Source:http://linkedlifedata.com/resource/pubmed/id/14870770
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2004-2-11
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pubmed:abstractText |
Hematological and extra-hematological toxicity of mitoxantrone-containing regimens with autologous stem cell rescue was evaluated in 32 metastatic breast cancer patients. The schedule was the final part of two high-dose chemotherapy programs, including an induction phase with three courses of conventional chemotherapy with epirubicin (120 mg/m2) and cyclophosphamide (600 mg/m2) plus three courses of docetaxel (100 mg/m2) and a first high-dose chemotherapy consisting of cyclophosphamide (6000 mg/m2), thiotepa (500 mg/m2) and carboplatin (800 mg/m2) or melphalan (160 mg/m2) plus thiotepa (600 mg/m2). The final second autograft phase included mitoxantrone (60 mg/m2) associated with melphalan (160 mg/m2) and autologous stem cell rescue infusion. The median duration of severe neutropenia and thrombocytopenia was 9 (range, 7-13) and 11.5 (range, 9-29) days. The median number of units of erythrocytes and platelets transfused was 1 (0-11) and 4 (1-9), respectively. Fever for a median of 2 (0-8) days developed in 71.8% of the patients. Mucositis was observed in 81.2% (WHO grade 3-4 in 25%). No acute or late cardiac toxicity was observed. One patient died because of a transplant-unrelated cause. The response according to the program phase showed an increased rate of complete response, from 12.5% at the end of conventional chemotherapy to 21.9% after the first high-dose chemotherapy course, to increase to 43.9% after the treatment with mitoxantrone-melphalan. We conclude that a conditioning regimen with high dose mitoxantrone-melphalan fits well within the high-dose chemotherapy program.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-8916
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pubmed:author |
pubmed-author:CalleaIdaI,
pubmed-author:CiceroGiovanniG,
pubmed-author:CondemiAntoniaA,
pubmed-author:ConsoleGiuseppeG,
pubmed-author:DattolaAntonellaA,
pubmed-author:IacopinoPasqualeP,
pubmed-author:IrreraGiuseppeG,
pubmed-author:MartinoMassimoM,
pubmed-author:MessinaGiuseppeG,
pubmed-author:MolicaStefanoS,
pubmed-author:MorabitoFortunatoF,
pubmed-author:NardiMarioM,
pubmed-author:PalazzoSalvatoreS,
pubmed-author:PennaGiuseppaG,
pubmed-author:PontariAntonellaA,
pubmed-author:PucciGiuliaG
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pubmed:issnType |
Print
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pubmed:volume |
89
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
492-6
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pubmed:dateRevised |
2008-12-12
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pubmed:meshHeading |
pubmed-meshheading:14870770-Adult,
pubmed-meshheading:14870770-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:14870770-Breast Neoplasms,
pubmed-meshheading:14870770-Dose-Response Relationship, Drug,
pubmed-meshheading:14870770-Drug Administration Schedule,
pubmed-meshheading:14870770-Feasibility Studies,
pubmed-meshheading:14870770-Female,
pubmed-meshheading:14870770-Humans,
pubmed-meshheading:14870770-Melphalan,
pubmed-meshheading:14870770-Middle Aged,
pubmed-meshheading:14870770-Mitoxantrone,
pubmed-meshheading:14870770-Stem Cell Transplantation,
pubmed-meshheading:14870770-Transplantation, Autologous,
pubmed-meshheading:14870770-Treatment Outcome
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pubmed:articleTitle |
High-dose chemotherapy with mitoxantrone + melphalan and autologous stem cell rescue in metastatic breast cancer patients: a study of feasibility and tolerability.
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pubmed:affiliation |
Centro Trapianti Midollo Osseo, Azienda Ospedaliera Bianchi-Melacrino-Morelli, Reggio Calabria, Italy. massimartino@tin.it
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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