Phase I study of dose-escalated paclitaxel, ifosfamide, and cisplatin (PIC) combination chemotherapy in advanced solid tumours
2000

Study of chemotherapy combination for advanced solid tumors

Sample size: 42 publication Evidence: moderate

Author Information

Author(s): Kosmas C, Tsavaris N B, Polyzos A, Malamos N A, Katsikas M, Antonopoulos M J

Primary Institution: Department of Medicine, Medical Oncology Unit, Helena-Venizelou Hospital

Hypothesis

We sought to evaluate the paclitaxel-ifosfamide-cisplatin (PIC) combination in the outpatient setting in individuals with a variety of advanced solid tumours.

Conclusion

The PIC regimen appears to be feasible and safe in the outpatient setting.

Supporting Evidence

  • The regimen was tolerated with outpatient administration in 36/42 patients.
  • Toxicities included grade 4 neutropenia for ≤ 5 days in 27% of cycles.
  • The response rate was 47.5% (complete response + partial response: 20/42).
  • Phase II studies are starting in non-small-cell lung cancer, ovarian cancer and head and neck cancer.

Takeaway

Doctors tested a new combination of cancer drugs on patients with advanced tumors, and it seemed to work well and be safe.

Methodology

Patients were entered into six successive dose levels with specific drug doses and were monitored for tolerability and side effects.

Limitations

The maximum tolerated dose was not formally reached, and care should be paid to neurotoxicity.

Participant Demographics

Eighteen patients had 2–8 cycles of prior chemotherapy with no taxanes or ifosfamide.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.0919

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