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Efficacy and Safety of Nanosomal Docetaxel Lipid Suspension-Based Chemotherapy in Sarcoma: A Multicenter, Retrospective Study
Joint Authors
Narayanan, Prasad
Dattatreya, Palanki Satya
Prasanna, Rammohan
Subramanian, Sundaram
Jain, Kunal
Somanath, Nirni Sharanabasappa
Joshi, Nisarg
Bunger, Deepak
Khan, Mujtaba Ali
Chaturvedi, Alok
Ahmad, Imran
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-11-15
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To evaluate the efficacy and safety of nanosomal docetaxel lipid suspension (NDLS, DoceAqualip) based chemotherapy in patients with sarcoma.
Methods.
In this retrospective, multicenter (6 centers), observational study, we analyzed the medical charts of adult patients of either sex, who were treated with NDLS (75 mg/m2 in 3-weekly cycles) based chemotherapy for the treatment of sarcoma.
The efficacy outcomes were overall response rate (ORR: complete response (CR) + partial response (PR)) and disease control rate (DCR: CR + PR + stable disease (SD)) in patients who received NDLS-based chemotherapy in neoadjuvant and metastatic settings.
Overall survival (OS) and safety were evaluated for all settings.
Results.
Of 11 patients (neoadjuvant: 1, adjuvant: 3, and metastatic: 7) in this study, majority had leiomyosarcoma (63.6%, 7/11) followed by extraskeletal myxoid chondrosarcoma (EMC), high grade pleomorphic sarcoma of mandible, malignant fibrous histiocytoma of right thigh, and osteosarcoma of femur (9.1% each, 1/11 each).
NDLS plus gemcitabine combination was used in 10 patients (90.9%), and NDLS plus cyclophosphamide was used in one patient with EMC (9.1%).
Efficacy evaluation was performed for 7 patients (neoadjuvant: 1/1; metastatic: 6/7).
Complete response was reported in one patient (soft tissue sarcoma of mandible) treated in neoadjuvant setting.
In metastatic setting, ORR was 50% and DCR was 66.7% (CR: 16.7% (1/6), PR: 33.3% (2/6), SD: 16.7% (1/6)).
At a median follow-up of 6.5 months (range: 0.06–20.2 months), median OS was not reached in neoadjuvant and adjuvant settings, but it was 15.8 months in metastatic setting.
At least 1 AE was reported in 7 (63.6%) patients.
Neutropenia, thrombocytopenia, lymphopenia, and anemia were the hematological AEs, whereas nausea, vomiting, and diarrhea were the most common nonhematological AEs.
NDLS treatment was well tolerated without any new safety concerns.
Conclusion.
Nanosomal docetaxel lipid suspension-based chemotherapy was efficacious and well tolerated in the treatment of sarcoma.
Further prospective trials are needed to confirm the data.
American Psychological Association (APA)
Narayanan, Prasad& Dattatreya, Palanki Satya& Prasanna, Rammohan& Subramanian, Sundaram& Jain, Kunal& Somanath, Nirni Sharanabasappa…[et al.]. 2019. Efficacy and Safety of Nanosomal Docetaxel Lipid Suspension-Based Chemotherapy in Sarcoma: A Multicenter, Retrospective Study. Complexity،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1207628
Modern Language Association (MLA)
Dattatreya, Palanki Satya…[et al.]. Efficacy and Safety of Nanosomal Docetaxel Lipid Suspension-Based Chemotherapy in Sarcoma: A Multicenter, Retrospective Study. Complexity No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1207628
American Medical Association (AMA)
Narayanan, Prasad& Dattatreya, Palanki Satya& Prasanna, Rammohan& Subramanian, Sundaram& Jain, Kunal& Somanath, Nirni Sharanabasappa…[et al.]. Efficacy and Safety of Nanosomal Docetaxel Lipid Suspension-Based Chemotherapy in Sarcoma: A Multicenter, Retrospective Study. Complexity. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1207628
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1207628