A phase II trial of carboplatin and vinblastine in the treatment of advanced squamous cell carcinoma of the esophagus Journal Article


Authors: Lovett, D.; Kelsen, D.; Eisenberger, M.; Houston, C.
Article Title: A phase II trial of carboplatin and vinblastine in the treatment of advanced squamous cell carcinoma of the esophagus
Abstract: Cisplatin‐containing regimens are active in the treatment of esophageal cancer, with response rates of 25% to 35% in advanced disease. Carboplatin is less toxic than cisplatin; as a single agent, several responses were seen against esophageal tumors. To better define the role of carboplatin in esophageal cancer, the authors treated 19 chemotherapy‐naive patients with advanced squamous cell carcinoma of the esophagus with carboplatin and vinblastine. Carboplatin (450 mg/m2 intravenously [IV] on days 1, 29, 57, and every 6 weeks thereafter) was given with vinblastine (5 mg/m2 IV on day 1 and then every 2 weeks). No major responses were seen. No significant renal toxicity and only mild gastrointestinal toxicity (emesis, diarrhea) were observed. Hematologic toxicity was more severe in patients with prior radiation therapy (RT), with three of six patients with prior RT exhibiting Grade 4 hematologic toxicity. Although generally less toxic than cisplatin‐containing regimens, carboplatin and vinblastine is also less active in the treatment of squamous cell carcinoma of the esophagus. Hematologic toxicity with this regimen was severe in patients who had received prior RT. Copyright © 1991 American Cancer Society
Keywords: adult; clinical article; aged; squamous cell carcinoma; carcinoma, squamous cell; advanced cancer; carboplatin; antineoplastic combined chemotherapy protocols; vinblastine; esophagus carcinoma; esophageal neoplasms; intravenous drug administration; middle age; drug evaluation; human; male; female; priority journal; article; support, u.s. gov't, p.h.s.
Journal Title: Cancer
Volume: 67
Issue: 2
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1991-01-15
Start Page: 354
End Page: 356
Language: English
DOI: 10.1002/1097-0142(19910115)67:2<354::Aid-cncr2820670206>3.0.Co;2-l
PUBMED: 1985729
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. David P Kelsen
    537 Kelsen
  2. Collette M Houston
    15 Houston