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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1985-9-12
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pubmed:abstractText |
The role of intensive induction chemotherapy in small cell cancer of the lung remains unclear. Twenty-eight newly diagnosed patients with small cell lung cancer were randomized to receive either high-dose or standard-dose cyclophosphamide, vincristine, and semustine in a trial where the dose of induction chemotherapy was the sole treatment variable. Complete responses (CR) were achieved in 57% of patients receiving high-dose therapy as compared to 21% of patients receiving standard-dose therapy (P less than 0.05). There was a higher rate of severe toxicity in the high-dose group (P less than 0.01). The overall median survival was not improved (36 weeks for the high-dose group vs 43 weeks for the standard-dose group); however, the median survival in patients achieving CR was prolonged (92 weeks for the high-dose group vs 50 weeks for the standard-dose group). These effects were most pronounced in patients with extensive disease; a CR after induction was achieved in five of nine patients treated with high doses but not in any of those treated with standard doses (P less than 0.05). A small group of patients appear to benefit by achieving a long-term remission with intensive induction chemotherapy, but this effect may be offset by increased morbidity.
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pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0361-5960
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
69
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
571-5
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2990708-Aged,
pubmed-meshheading:2990708-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2990708-Carcinoma, Small Cell,
pubmed-meshheading:2990708-Clinical Trials as Topic,
pubmed-meshheading:2990708-Cyclophosphamide,
pubmed-meshheading:2990708-Drug Administration Schedule,
pubmed-meshheading:2990708-Female,
pubmed-meshheading:2990708-Humans,
pubmed-meshheading:2990708-Leukopenia,
pubmed-meshheading:2990708-Lung Neoplasms,
pubmed-meshheading:2990708-Male,
pubmed-meshheading:2990708-Middle Aged,
pubmed-meshheading:2990708-Semustine,
pubmed-meshheading:2990708-Thrombocytopenia,
pubmed-meshheading:2990708-Vincristine
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pubmed:year |
1985
|
pubmed:articleTitle |
Intensive induction chemotherapy for small cell anaplastic carcinoma of the lung.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|