摘要
紫杉醇是乳腺癌化疗中最有活性的药物之一,因其独特的作用机制和良好的耐受性,紫杉醇又被广泛用于和蒽环类、吉西他滨、铂类、Herceptin联合应用。两个大型国际临床研究试验证明,紫杉醇在早期乳腺癌术后辅助化疗的作用,CALGB9344试验证明在标准AC化疗后加紫杉醇,可以显著改善早期乳腺癌的无病生存和总生存期。CALGB9741试验证明,紫杉醇密集化疗比常规间隙的化疗更能提高疗效,而序贯治疗和联合化疗的效果相近。
Taxol is one of the most active agent in metastatic breast cancer. Taxol is also an excellent choice for combination therapy by its unique mechanism of action and favorable toxicity profile. Numerous phase II clinical studies have combined taxol with other active agents such as the anthracyclines, gemcitabine, carboplatin and Herceptin. In the adjuvant chemotherapy for early stage breast cancer, two large international clinical trials demonstrated the role of taxol in early breast cancer. CALGB 9344 demonstrated the addition of four cycles of taxol after the completion of a standard course of CA improves the disease-free and overall survival of patients with early breast cancer. CALGB 9741 showed dose density chemotherapy of taxol improves clinical outcomes significantly, while sequential chemotherapy is as effective as concurrent chemotherapty.
出处
《中国癌症杂志》
CAS
CSCD
2003年第4期289-292,共4页
China Oncology
