Source:http://linkedlifedata.com/resource/pubmed/id/16005104
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2005-9-16
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pubmed:abstractText |
Few chemotherapeutic agents have demonstrated their efficacy in malignant mesothelioma. The cisplatin plus doxorubicin combination has one of the highest response rates. Epirubicin is an anthracyclin, analogous to doxorubicin, with a different toxicologic pattern. As there are no data on the activity of the combination cisplatin plus epirubicin in malignant mesothelioma, the European Lung Cancer Working Party (ELCWP) designed a phase II study with response rate as primary objective. Sixty-nine eligible patients with malignant pleural mesothelioma were centrally registered. The majority of the patients were male (n=59), had a Karnofsky performance status of 80 or more (n=62) and presented with an epithelial histologic subtype (n=43). Median age was 62 years. In nine patients, metastases were documented at the initial work-up, mainly in bone, lung and skin. Three hundred and twenty-four cycles of chemotherapy were administered. The main toxicities were nausea and vomiting, neutropenia and alopecia. Among 63 assessable patients, response rate was 19.0% (95% confidence interval [CI] 9-29%). Median survival was 13.3 months. In multivariate analysis, poor prognostic factors for survival were neutrophil count and CALGB groups 4-6. In conclusion, cisplatin plus epirubicin appears as an effective regimen in malignant mesothelioma, with a favourable toxicity profile. However, it does not demonstrate superior activity to other active regimens in this disease.
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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:month |
Oct
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pubmed:issn |
0169-5002
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pubmed:author |
pubmed-author:BerchierM CMC,
pubmed-author:BerghmansTT,
pubmed-author:CollotNN,
pubmed-author:European Lung Cancer Working Party (ELCWP),
pubmed-author:LafitteJ JJJ,
pubmed-author:LecomteJJ,
pubmed-author:MommenPP,
pubmed-author:PaesmansMM,
pubmed-author:SculierJ PJP,
pubmed-author:StachBB,
pubmed-author:WackenierPP
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pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
75-82
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pubmed:dateRevised |
2009-6-29
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pubmed:meshHeading |
pubmed-meshheading:16005104-Adult,
pubmed-meshheading:16005104-Aged,
pubmed-meshheading:16005104-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:16005104-Cisplatin,
pubmed-meshheading:16005104-Epirubicin,
pubmed-meshheading:16005104-Female,
pubmed-meshheading:16005104-Humans,
pubmed-meshheading:16005104-Infusions, Intravenous,
pubmed-meshheading:16005104-Male,
pubmed-meshheading:16005104-Mesothelioma,
pubmed-meshheading:16005104-Middle Aged,
pubmed-meshheading:16005104-Pleural Neoplasms,
pubmed-meshheading:16005104-Prognosis,
pubmed-meshheading:16005104-Survival Analysis,
pubmed-meshheading:16005104-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
A phase II study evaluating the cisplatin and epirubicin combination in patients with unresectable malignant pleural mesothelioma.
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pubmed:affiliation |
Department of Intensive Care and Thoracic Oncology, Institut Jules Bordet, Rue Héger-Bordet 1, 1000 Bruxelles, Belgium. thierry.berghmans@bordet.be
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pubmed:publicationType |
Journal Article,
Multicenter Study,
Clinical Trial, Phase II
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