Abstract
Background. Bile-duct and gallbladder carcinomas are rare cancers. Once they have spread beyond the point of surgical resectability, no therapies have shown meaningful long-term benefit. These cancers are typically refractory to standard chemotherapy agents. Based on preclinical work showing activity of CPT-11, we performed a phase II trial to assess its activity in patients with bile-duct or gallbladder carcinomas. Methods. Patients with histologic or cytologic evidence of locally advanced or metastatic bile-duct or gallbladder carcinoma were potentially eligible for this study. Patients meeting study eligibility and who signed an informed consent were given CPT-11 125 mg/m2 weekly for 4 wk followed by a 2-wk break from therapy. The starting dose of CPT-11 was later reduced to 100 mg/m2 grade IV toxicity. Patients continued on treatment if they showed evidence of benefit and tolerated therapy. Results. A total of 39 patients were enrolled, and 36 were evaluable. The overall confirmed response rate was 8%. One CR and two PRs were seen. A high frequency of toxicity was seen. However, no unusual or unexpected toxicities occurred. Conclusion. CPT-11 is ineffective therapy for patients with locally advanced or metastatic bile-duct or gallbladder carcinoma.
Original language | English (US) |
---|---|
Pages (from-to) | 107-114 |
Number of pages | 8 |
Journal | International Journal of Gastrointestinal Cancer |
Volume | 32 |
Issue number | 2-3 |
DOIs | |
State | Published - 2002 |
Keywords
- Bile-duct carcinoma
- CPT-11
- Cholangiocarcinoma
- Clinical trial
- Gallbladder carcinoma
- Irinotecan
- Phase II
ASJC Scopus subject areas
- Oncology
- Endocrinology
- Gastroenterology