Table 2. Disease status and response after addition of Rapa + HCQ to metronomic chemotherapy.
Patient # | Tumor type | Performance status | Previous therapy after initial treatment failure | Control metronomic chemotherapy | Control treatment duration (months) | Response to control metronomic chemotherapy | Best response to Rapa + HCQ salvage chemotherapy | Evaluation method | Treatment duration (months) | Current status |
---|---|---|---|---|---|---|---|---|---|---|
1 | Prostate ca with bone meta | 1 | Hormone therapy | Cyproterone 1# bid Docetaxel 40 mg q2wk | 4 | PD | SD | PSA > 50% decline | 6 | A |
2 | Prostate ca with bone meta | 1 | Hormone therapy | Cyproterone 1# bid Docetaxel 40 mg q2wk | 2 | PD | SD | PSA > 50% | 3 | A |
3 | Prostate ca with LN, bone meta | 1 | Hormone therapy | Cyproterone 1# bid Docetaxel 40 mg q2wk | 3 | SD | SD | PSA > 50% decline | 3 | A |
4 | Prostate ca with LN meta | 0 | Hormone therapy | Cyproterone 1# bid Docetaxel 40 mg q2wk | 3 | SD | PR | RECIST | 3 | A |
5 | Bladder ca with lung meta | 1 | — | Carboplatin 150 mg+ Gemcitabine 1400 mg q2wk | 4 | PD | SD | RECIST | 8 | A |
6 | Bladder ca with liver meta | 1 | Cisplatin 50 mg/m2; D1 +gemcitabine 1000 mg/m2 D, 8 q3w | Carboplatin 150 mg+ Gemcitabine 1400 mg q2wk | 3 | PD | PR | RECIST+ CFR 21.1 decline > 50% | 3 | A |
7 | Bladder ca with neck LN meta | 0 | — | Carboplatin 150 mg+ Gemcitabine 1400 mg q2wk | 4 | PD | PD | RECIST | 3 | A |
8 | Bladder ca with lung meta | 1 | — | Carboplatin 150 mg+ Gemcitabine 1400 mg q2wk | 4 | SD | PR | RECIST | 8 | D |
9 | Lung ca, adenocarcinoma with brain, pleural meta | 1 | TKI, RT, Cisplatin+ Pemetrexed | Vinorelbine 30 mg p.o. weekly, Docetaxel 40 mg q2wk | 6 | PD | PR | RECIST+ CEA decline > 50% | 7 | A |
10 | Lung ca, squamous carcinoma with pleural effusion | 1 | RT, Cisplatin+ Gemcitabine | Vinorelbine 30 mg p.o. weekly, Docetaxel 40 mg q2wk | 3 | PD | SD | RECIST | 3 | A |
11 | Lung ca, adenocarcinoma with multiple meta | 1 | TKI, RT, Cisplatin+ Pemetrexed | Vinorelbine 30 mg p.o. weekly, Docetaxel 40 mg q2wk | 4 | PD | SD | RECIST+ CEA decline > 50% | 8 | A |
12 | Lung ca, adenocarcinoma with multiple meta | 0 | TKI, Cisplatin+ Pemetrexed | Vinorelbine 30 mg p.o. weekly, Docetaxel 40 mg q2wk | 2 | PD | SD | RECIST | 4 | A |
13 | Rectal ca with peritoneal seeding | 0 | FOLFIRI | Capecitabine 1# bid +Irinotecan 100 mg/m2 q2wk | 4 | SD | PR | RECIST | 3 | A |
14 | Colon ca with lung and pelvic meta | 0 | FOLFOX+ Bevacizumab | Capecitabine 1# bid +Irinotecan 100 mg/m2 q2wk | 5 | PD | SD | Tumor marker > 50% decline | 4 | A |
15 | Breast ca with liver and abdomen LN meta | 1 | CAF, Docetaxel | Vinorelbine 30 mg p.o. weekly, Capecitabine 1# bid, Gemcitabine 800 mg/m2 q2wk | 3 | SD | PR | RECIST | 4 | A |
16 | Breast ca with bone meta | 0 | Tamoxifen | Vinorelbine 30 mg p.o. weekly, Capecitabine 1# bid, Gemcitabine 800 mg/m2 q2wk | 5 | PD | SD | Tumor marker > 50% decline | 8 | A |
17 | Breast ca with chest wall recurrence | 0 | CAF, Docetaxel | Vinorelbine 30 mg p.o. weekly, Capecitabine 1# bid, Gemcitabine 800 mg/m2 q2wk | 4 | SD | PR | RECIST | 12 | A |
18 | Breast ca with bone and chest wall recurrence | 1 | RT, CAF, Docetaxel | Vinorelbine 30 mg p.o. weekly, Capecitabine 1# bid, Gemcitabine 800 mg/m2 q2wk | 2 | PD | SD | RECIST | 5 | A |
19 | Phylloides tumor with lung meta | 0 | CAF | Cyclophosphamide (50)1# qod, Etoposide(50) 1# qod, Gemcitabine 1400 mg q2wk | 3 | SD | PR | RECIST | 12 | D |
20 | Fibrosarcoma with lung meta | 0 | — | Cyclophosphamide (50)1# qod, Etoposide(50) 1# qod, Gemcitabine 1400 mg q2wk | 3 | SD | PR | RECIST | 6 | D |
21 | Sarcoma, nonspecific with LN meta | 0 | — | Cyclophosphamide (50)1# qod, Etoposide(50) 1# qod, Gemcitabine 1400 mg q2wk | 2 | PD | PD | RECIST | 3 | D |
22 | Leiomyosarcoma of uterus with pelvic recurrence | 1 | — | Cyclophosphamide (50)1# qod, Etoposide(50) 1# qod, Gemcitabine 1400 mg q2wk | 2 | PD | PD | RECIST | 4 | D |
23 | Buccal ca, local recurrence | 1 | CCRT | Cyclophosphamide 50 mg qd, Methotrexate 50 mg q2wk, Tegafur and Uracil (UFT) 1# tid cisplatin 30/m2 q2wk | 3 | PD | SD | RECIST | 6 | D |
24 | Gingival ca, with lung meta | 1 | — | Cyclophosphamide 50 mg qd, Methotrexate 50 mg q2wk, Tegafur and Uracil (UFT) 1# tid | 2 | SD | PR | RECIST | 8 | A |
25 | Parotid gland ca, adenoid cystic carcinoma with multiple meta | 1 | Doxorubicin 50/m2 + cisplatin 60/m2 q3w | Cyclophosphamide 50 mg qd, cisplatin 30/m2 q2wkMethotrexate 50 mg q2wk, Tegafur and Uracil (UFT) 1# tid cisplatin 30/m2 q2wk | 3 | PD | PD | RECIST | 3 | A |
Abbreviations: Ca, cancer; meta, metastasis; bid, twice a day; tid, three times a day; qd, every day; qod, every other day; q2wk, every 2 weeks; LN, lymph node(s); CCRT, concomitant chemoradiotherapy; TKI, tyrosine kinase inhibitor; RT, radiotherapy; FOLFIRI, Irinotecan with fluorouracil and folinic acid; FOLFOX, oxaliplatin with fluorouracil and folinic acid; CAF, 5-fluorouracil, doxorubicin, cyclophosphamide.