Phase I trial of outpatient weekly paclitaxel and concurrent radiation therapy for advanced non-small-cell lung cancer

H. Choy, W. Akerley, H. Safran, J. Clark, V. Rege, A. Papa, M. Glantz, Y. Puthawala, C. Soderberg, L. Leone

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Abstract

Purpose: To determine the maximum-tolerated dose (MTD) and dose-limiting toxicities of paclitaxel administered weekly on an outpatient basis with concurrent thoracic radiation to patients with advanced non-small-cell lung cancer (NSCLC). Patients and Methods: In this phase I clinical trial, paclitaxel was administered as a 3-hour intravenous (IV) infusion, repeated every week for 6 weeks. The starting dose of paclitaxel was 10 mg/m2. Doses were escalated at 10-mg/m2 increments in successive cohorts of three new patients if tolerated. Unacceptable toxicity was defined as grade 3 nonhematologic toxicity, excluding nausea and vomiting, and grade 4 hematologic toxicity according to Cancer and Leukemia Group B expanded common toxicity criteria. Radiation was administered to the primary tumor and regional lymph nodes (40 Gy) followed by a boost to the tumor (20 Gy). Results: Twenty-seven patients were entered onto this study through seven dose escalations (from 10 mg/m2/wk to 70 mg/m2/wk for 6 weeks). Severe esophagitis occurred at 70 mg/m2 (two patients with grade 4 disease and one patient with grade 2). One of six patients at 60 mg/m2 developed grade 3 esophagitis and three of seven patients had grade 2 esophagitis. One of 27 patients developed a hypersensitivity reaction. One of 27 patients developed grade 3 neutropenia. Conclusion: Esophagitis is the principle dose-limiting toxicity of weekly paclitaxel and thoracic radiation in the outpatient setting. A phase II trial using concurrent radiation and paclitaxel at the MTD of 60 mg/m2/wk is underway.

Original languageEnglish (US)
Pages (from-to)2682-2686
Number of pages5
JournalJournal of Clinical Oncology
Volume12
Issue number12
Publication statusPublished - Dec 1994

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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Phase I trial of outpatient weekly paclitaxel and concurrent radiation therapy for advanced non-small-cell lung cancer. / Choy, H.; Akerley, W.; Safran, H.; Clark, J.; Rege, V.; Papa, A.; Glantz, M.; Puthawala, Y.; Soderberg, C.; Leone, L.

In: Journal of Clinical Oncology, Vol. 12, No. 12, 12.1994, p. 2682-2686.

Research output: Contribution to journalArticle