Review Article
Nanoparticle Albumin Bound Paclitaxel in the Treatment of Human Cancer: Nanodelivery Reaches Prime-Time?
Table 1
Randomized phase II and III trials with nab-paclitaxel in mBC.
(a) Phase II |
| |
Arms | Pts | RR (%) INV. RAD.
| RR (%) IND. RAD.
| PFS (%) INV. RAD.
| PFS (%) IND. RAD. | OS (months)
|
| Gradishar et al., 2009 [26] Gradishar et al., 2012 [27] Update OS (first line) |
Nab-paclitaxel | 300 mg/m2 q3w 150 mg/m2 qw 100 mg/m2 qw | 76 74 76 | 46 74 63 | 37 49 45 | 10.9 14.6 7.5 | 11 12.9 12.8 | 27.7 33.8 22.2 |
Docetaxel 100 mg/m2 q3w | 74 | 39 | 35 | 7.8 | 7.5 | 26.6 |
| | Arms | | Pts | ORR (%) | Median PFS (months) | OS (months) | | | | | |
| Blum et al., 2007 [28] (following lines) | Nab-paclitaxel 125 mg/m2 qw | 75 | 16 | 3.5 | 9.1 |
Nab-paclitaxel 100 mg/m2 qw | 106 | 14 | 3.0 | 9.2 |
| |
Arm | Pts | RR I line (%)
| RR > I line (%)
| ORR (%)
| Median TTP (weeks) | Median survival (weeks)
|
| Ibrahim et al., 2002 [19] (first and following lines) |
Nab-paclitaxel 300 mg/m2 q3w | 63 | 64 | 21 | 48 | 26.6 | 63.6 |
| |
Arms | Pts | Median PFS (months)
| PFS at 6 months (%)
| MDR (months)
| Median OS (months)
| OS at 6 months (%)
|
| Roy et al., 2009 [29] (first line) |
Nab-paclitaxel 125 mg/sqm Gemcitabine 1000 mg/sqm days 1 and 8 | 50 | 7.9 | 60 | 6.9 | Not reached | 92 |
|
|
(b) Phase III |
| | | | | | AEs (%) | | Arms | Pts | RR (%)
| TTP weeks
| Grade IV neutropenia | Grade III sensory neuropathy |
| Gradishar et al., 2005 [30] (first line) | Nab-paclitaxel 260 mg/sqm | 229 | 33 | 23.0 | 9 | 10 | Paclitaxel 175 mg/sqm | 225 | 19 | 16.9 | 22 | 2 |
|
|
P: P value; nd: not done; AEs: adverse events; inv. rad.: investigator radiologist; ind. rad.: independent radiologist; ORR: overall response rate; RR: response rate; TTP: time to progression; PFS: progression-free survival; OS: overall survival; MDR: median duration of response.
|