Capecitabine, oxaliplatin and radiotherapy: A phase IB neoadjuvant study for esophageal cancer with gene expression analysis

Milind M. Javle, Gary Yang, Chumy E. Nwogu, Gregory E. Wilding, Linda O'Malley, Sanjay Vinjamaram, Michael D. Schiff, Hector R. Nava, Charles LeVea, Kimberly R. Clark, Joshua D. Prey, Patrick F. Smith, Lakshmi Pendyala

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To determine the maximal tolerated dose of capecitabine with oxaliplatin + radiotherapy in a phase I study of localized esophageal cancer. Patients and Methods: Oxaliplatin (85 mg/m2) administered on days 1, 15, and 29. Capecitabine administered twice daily 5 days weekly; dose levels (DL) were 1, 1000; 2, 1250; and 3, 1500 mg/m2 with 50.4 Gy radiation. Results: Dose-limiting toxicity was reached at DL 3. Carboxylesterase expression in day 2 tumor specimens and induction correlated with response (p ≤ 0.05). Conclusion: The maximal tolerated dose was 85 mg/m2 of oxaliplatin, 1,250 mg/m2/day of capecitabine, and 50.4 Gy of radiation. Copyright © Informa Healthcare USA, Inc.
Original languageEnglish
Pages (from-to)193-200
Number of pages8
JournalCancer Investigation
Volume27
Issue number2
DOIs
StatePublished - Feb 2009
Externally publishedYes

ASJC Scopus Subject Areas

  • Oncology
  • Cancer Research

Keywords

  • Capecitabine
  • Esophageal neoplasms
  • Gene expression
  • Neoadjuvant therapy
  • Oxaliplatin
  • Esophageal Neoplasms/metabolism
  • Humans
  • Middle Aged
  • Cytidine Deaminase/genetics
  • Male
  • Thymidine Phosphorylase/genetics
  • Carboxylesterase/genetics
  • Combined Modality Therapy
  • Deoxycytidine/administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols/therapeutic use
  • Organoplatinum Compounds/administration & dosage
  • Fluorouracil/administration & dosage
  • Adult
  • Female
  • Aged

Cite this