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- W2078797757 abstract "<h2>Abstract</h2><h3>Introduction</h3> Cediranib, a potent vascular endothelial growth factor inhibitor, demonstrated broad pre-clinical anti-tumour activity. This study evaluated escalating cediranib doses with combination chemotherapy in advanced non-small cell lung cancer patients. <h3>Methods</h3> Patients received cisplatin 80mg/m<sup>2</sup> on day 1 and gemcitabine 1250mg/m<sup>2</sup> on days 1 and 8 of a 3-week cycle, and daily oral cediranib at either 30mg or 45mg. Pharmacokinetics of all drugs were analysed, and response was assessed by RECIST. <h3>Results</h3> Fifteen patients were enrolled. No dose-limiting toxicities were observed during cycle 1. Fatigue, nausea, diarrhoea, anorexia and granulocytopaenia were common; hypertension was manageable. No grade 3/4 bleeding occurred. At 45mg/d, fatigue, diarrhoea and thrombocytopaenia were increased; and headache, hoarseness and grade 2 hand–foot syndrome were observed. Cediranib had no effect on cisplatin elimination, but clearance of gemcitabine is significantly reduced in the presence of cediranib (<i>p</i>>0.02). Central review confirmed responses in four of 15 enrolled patients (26.7%, 95% CI 7.8–55%) and four of 12 evaluable patients (33.3%, 95% CI 9.9–65%). <h3>Conclusion</h3> Cediranib at 30mg daily can be combined with standard doses of cisplatin/gemcitabine with encouraging anti-tumour activity, and is the recommended phase III dose. Toxicity is increased, but is predictable and manageable." @default.
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- W2078797757 date "2009-03-01" @default.
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- W2078797757 title "A phase I and pharmacokinetic study of daily oral cediranib, an inhibitor of vascular endothelial growth factor tyrosine kinases, in combination with cisplatin and gemcitabine in patients with advanced non-small cell lung cancer: A study of the National Cancer Institute of Canada Clinical Trials Group" @default.
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- W2078797757 doi "https://doi.org/10.1016/j.ejca.2008.10.022" @default.
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