J 2011

Plasma levels of vascular endothelial growth factor during and after radiotherapy in combination with celecoxib in patients with advanced head and neck cancer

HALAMKA, Magdalena; Jakub CVEK; Jiří KUBEŠ; Eva ZÁVADOVÁ; Pavel KOMÍNEK et al.

Základní údaje

Originální název

Plasma levels of vascular endothelial growth factor during and after radiotherapy in combination with celecoxib in patients with advanced head and neck cancer

Autoři

HALAMKA, Magdalena; Jakub CVEK; Jiří KUBEŠ; Eva ZÁVADOVÁ; Pavel KOMÍNEK; Jaroslav HORÁČEK; Ladislav DUŠEK a David FELTL

Vydání

Oral oncology, 2011, 1368-8375

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.857

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/11:00053158

Organizační jednotka

Lékařská fakulta

UT WoS

000293002800017

Klíčová slova anglicky

Head and neck cancer; Celecoxib; Radiotherapy; VEGF; COX-2 expression

Příznaky

Mezinárodní význam
Změněno: 12. 4. 2012 07:29, Mgr. Michal Petr

Anotace

V originále

Celebrex and radiotherapy in advanced head and neck cancer. This phase I dose-escalation study seeks to determine the phase II recommended dose of cyclooxygenase type 2 (COX-2) inhibitor in patients with locally advanced squamous cell head and neck (H&N) cancer, treated with accelerated radiotherapy. Anti-vasculogenic effect of this treatment on serum vascular endothelial growth factor (VEGF) is examined. Patients were irradiated with curative intent (72 Gy in 6 weeks). Celecoxib was administered throughout the radiotherapy course. Serum VEGF level were tested during radiotherapy and in follow-up. Tumor specimens were stained to quantify the COX-2 expression. Thirty-two patients completed the treatment. The dose of celecoxib was escalated (200, 400 and 800 mg bid, then de-escalated to 600 mg bid). The acute toxicity related to the treatment in the first and second cohort did not reach grade III; in the third cohort three patients had grade III radiation toxicity and one had celecoxib-related toxicity. In the last fourth cohort the toxicity was acceptable. Significant VEGF level drop (p = 0.011) was found between radiation day 1 and post-treatment visit. Significant decrease (p = 0.022) of the VEGF level was shown in patients with high COX-2 expression in the tumor. Phase II recommended dose of celecoxib combined with accelerated radiotherapy in advanced H&N cancer was 600 mg bid. A significant decrease of the post-treatment serum VEGF level compared to the initial level was noticed only in patients with high COX-2 expression in tumors.