Table 1.
Patient cohorts according to liver function
Initial paclitaxel dose (mg m−2) | |||||
---|---|---|---|---|---|
Cohort | ALAT/ASAT | Bilirubin | Dose level | Predefined | Model-derived recommendation |
I | <2.6 × ULN | = 1.25 × ULN | 0 | 175* | |
II | 2.6–10 × ULN | = 1.25 × ULN | 0 | 175 | 175† |
III | <10 × ULN | 1.26–2.0 × ULN | 0 | 175 | 115 |
IV | <10 × ULN | 2.1–3.5 × ULN | −1 | 135 | 100 |
V | <10 × ULN | = 3.6–10 × ULN | −2 | 110 | 70 |
ULN, Upper limit of normal. ULN for aspartate aminotransferase (ASAT) = 25 U l−1. ULN for alanine aminotransferase (ALAT) = 35 U l−1. ULN for total bilirubin = 20 µmol l−1.
ANC nadir from cohort I used as a base for dose recommendations cohorts II–V.
As cohort II is identical to cohort I with respect to total bilirubin concentration, the presented model does not predict increased toxicity in cohort II when administering the same dose of paclitaxel (175 mg m−2).