Combined Modality Therapy of Gemcitabine and Radiation
- 1 January 2005
- journal article
- review article
- Published by Oxford University Press (OUP) in The Oncologist
- Vol. 10 (1) , 34-51
- https://doi.org/10.1634/theoncologist.10-1-34
Abstract
The combination of gemcitabine and radiotherapy is a promising combined modality therapy. However, the clinical application of this combination has to be implemented carefully because of an increased toxicity to normal tissues. A body of experimental evidence shows that gemcitabine is a potent radiosensitizer in vitro and in vivo. The observations so far indicate that various mechanisms are responsible for the radiosensitizing effect. Although it is often difficult to transfer experimental data to the clinic, these studies offer the possibility to develop an improved schedule of administration for patient treatment, based on rational evidence in tumor biology. In the current review, the preclinical data that support the use of gemcitabine as a radiosensitizing agent and the clinical trials that have been conducted to date are summarized.Keywords
Funding Information
- Foundation Emmanuel van der Schueren
This publication has 93 references indexed in Scilit:
- Concurrent chemoradiotherapy with gemcitabine and cisplatin after incomplete (R1) resection of locally advanced pancreatic carcinomaInternational Journal of Radiation Oncology*Biology*Physics, 2004
- Phase I Trial Using a Time-to-Event Continual Reassessment Strategy for Dose Escalation of Cisplatin Combined With Gemcitabine and Radiation Therapy in Pancreatic CancerJournal of Clinical Oncology, 2004
- Phase II study of gemcitabine combined with radiation therapy in patients with localized, unresectable pancreatic cancerJournal of Surgical Oncology, 2002
- Concurrent Infusional Gemcitabine and Radiation in the Treatment of Advanced Unresectable GI MalignancyThe Cancer Journal, 2002
- Phase II Study of Concurrent Gemcitabine and Radiotherapy in Locally Advanced Stage IIIB Cervical CarcinomaGynecologic Oncology, 2001
- Cross-resistance in the 2′,2′-difluorodeoxycytidine (gemcitabine)-resistant human ovarian cancer cell line AG6000 to standard and investigational drugsEuropean Journal Of Cancer, 2000
- Differential effects of gemcitabine on ribonucleotide pools of twenty-one solid tumour and leukaemia cell linesBiochimica et Biophysica Acta (BBA) - General Subjects, 2000
- A phase II study of gemcitabine in patients with transitional cell carcinoma of the urinary tract previously treated with platinumEuropean Journal Of Cancer, 1998
- Kinetic Analysis of Human Deoxycytidine Kinase with the True Phosphate Donor Uridine TriphosphateBiochemistry, 1997
- Enhancement of radiation-induced regrowth delay by gemcitabine in a human tumor xenograft modelRadiation Oncology Investigations, 1997