郝学志, 张湘茹, 孙燕, 多西他赛临床研究协作组. 国产多西他赛治疗乳腺癌和非小细胞肺癌的临床观察[J]. 中国肿瘤临床, 2005, 32(18): 1064-1066.
引用本文: 郝学志, 张湘茹, 孙燕, 多西他赛临床研究协作组. 国产多西他赛治疗乳腺癌和非小细胞肺癌的临床观察[J]. 中国肿瘤临床, 2005, 32(18): 1064-1066.
Hao Xuezhi, Zhang Xiangru, Sun Yan, et al. Clinical Observation of Docetaxel in the Treatment of Non-small Cell Lung Cancer and Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(18): 1064-1066.
Citation: Hao Xuezhi, Zhang Xiangru, Sun Yan, et al. Clinical Observation of Docetaxel in the Treatment of Non-small Cell Lung Cancer and Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(18): 1064-1066.

国产多西他赛治疗乳腺癌和非小细胞肺癌的临床观察

Clinical Observation of Docetaxel in the Treatment of Non-small Cell Lung Cancer and Breast Cancer

  • 摘要: 目的:评价国产多西他赛(深圳万乐医药公司产品)单药以及多西他赛+顺铂联合化疗方案对乳腺癌和非小细胞肺癌的临床疗效和安全性,并以进口多西他赛(安万特公司)+顺铂联合化疗方案作对照。方法:1)单药治疗分为2组:多西他赛(万乐)75mg/m2第1天静脉滴注,21天为一周期,治疗乳腺癌(A组)和非小细胞肺癌(B组);2)联合治疗分为4组:乳腺癌患者随机分为多西他赛(万乐)70mg/m2+顺铂80mg/m2(C组),或泰索帝(进口)70mg/m2+顺铂80mg/m2(D组),21天为一周期;肺癌患者随机分为多西他赛(万乐)+顺铂(E组)或泰索帝(进口)+顺铂(F组),方案与乳腺癌相同。结果:147例患者中138例可评价疗效,141例可评价不良反应,单药有效率乳腺癌(A组)21.7%,单药非小细胞肺癌(B组)6.1%,联合治疗组有效率C组60.0%,D组35.0%,E组23.8%,F组28.6%。不良反应主要为骨髓抑制、恶心呕吐、脱发。联合治疗方案多西他赛(万乐)组与泰索帝(安万特)组比较,疗效和不良反应相似。结论:多西他赛(万乐)单药及联合顺铂方案治疗乳腺癌和非小细胞肺癌安全有效,耐受性好,与进口泰索帝疗效和不良反应相似。

     

    Abstract: Objective: To evaluate the efficacy and safety of docetaxel (Wanle) and docetaxel (Wanle) plus cisplatin regimen in patients with breast cancer and non-small cell lung cancer. Methods: 1) Single agent regimen: patients of breast cancer (group A) and NSCLC (group B)were treated with docetaxel 75mg/m2 in the first day, and the schedule was repeated every 21 days. 2) Combination regimen: patients with breast cancer were randomly assigned to receive docetaxel (Wanle) 70mg/m2 iv + cisplatin 80mg/m2 (group C) treatment or taxotere 70mg/m2 iv + cisplatin 80mg/m2 iv treatment (group D), the schedule was repeated every 21 days. Patients with NSCLC were also randomly assigned to regimens of docetaxel (Wanle)+cisplatin (group E) and Taxotere + cisplatin (group F). Results: A total of 138 of the 147 patients were evaluative for efficacy and 141 of the patients were evaluative for side effects. Overall response rate of group A, B, C, D, E , F was 21.7%, 6.1%, 60.0%, 35%, 23.8% and 28.6%, respectively. The major side effects were myelosuppression, neutropenia, nausea, vomiting and alopecia. Conclusion: The docetaxel (Wanle) is effective and well tolerated in the treatment of advanced NSCLC and breast cancer. Efficacy and side effect of docetaxel (Wanle) are similar to the imported Taxotere.

     

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