Single Vial Docetaxel Injection - ION Solutions
Single Vial Docetaxel Injection - ION Solutions
Single Vial Docetaxel Injection - ION Solutions
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Table 13 - Response and TTP Analysis of <strong>Docetaxel</strong> in Combination Therapy for Chemotherapy-<br />
Naïve NSCLC<br />
Endpoint <strong>Docetaxel</strong>+Cisplatin Vinorelbine+Cisplatin p-value<br />
Objective Response Rate<br />
31.6%<br />
24.4% Not Significant<br />
(95% CI) a (26.5%, 36.8%) (19.8%, 29.2%)<br />
Median Time to Progression b<br />
(95% CI) a 21.4 weeks<br />
(19.3, 24.6)<br />
a Adjusted for multiple comparisons.<br />
b Kaplan-Meier estimates.<br />
22.1 weeks<br />
(18.1, 25.6)<br />
Not Significant<br />
14.4 Hormone Refractory Prostate Cancer<br />
The safety and efficacy of docetaxel in combination with prednisone in patients with androgen<br />
independent (hormone refractory) metastatic prostate cancer were evaluated in a randomized multicenter<br />
active control trial. A total of 1006 patients with Karnofsky Performance Status (KPS) ≥60 were<br />
randomized to the following treatment groups:<br />
• <strong>Docetaxel</strong> 75 mg/m 2 every 3 weeks for 10 cycles.<br />
• <strong>Docetaxel</strong> 30 mg/m 2 administered weekly for the first 5 weeks in a 6-week cycle for 5 cycles.<br />
• Mitoxantrone 12 mg/m 2 every 3 weeks for 10 cycles.<br />
All 3 regimens were administered in combination with prednisone 5 mg twice daily, continuously.<br />
In the docetaxel every three week arm, a statistically significant overall survival advantage was<br />
demonstrated compared to mitoxantrone. In the docetaxel weekly arm, no overall survival advantage was<br />
demonstrated compared to the mitoxantrone controlarm. Efficacy results for the docetaxel every 3 week<br />
arm versus the control arm are summarized in Table 14 and Figure 5.<br />
Table 14 - Efficacy of <strong>Docetaxel</strong> in the Treatment of Patients with Androgen Independent<br />
(Hormone Refractory) Metastatic Prostate Cancer (Intent-to-Treat Analysis)<br />
<strong>Docetaxel</strong>+Prednisone<br />
every 3 weeks<br />
Mitoxantrone+Prednisone<br />
every 3 weeks<br />
Number of patients<br />
Median survival (months)<br />
95% CI<br />
Hazard ratio<br />
335<br />
18.9<br />
(17.0-21.2)<br />
0.761<br />
337<br />
16.5<br />
(14.4-18.6)<br />
—<br />
95% CI<br />
(0.619-0.936)<br />
—<br />
p-value*<br />
0.0094<br />
—<br />
*Stratified log rank test. Threshold for statistical significance = 0.0175 because of 3 arms.<br />
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