[A Case of Albumin-Bound Paclitaxel-Induced Peripheral Neuropathy without Exacerbation]

Gan To Kagaku Ryoho. 2017 Jun;44(6):517-519.
[Article in Japanese]

Abstract

Albumin-bound paclitaxel(nab-PTX)-associated neuropathy decreases the quality of life of cancer patients and leads to dose modification, discontinuation of chemotherapy, and occasionally dose-limiting toxicity. In the present case study, a 92- year-old female patient with peritoneal cancer of carcinomatous peritonitis and carcinomatous ascites was treated with carboplatin plus nab-PTX every 4 weeks as first-line chemotherapy, and a good response was achieved following 4 cycles of this regimen. However, the patient developed Grade 3 peripheral neuropathy and stopped the therapy. As a result, the peripheral neuropathy gradually improved. After 1 year, ascites appeared, and tumor marker(CA125)levels increased. We tried an 8-h infusion of nab-PTX to avoid peripheralneuropathy. After 4 cycles, a positive response was achieved without exacerbation of the peripheralneuropathy. Administering nab-PTX over shorter periods of time has generally led to increased peripheral neuropathy. The severity of peripheralneuropathy can be reduced with a longer infusion time.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Albumin-Bound Paclitaxel / administration & dosage
  • Albumin-Bound Paclitaxel / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carboplatin / administration & dosage
  • Female
  • Humans
  • Peripheral Nervous System Diseases / chemically induced*
  • Peritoneal Neoplasms / drug therapy*

Substances

  • Albumin-Bound Paclitaxel
  • Carboplatin