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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1977-8-25
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pubmed:abstractText |
Thirty-two patients (27, extensive disease; five, regional disease) with histologically documented small cell carcinoma entered a randomized study to determine the efficacy of intensive induction chemotherapy. The necessity of a protected environment (laminar air flow room) during this treatment was also evaluated. Patients received high-dose or standard-dose cyclophosphamide, methotrexate, and CCNU (CMC) during the first 6 weeks of treatment. Subsequent maintenance therapy consisted of standard-dose CMC until disease progression. In 23 patients treated with high-dose chemotherapy there were responses in 96% (30% complete). Standard-dose chemotherapy gave responses in 45%, none of which were complete. Median survival correlated with completeness of response and was 16+ months for the seven complete responders. Patients receiving high-dose CMC spent an average of 10 days with neutrophil counts less than 1000/mm3. There was only one documented, non-fatal infection. High-dose chemotherapy gives better responses and longer survival than previously utilized standard doses of the same drugs. Patients could safely be treated in the hospital ward.
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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 |
0361-5960
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
61
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-54
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:194691-Aged,
pubmed-meshheading:194691-Carcinoma, Bronchogenic,
pubmed-meshheading:194691-Carcinoma, Small Cell,
pubmed-meshheading:194691-Clinical Trials as Topic,
pubmed-meshheading:194691-Cyclophosphamide,
pubmed-meshheading:194691-Dose-Response Relationship, Drug,
pubmed-meshheading:194691-Environment, Controlled,
pubmed-meshheading:194691-Female,
pubmed-meshheading:194691-Humans,
pubmed-meshheading:194691-Lomustine,
pubmed-meshheading:194691-Lung Neoplasms,
pubmed-meshheading:194691-Male,
pubmed-meshheading:194691-Methotrexate,
pubmed-meshheading:194691-Middle Aged,
pubmed-meshheading:194691-Neoplasm Metastasis,
pubmed-meshheading:194691-Nitrosourea Compounds,
pubmed-meshheading:194691-Remission, Spontaneous,
pubmed-meshheading:194691-Time Factors
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pubmed:articleTitle |
Intensive chemotherapy of small cell bronchogenic carcinoma.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|