Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1990-10-12
pubmed:abstractText
Thirty-nine adults with clinical stage III or IV diffuse large cell lymphoma were prospectively randomised to receive etoposide with doxorubicin (Group 1: n = 17), the same schedule of etoposide with carminomycin (Group 2: n = 8), or BACOP (Group 3: n = 14). The complete remission rates were respectively 24%, 25% and 28%, and further good partial remissions were 41%, 25% and 14%. The incidence of adverse prognostic factors was examined with the first two groups combined for comparison to patients receiving BACOP. The low complete remission rates were attributable to bone marrow invasion in 64% (16/25) of patients in groups 1 and 2, and 64% (9/14) in group 3; to extensive gastrointestinal tract involvement in 24% (6/25) of patients in groups 1 and 2, and 36% (5/14) in group 3; and to high bulk disease in 24% (6/25) of patients in groups 1 and 2, and 36% (5/14) in group 3. Actuarially predicted survival has not been reached for group 1, is 12 months for group 2, and 8 months for group 3; these different trends are not statistically significant. The trial was discontinued when it became clear that there was no difference between the two- and five-drug treatment regimens and that unacceptably low remission rates were obtained in patients having a high incidence of these poor prognostic factors, particularly when compared with results being reported in regimens that contain high or intermediate doses of methotrexate.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0017-6559
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
41-7
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:1697822-Adolescent, pubmed-meshheading:1697822-Adult, pubmed-meshheading:1697822-Aged, pubmed-meshheading:1697822-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:1697822-Bleomycin, pubmed-meshheading:1697822-Bone Marrow, pubmed-meshheading:1697822-Carubicin, pubmed-meshheading:1697822-Cyclophosphamide, pubmed-meshheading:1697822-Doxorubicin, pubmed-meshheading:1697822-Etoposide, pubmed-meshheading:1697822-Female, pubmed-meshheading:1697822-Gastrointestinal Neoplasms, pubmed-meshheading:1697822-Humans, pubmed-meshheading:1697822-Lymphoma, Non-Hodgkin, pubmed-meshheading:1697822-Male, pubmed-meshheading:1697822-Middle Aged, pubmed-meshheading:1697822-Neoplasm Invasiveness, pubmed-meshheading:1697822-Prednisone, pubmed-meshheading:1697822-Prognosis, pubmed-meshheading:1697822-Prospective Studies, pubmed-meshheading:1697822-Randomized Controlled Trials as Topic, pubmed-meshheading:1697822-Survival Rate, pubmed-meshheading:1697822-Vincristine
pubmed:year
1990
pubmed:articleTitle
Combination chemotherapy for advanced diffuse large cell lymphoma. The adverse effects of bone marrow invasion, gastrointestinal tract involvement or high bulk disease.
pubmed:affiliation
University of Cape Town Leukaemia Centre, Observatory, South Africa.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't