Feasibility study of docetaxel and nedaplatin for recurrent squamous cell carcinoma of the uterine cervix

Anticancer Res. 2008 Jul-Aug;28(4C):2385-8.

Abstract

Background: To determine a new taxane plus platinum treatment regimen for squamous cell carcinoma of the uterine cervix (CSCC), a phase I feasibility study of docetaxel (DTX) plus nedaplatin (CDGP) combination therapy was conducted.

Patients and methods: Twenty consecutive patients were enrolled into the study. The starting dose of DTX/CDGP was 60 mg/m2 / 80 mg/m2, every 4 weeks for at least three courses and the dose was escalated to 70 mg/m2 / 100 mg/m2. DTX 60 mg/m2 / CDGP 100 mg/m2 was also evaluated as an extra dose level.

Results: Dose-limiting toxicity was granulocytopenia and the maximum tolerated dose was determined as 70 mg/m2 / 100 mg/m2. All 20 patients had measurable disease and a partial response was achieved in 8 (40.0%) patients.

Conclusion: DTX/CDGP therapy appears to be a tolerable regimen for cervical squamous cell carcinoma, even in patients previously treated by cisplatin concurrent chemoradiotherapy. The recommended doses of DTX and CDGP were determined to be 60 mg/m2 and 100 mg/m2, respectively.

Publication types

  • Clinical Trial, Phase I

MeSH terms

  • Adult
  • Aged
  • Agranulocytosis / chemically induced
  • Agranulocytosis / drug therapy
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Carcinoma, Squamous Cell / drug therapy*
  • Docetaxel
  • Dose-Response Relationship, Drug
  • Feasibility Studies
  • Female
  • Granulocyte Colony-Stimulating Factor / administration & dosage
  • Humans
  • Leukopenia / chemically induced
  • Leukopenia / drug therapy
  • Middle Aged
  • Neoplasm Recurrence, Local / drug therapy*
  • Organoplatinum Compounds / administration & dosage
  • Organoplatinum Compounds / adverse effects
  • Taxoids / administration & dosage
  • Taxoids / adverse effects
  • Uterine Cervical Neoplasms / drug therapy*

Substances

  • Organoplatinum Compounds
  • Taxoids
  • Granulocyte Colony-Stimulating Factor
  • Docetaxel
  • nedaplatin