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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-7-11
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pubmed:abstractText |
Cancer cell resistance to several cytotoxic drugs, including doxorubicin and vincristine can be reduced in vitro by verapamil; this drug works at least in part by inhibitive competition for the multiple-drug resistance efflux-pump P-glycoprotein-170. To evaluate the clinical potential of this experimental concept we combined verapamil in continuous infusion with adriamycin and vincristine in the treatment of patients with advanced and anthracycline-refractory breast cancer. Sixteen patients were included and 55 treatment courses were given at different dose levels of chemotherapy; verapamil was given by continuous infusion of 0.003 mg kg-1 min-1 for 48 h. Overall, cardiac toxicity was low but a potentiation of neurotoxicity and hematotoxicity was observed. The objective response rate was 21% (3 partial responses in 16 patients) and the median survival was 6 months; these results are comparable to those of other second line treatment studies, using drugs not supposed to be cross-resistant.
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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 |
0736-0118
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
39-43
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2041381-Adult,
pubmed-meshheading:2041381-Aged,
pubmed-meshheading:2041381-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2041381-Breast Neoplasms,
pubmed-meshheading:2041381-Doxorubicin,
pubmed-meshheading:2041381-Drug Evaluation,
pubmed-meshheading:2041381-Female,
pubmed-meshheading:2041381-Humans,
pubmed-meshheading:2041381-Infusions, Intravenous,
pubmed-meshheading:2041381-Middle Aged,
pubmed-meshheading:2041381-Neoplasm Metastasis,
pubmed-meshheading:2041381-Verapamil,
pubmed-meshheading:2041381-Vincristine
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pubmed:year |
1991
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pubmed:articleTitle |
Treatment of advanced and refractory breast cancer with doxorubicin, vincristine and continuous infusion of verapamil. A phase I-II clinical trial.
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pubmed:affiliation |
Department of Hematology-Oncology, Centre Hospitalier, Luxembourg.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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