criteria). The current study shows that intraarterial chemotherapy is a good therapeutic option in second-line treatment of LAMPC.
Databáze: MEDLINE