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Published in: Cancer Chemotherapy and Pharmacology 1/2009

01-12-2009 | Original Article

Safety and pharmacokinetic trial of docetaxel plus an Astragalus-based herbal formula for non-small cell lung cancer patients

Authors: Barrie R. Cassileth, Naiyer Rizvi, Gary Deng, K. Simon Yeung, Andrew Vickers, Stacey Guillen, Derek Woo, Marci Coleton, Mark G. Kris

Published in: Cancer Chemotherapy and Pharmacology | Issue 1/2009

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Abstract

Purpose

To study a commonly used Astragalus-based herbal formula previously found effective in non-small cell lung cancer (NSCLC) on the pharmacokinetics of docetaxel in patients with NSCLC.

Methods

Patients with advanced NSCLC who progressed after prior platinum-containing chemotherapy were accrued and received docetaxel at 35 mg/m2 for 3 weeks followed by 1 week of rest. At 4 days prior to the second dosing, Jinfukang was given orally. Pharmacokinetic studies of initial-dose docetaxel (in the absence of Jinfukang) and the third dose (in the presence of Jinfukang) were compared.

Results

Of the 24 patients enrolled, 21 started Jinfukang and docetaxel. Jinfukang had no significant impact on the pharmacokinetics of docetaxel. Median time to progression or withdrawal from treatment was 7 weeks. Twelve patients were removed from study for progression of disease; nine patients withdrew.

Conclusions

Jinfukang did not alter the pharmacokinetics of docetaxel nor appear to affect survival in this study.
Literature
1.
go back to reference Socinski MA, Morris DE, Masters GA, Lilenbaum R (2003) Chemotherapeutic management of stage IV non-small cell lung cancer. Chest 123:226S–243SPubMedCrossRef Socinski MA, Morris DE, Masters GA, Lilenbaum R (2003) Chemotherapeutic management of stage IV non-small cell lung cancer. Chest 123:226S–243SPubMedCrossRef
2.
go back to reference Liu J, Shi Z, Li H, Xu Z, Zhu Y, Zhao L et al (2001) Clinical observation on 271 cases of non-small lung cancer treated with Yifei Kangliu Yin (Jin Fu Kang). Chin J Integr Tradit West Med 7:247–250 Liu J, Shi Z, Li H, Xu Z, Zhu Y, Zhao L et al (2001) Clinical observation on 271 cases of non-small lung cancer treated with Yifei Kangliu Yin (Jin Fu Kang). Chin J Integr Tradit West Med 7:247–250
3.
go back to reference McCulloch M, See C, Shu XJ, Broffman M, Kramer A, Fan WY, Gao J, Lieb W, Shieh K, Colford JM Jr (2006) Astragalus-based Chinese herbs and platinum-based chemotherapy for advanced non-small cell lung cancer: meta-analysis of randomized trials. J Clin Oncol 24:419–430PubMedCrossRef McCulloch M, See C, Shu XJ, Broffman M, Kramer A, Fan WY, Gao J, Lieb W, Shieh K, Colford JM Jr (2006) Astragalus-based Chinese herbs and platinum-based chemotherapy for advanced non-small cell lung cancer: meta-analysis of randomized trials. J Clin Oncol 24:419–430PubMedCrossRef
4.
go back to reference Liu J PM, Li Y, Ye D, Guo Y, Li Y (2001) Clinical study of oral liquid Jin Fu Kang for the treatment of primary non-small cell lung cancer. Tumor (Shanghai) 21:463–465 Liu J PM, Li Y, Ye D, Guo Y, Li Y (2001) Clinical study of oral liquid Jin Fu Kang for the treatment of primary non-small cell lung cancer. Tumor (Shanghai) 21:463–465
5.
go back to reference Madabushi R, Frank B, Drewelow B, Derendorf H, Butterweck V (2006) Hyperforin in St. John’s wort drug interactions. Eur J Clin Pharmacol 62:225–233PubMedCrossRef Madabushi R, Frank B, Drewelow B, Derendorf H, Butterweck V (2006) Hyperforin in St. John’s wort drug interactions. Eur J Clin Pharmacol 62:225–233PubMedCrossRef
6.
go back to reference Meijerman I, Beijnen JH, Schellens JH (2006) Herb–drug interactions in oncology: focus on mechanisms of induction. Oncologist 11:742–752PubMedCrossRef Meijerman I, Beijnen JH, Schellens JH (2006) Herb–drug interactions in oncology: focus on mechanisms of induction. Oncologist 11:742–752PubMedCrossRef
7.
go back to reference Bhargava P, Marshall JL, Fried K, Williams M, Lefebvre P, Dahut W, Hanfelt J, Gehan E, Figuera M, Hawkins MJ, Rizvi NA (2001) Phase I and pharmacokinetic study of two sequences of gemcitabine and docetaxel administered weekly to patients with advanced cancer. Cancer Chemother Pharmacol 48:95–103PubMedCrossRef Bhargava P, Marshall JL, Fried K, Williams M, Lefebvre P, Dahut W, Hanfelt J, Gehan E, Figuera M, Hawkins MJ, Rizvi NA (2001) Phase I and pharmacokinetic study of two sequences of gemcitabine and docetaxel administered weekly to patients with advanced cancer. Cancer Chemother Pharmacol 48:95–103PubMedCrossRef
8.
go back to reference Vergniol JC, Bruno R, Montay G, Frydman A (1992) Determination of Taxotere in human plasma by a semi-automated high-performance liquid chromatographic method. J Chromatogr 582:273–278PubMedCrossRef Vergniol JC, Bruno R, Montay G, Frydman A (1992) Determination of Taxotere in human plasma by a semi-automated high-performance liquid chromatographic method. J Chromatogr 582:273–278PubMedCrossRef
Metadata
Title
Safety and pharmacokinetic trial of docetaxel plus an Astragalus-based herbal formula for non-small cell lung cancer patients
Authors
Barrie R. Cassileth
Naiyer Rizvi
Gary Deng
K. Simon Yeung
Andrew Vickers
Stacey Guillen
Derek Woo
Marci Coleton
Mark G. Kris
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 1/2009
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-009-1003-z

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