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.