Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients

Y. Chao, W. K. Chan, M. J. Birkhofer, O. Y.P. Hu, S. S. Wang, Y. S. Huang, M. Liu, J. Whang-Peng, K. H. Chi, W. Y. Lui, S. D. Lee

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

Hepatocellular carcinoma (HCC) is a common lethal disease in Asia and there is no effective chemotherapy. Identification of new effective drugs in the treatment of inoperable HCC is urgently need. This is a phase II clinical study to investigate the efficacy, toxicity and pharmacokinetics of paclitaxel in HCC patients. Twenty patients with measurable, unresectable HCC, normal serum bilirubin, normal bone marrow and renal functions were studied. Paclitaxel 175 mg m-2 was given intravenously over 3 h every 3 weeks. No complete or partial responses were observed. Five patients had stable disease. Major treatment toxicities (grade 3-4) were neutropenia (25%), thrombocytopenia (15%), infection (10%) and allergy (10%). Treatment-related deaths occurred in two patients. The median survival was 12 weeks (range 1-36). Paclitaxel is metabolized by the liver and the pharmacokinetics of paclitaxel in cancer patients with liver involvement or impairment may be important clinically. Pharmacokinetic study was completed in 13 HCC patients. The paclitaxel area under the curve was significantly increased (P < 0.02), clearance decreased (P < 0.02) and treatment-related deaths increased (P = 0.03) in patients with hepatic impairment. In conclusion, paclitaxel in this dose and schedule has no significant anti-cancer effect in HCC patients. Paclitaxel should be used with caution in cancer patients with liver impairment.

Original languageEnglish
Pages (from-to)34-39
Number of pages6
JournalBritish Journal of Cancer
Volume78
Issue number1
Publication statusPublished - Jun 26 1998
Externally publishedYes

Fingerprint

Paclitaxel
Hepatocellular Carcinoma
Pharmacokinetics
Therapeutics
Liver
Neoplasms
Neutropenia
Bilirubin
Thrombocytopenia
Area Under Curve
Appointments and Schedules
Hypersensitivity
Bone Marrow
Kidney
Drug Therapy
Survival
Infection
Serum
Pharmaceutical Preparations

Keywords

  • Hepatic function
  • Hepatocellular carcinoma
  • Paclitaxel
  • Pharmacokinetic

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Chao, Y., Chan, W. K., Birkhofer, M. J., Hu, O. Y. P., Wang, S. S., Huang, Y. S., ... Lee, S. D. (1998). Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients. British Journal of Cancer, 78(1), 34-39.

Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients. / Chao, Y.; Chan, W. K.; Birkhofer, M. J.; Hu, O. Y.P.; Wang, S. S.; Huang, Y. S.; Liu, M.; Whang-Peng, J.; Chi, K. H.; Lui, W. Y.; Lee, S. D.

In: British Journal of Cancer, Vol. 78, No. 1, 26.06.1998, p. 34-39.

Research output: Contribution to journalArticle

Chao, Y, Chan, WK, Birkhofer, MJ, Hu, OYP, Wang, SS, Huang, YS, Liu, M, Whang-Peng, J, Chi, KH, Lui, WY & Lee, SD 1998, 'Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients', British Journal of Cancer, vol. 78, no. 1, pp. 34-39.
Chao Y, Chan WK, Birkhofer MJ, Hu OYP, Wang SS, Huang YS et al. Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients. British Journal of Cancer. 1998 Jun 26;78(1):34-39.
Chao, Y. ; Chan, W. K. ; Birkhofer, M. J. ; Hu, O. Y.P. ; Wang, S. S. ; Huang, Y. S. ; Liu, M. ; Whang-Peng, J. ; Chi, K. H. ; Lui, W. Y. ; Lee, S. D. / Phase II and pharmacokinetic study of paclitaxel therapy for unresectable hepatocellular carcinoma patients. In: British Journal of Cancer. 1998 ; Vol. 78, No. 1. pp. 34-39.
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