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21. |
Phase II Evaluation of Continuous-Infusion 5-Fluorouracil, Leucovorin, Mitomycin-C, and Oral Dipyridamole in Advanced Measurable Pancreatic CancerA North Central Cancer Treatment Group Trial |
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American Journal of Clinical Oncology: Cancer Clinical Trials,
Volume 23,
Issue 5,
2000,
Page 534-537
Patrick Burch,
Chirantan Ghosh,
Georgene Schroeder,
Cristine Allmer,
Charles Woodhouse,
Richard Goldberg,
Ferdinand Addo,
Albert Bernath,
Loren Tschetter,
Harold Windschitl,
Charles Cobau,
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摘要:
At present there remains a need for more effective systemic therapy in advanced pancreatic cancer. Some studies have suggested that infusional chemotherapy schedules and biomodulation of 5-fluorouracil (5-FU) may improve the therapeutic outcome in advanced colon cancer. One such regimen that uses continuous infusion 5-FU, weekly leucovorin, daily dipyridamole, and intermittent mitomycin-C has activity in both colon and unresectable pancreatic carcinoma. The intent of this trial was to test the effectiveness of this four-drug regimen in advanced pancreatic cancer. Patients received 5-FU 200 mg/m2daily by continuous infusion, leucovorin 30 mg/m2IV weekly, mitomycin-C 10 mg/m2day 1, and dipyridamole 75 mg orally four times daily for 5 weeks. After a 1-week break, treatment cycles were repeated every 6 weeks. Eligibility included biopsy-proven advanced measurable pancreatic cancer, Eastern Cooperative Oncology Group performance status 0 and 2, and no prior systemic chemotherapy. Of 46 evaluable patients, 9 partial responses and 1 complete tumor response were seen, for an overall response rate of 22% (95% confidence interval 11–36%). The median survival in the group of 50 patients registered to this trial was 4.6 months, with a range of 0.33 to 40.2 months. Toxicity was manageable, with the most common toxicities (≥grade III National Cancer Institute Common Toxicity Criteria) being anorexia (13%), stomatitis (17%), and hand–foot syndrome (13%). Of note, little severe hematologic toxicity and no significant headaches were reported. Although some patients did respond, the therapeutic results are not encouraging enough to take this regimen to phase III testing.
ISSN:0277-3732
出版商:OVID
年代:2000
数据来源: OVID
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22. |
Jerzy Einhorn, M.D.A Memorial |
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American Journal of Clinical Oncology: Cancer Clinical Trials,
Volume 23,
Issue 5,
2000,
Page 538-538
Ulrik Ringborg,
Seymour Levitt,
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PDF (6KB)
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ISSN:0277-3732
出版商:OVID
年代:2000
数据来源: OVID
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23. |
Learning From Patients |
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American Journal of Clinical Oncology: Cancer Clinical Trials,
Volume 23,
Issue 5,
2000,
Page 539-540
A. Kagan,
Romaine Clifton,
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PDF (13KB)
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ISSN:0277-3732
出版商:OVID
年代:2000
数据来源: OVID
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