Docetaxel Chemotherapy of Korean Patients with Hormone-refractory Prostate Cancer: Comparative Analysis between 1st-line and 2nd-line Docetaxel
Yonsei Medical Journal
; : 775-782, 2008.
Article
en En
| WPRIM
| ID: wpr-153699
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: This study was undertaken to investigate the outcomes associated with docetaxel treatment of Korean patients with hormone-refractory prostate cancer (HRPC) and to compare its clinical efficacies in 1st and 2nd-line settings. PATIENTS AND METHODS: This study was retrospectively performed and included 47 patients with HRPC. The 1st-line group consisted of 19 patients who had not undergone prior chemotherapy, and the 2nd-line group consisted of 28 patients who underwent prior chemotherapy. All patients were treated with 75mg/m2 IV docetaxel every 3 weeks and 5mg of prednisone twice daily with a continuous androgen blockade. RESULTS: Of 47 study subjects, 14 patients (29.8%) had > or = 50% PSA decline from baseline. PSA response was more common in the 1st-line group, but this was not statistically different (42.1% vs. 21.4%, p = 0.114). After a median follow up of 11 months (range, 6-24 months), the 1st-line group showed a longer time to PSA progression (4 vs. 2 months, p = 0.015) and survival (17 vs. 10 months, p = 0.037) than the 2nd-line group. In terms of toxicities, no difference was apparent between the 2 groups. CONCLUSION: In a 1st-line setting, docetaxel is an effective and tolerable agent for Korean HRPC patients, and that its efficacy is limited, although 2nd-line docetaxel is tolerable.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Neoplasias de la Próstata
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Estudios Retrospectivos
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Resultado del Tratamiento
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Antígeno Prostático Específico
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Taxoides
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Antineoplásicos
Tipo de estudio:
Observational_studies
Límite:
Aged
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Humans
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Male
Idioma:
En
Revista:
Yonsei Medical Journal
Año:
2008
Tipo del documento:
Article