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Xeloda ® monotherapy in pancreatic cancer: phase II study 42 patients with advanced/metastatic pancreatic cancer received intermittent Xeloda 1,250mg/m 2 twice daily Three patients (7%) achieved confirmed partial responses 17 patients (40%) achieved disease stabilisation (lasting 12 weeks in 11 patients) Xeloda provided additional clinical benefit and symptomatic relief –CBR scores were positive in 24%, stable in 38% –pain intensity scores were positive in 29%, stable in 60% Adverse events included diarrhoea, hand-foot syndrome and nausea Cartwright T. Proc Am Soc Clin Oncol 2000;19:264a (Abst 1026) CBR = Clinical Benefit Response
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Xeloda ® plus gemcitabine in pancreatic cancer: phase I study Xeloda and gemcitabine demonstrated synergistic activity in preclinical studies Phase I study in 27 patients with previously untreated advanced pancreatic cancer The dose-limiting toxicities were neutropenia and mucositis Recommended regimen is a 21-day cycle of –Xeloda 650mg/m 2 twice daily, days 1–14 –i.v. gemcitabine 1,000mg/m 2, days 1 and 8 Objective responses occurred in six (29%) of 21 patients evaluable to date The regimen will be compared with gemcitabine monotherapy in a phase III trial Herrmann R et al. Proc Am Soc Clin Oncol 2000;19:267a (Abst 1038)
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Xeloda ® in pancreatic cancer: summary Impressive tumour response rates are achieved especially in combination with gemcitabine Additional clinical benefits include –symptomatic relief (positive CBR score) –reduction in pain intensity Xeloda is well tolerated as monotherapy and in combination with gemcitabine and warrants further evaluation in patients with pancreatic cancer
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Xeloda ® in ovarian cancer: phase II study Open label phase II trial of intermittent Xeloda 1,250 mg/m 2 twice daily in 21 patients with platinum- and taxane-pretreated ovarian cancer CA-125 response (according to Rustin criteria) in six (32%) of 19 evaluable patients Radiologically confirmed tumour responses in two (22%) of 9 patients with measurable disease No grade 4 adverse events Further studies are warranted –first-line combination regimens (e.g., platinum, taxanes) –as an alternative to more toxic, i.v. regimens in the palliative setting Vasey PA et al. Ann Oncol 2000;11 (Suppl. 4):84 (Abst 373)
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Xeloda ® in renal cell cancer: phase II summary Overall response rate of 34% –complete response in two patients (7%) –partial response in eight patients (27%) Stable disease in an additional 12 patients (40%) No grade 4 adverse events; grade 3 in only two patients (malaise, malaise/nausea/vomiting) No patients required Xeloda dose modification A randomised trial has been initiated to further investigate Xeloda in renal cell carcinoma Övermann K et al. Br J Cancer 2000;83:583–7
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Xeloda ® monotherapy in renal cell cancer: phase II study Pilot study of intermittent Xeloda 1,250mg/m 2 twice daily in 22 patients with metastatic renal cell cancer progressing following immunotherapy At ASCO 2000, response and efficacy data were reported for 12 patients receiving a median of six cycles –one partial response and disease stabilisation in 10 patients for a median >3 months –no grade 4 adverse events –only two grade 3 adverse events (hand-foot syndrome) Xeloda is clinically active and well tolerated in this setting Wenzel C et al. Proc Am Soc Clin Oncol 2000;19:368a (Abst 1457)
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Xeloda ® in other tumour types Colorectal Breast Gastric Pancreatic Endocrine Oesophageal Head and neck Ovarian Cervical Renal Prostate Mesothelioma Hepatocellular Biliary tract Worldwide Xeloda monotherapy and combination clinical trials are planned or ongoing in the following tumour types
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