Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 1, 1998Anti-Cancer Drugs

Gemcitabine—a safety review

View Full Paper
Ask AI
Bookmark
Share

Authors

MAMatti AaproUniversità Cattolica del Sacro CuoreCMChristophe MartinResearch Institute Hospital 12 de OctubreSHSarah HattyRoyal Marsden NHS Foundation Trust

Discussion

Loading...

Member takes

Implication

Pooled analysis reveals mild toxicity and high tolerability of gemcitabine across solid tumor trials, indicating a favorable clinical safety profile.

Key Points

  • To review and characterize the single-agent safety and tolerability profile of gemcitabine in patients with solid tumors.
  • Pooled safety review of 979 patients across 22 completed clinical studies.
  • Evaluated a 28-day cycle regimen (days 1, 8, and 15) at doses of 800–1250 mg/m² covering nearly 11,000 protocol-defined injections.
  • WHO grade 3 and 4 hematological toxicities occurred for hemoglobin (6.8% and 1.3%), leukocytes (8.6% and 0.7%), neutrophils (19.3% and 6.0%), and platelets (4.1% and 1.1%), with myelosuppression being short-lived.
  • Non-laboratory grade 3 or 4 toxicities exceeding 1% incidence were nausea and vomiting (18.4%), pulmonary toxicity (1.4%), and infection (1.2%).
  • Of nearly 11,000 planned injections, 94% were administered and only 14% required dose reductions.

Cite This Study

Aapro et al. (1998) studied this question.

synapsesocial.com/papers/6a7611f8d01cd5d9a1707718https://doi.org/10.1097/00001813-199803000-00001
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Gemcitabine: Association with Thrombocytosis2024
  2. 2Gemcitabine induced vasculitis: an increasing trend2025
  3. 3Cardiotoxicity Associated with Gemcitabine: Literature Review and a Pharmacovigilance Study2020 · 38 citations
  4. 4Risk of venous and arterial thromboembolic events in cancer patients treated with gemcitabine: a systematic review and meta‐analysis2013 · 25 citations
  5. 5Gemcitabine and doxorubicin for the treatment of patients with advanced hepatocellular carcinoma: a phase I–II trial2002 · 55 citations