2013年8月4日星期日

A report about paclitaxel

There are Data show that, for metastatic breast cancer women protein bound paclitaxel (AbraxaneR injection) compared with the highest standards of docetaxel dose, the former prolongs investigator assessed time and progression free survival (PFS) in recent 7 months.

Nab-paclitaxel is a new type of protein bound paclitaxel, an accepted chemotherapy drugs, combined with albumin, a protein is very small. Results from a phase II clinical trial, this study enrolled 302 patients with previously untreated metastatic breast cancer patients, published today in the Journal of Clinical Oncology (JCO).

We believe that the results suggest that in the first-line treatment of metastatic breast cancer, nab-paclitaxel once a week may be more effective and secure than docetaxel once 3 weeks, "lead researcher Dr. Gradisha William J. breast oncology and the Northwestern University comprehensive cancer center and director of the Robert H. Lurie announce.

The study included patients with metastatic breast cancer, protein bound paclitaxel in antitumor effect than paclitaxel solvent. This study is the evaluation of 3 kinds of protein binding efficacy and safety of paclitaxel scheme dose (single week regimen vs3 Zhou Fangan), and to examine differences in two kinds of dose regimens at the highest standard dose and safety. The patients were randomly divided into accepting protein bound paclitaxel every 3 weeks of 300 mg/m2  (q3w), 100 mg/m2 150 mg/m2 single week, one week, or paclitaxel 100 mg/m2 q3w. Results show that the protein bound paclitaxel 150 mg/m2 single week therapy, the median PFS than treatment with paclitaxel to long, the RECIST standard of curative effect evaluation, combining the research results of radiologists and scholars were evaluated, respectively for 12.9 months vs7.5 months, p=0.0065, which were 14.6 vs7.8 months, p=0.012.

Through independent radiology review, protein bound paclitaxel weekly plan the total efficiency (ORR) than paclitaxel high. The researchers found statistically significant evaluation weekly nab paclitaxel dose and the difference between paclitaxel dose.

Through research and independent radiologist review found, accept the weekly dose of protein bound paclitaxel and docetaxel compared with paclitaxel, protein have obvious disease control rate (DCR). All nab paclitaxel dose compared with paclitaxel showed a more security side and toxic reaction.

Dr. Gradishar said the study results support the early data, namely the protein bound paclitaxel as a suitable alternative docetaxel choice, as first-line therapy for metastatic breast cancer. The study was supported by the California, Losangeles Abraxis biological science support.



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