Irinotecan in Lymphoma, Leukemia, and Breast, Pancreatic, Ovarian, and Small-Cell Lung Cancers
August 1st 1998Irinotecan (CPT-11 [Camptosar]) has a broad range of antitumor activity. Extensive preclinical and early clinical work has demonstrated its activity against many tumor types--head and neck, esophagus, stomach, pancreas,
Alternative Dosing Schedules for Irinotecan
Most of the clinical experience with irinotecan (CPT-11 [Camptosar]) has been with either a weekly or an every-3-week schedule. Recent phase I trials have explored new routes and schedules of administration. One approach
Irinotecan: Toward Clinical End Points in Drug Development
August 1st 1998The objective response rate is the initial method to assess the activity of a novel anticancer agent. Response rates may not characterize a new agent’s clinical benefit, however, especially if moderate to severe toxicity may be
Assessing the Impact of Chemotherapy on Tumor- Related Symptoms in Advanced Colorectal Cancer
August 1st 1998In all patients with advanced colorectal cancer, disease eventually progresses following fluorouracil (5-FU) therapy, with a worsening of disease-related symptoms and quality of life (QOL). Irinotecan (CPT-11[Camptosar])
Camptothecin Radiation Sensitization: Mechanisms, Schedules, and Timing
August 1st 1998Based on high tumoricidal activity of the camptothecin analogs topotecan (Hycamtin), irinotecan (CPT-11[Camptosar]), and 9-aminocamptothecin (9-AC) in preclinical studies, clinical trials began testing these agents
Irinotecan: A Review of the Initial Phase I Trials
August 1st 1998The unique mechanism of action of irinotecan (CPT-11 [Camptosar]), topoisomerase I inhibition, together with the results of preclinical studies, suggest that the drug’s antitumor and toxicologic effects may be schedule-dependent.
Irinotecan and Cisplatin in Upper Gastrointestinal Malignancies
Irinotecan (Camptosar), an active agent in the treatment of fluorouracil-refractory colorectal cancer, has antitumor activity in upper gastrointestinal cancers. Clinical trials from Japan indicate antitumor responses in gastric and
Nutritional Implications of Dental and Swallowing Issues in Head and Neck Cancer
August 1st 1998Tumors of the head and neck account for 4% of cancers in the United States. Both the disease process itself and side effects of cancer treatment, such as xerostomia, dysphagia, and malnutrition, compromise oral health,
Irinotecan Plus Cisplatin in Patients With Advanced Non- Small-Cell Lung Cancer
During the 1980s, platinum-based regimens were yielding response rates typically less than 25%, median survival durations of about 25 weeks, and 1-year survival rates less than 25% in patients with advanced non-small-cell lung
Extending Principles Learned in Model Systems to Clinical Trials Design
Clinical results with irinotecan (CPT-11 [Camptosar]) and other camptothecin derivatives in various cancers, although encouraging, have fallen short of the expectations predicted by preclinical models. One proposed
Simple Saliva Test May Detect Early Cancer
August 1st 1998An ideal diagnostic test for cancer would be noninvasive and provide accurate results with sufficient specificity and sensitivity. Currently, no test for cancer meets all of these criteria. However, results of a study presented at the annual meeting of the
Researchers Developing Less Toxic Therapy to Target Breast Cancer Cells
August 1st 1998University of California, San Francisco, researchers have received approval from the National Cancer Institute (NCI) to develop a less toxic breast cancer therapy that may also prove to be more efficient at directly targeting cancer cells.