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

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