Frequency and characteristics of docetaxel-induced radiation recall phenomenon

Int J Radiat Oncol Biol Phys. 2006 Nov 15;66(4):1187-91. doi: 10.1016/j.ijrobp.2006.05.073. Epub 2006 Sep 1.

Abstract

Purpose: The aim of this study was to investigate the frequency and characteristics of a docetaxel-induced radiation recall phenomenon.

Methods and materials: Past histories of radiotherapy and radiation recall phenomenon (RRP) were analyzed in 461 patients who were administered docetaxel at our hospital between September 2002 and November 2005.

Results: Of the 461 patients, 171 underwent radiotherapy before starting docetaxel. RRP was noted in 3 patients (1.8%). The 3 cases show that RRP tends to develop in patients treated with lower-energy photon beams of < or =6 MV and in patients with marked acute phase reactions during radiotherapy.

Conclusions: The incidence of RRP induced by docetaxel was 1.8%, making it a comparatively rare condition. However, docetaxel is increasingly being used for patients with head and neck tumors, and caution regarding development of RRP is warranted after use of docetaxel after high-dose radiotherapy with photon beams of < or =6 MV.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / administration & dosage
  • Comorbidity
  • Docetaxel
  • Female
  • Humans
  • Incidence
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Neoplasms / drug therapy*
  • Neoplasms / epidemiology
  • Neoplasms / radiotherapy*
  • Radiation Injuries / epidemiology*
  • Radiation Tolerance / drug effects*
  • Risk Assessment / methods*
  • Risk Factors
  • Taxoids / administration & dosage*

Substances

  • Antineoplastic Agents
  • Taxoids
  • Docetaxel