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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Suppl 4
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pubmed:dateCreated |
1988-8-19
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pubmed:abstractText |
Following cisplatin combination chemotherapy for advanced epithelial type ovarian cancer, response to subsequent treatments has proved relatively poor. Mitomycin C and 5-fluorouracil (5-FU) have both been reported to have useful activity as single agents in patients with drug-refractory ovarian cancer. We have carried out a phase II trial of a combination of these two agents in 25 patients who had previously received a median of two chemotherapy regimens (range, one to five regimens). Patients received mitomycin C, 10 mg/m2 intravenously (IV) on day 1 every 6 weeks, and 5-FU, 500 mg/m2 IV daily on days 1 to 3 every 3 weeks. Four patients experienced a complete response and six patients a partial response, for an overall objective response rate of 40%. The median duration of complete and partial responses was 8 and 4 months, respectively. The median duration of survival for all 25 patients was 10.5 months (range, 2.5 to 49+ months). The most prevalent toxicity was bone marrow suppression. Leukopenia occurred in 68% of the patients, and 36% experienced thrombocytopenia. Severe or life-threatening bone marrow suppression was observed in 36% of the patients and required dose reduction or drug discontinuance in 28% and 24%, respectively. We conclude that mitomycin C plus 5-FU combination therapy appears to be extremely active in patients with drug-refractory disease. Confirmatory trials are indicated.
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pubmed:grant | |
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 |
Jun
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pubmed:issn |
0093-7754
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
22-6
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3134694-Adult,
pubmed-meshheading:3134694-Aged,
pubmed-meshheading:3134694-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:3134694-Drug Evaluation,
pubmed-meshheading:3134694-Female,
pubmed-meshheading:3134694-Fluorouracil,
pubmed-meshheading:3134694-Humans,
pubmed-meshheading:3134694-Middle Aged,
pubmed-meshheading:3134694-Mitomycin,
pubmed-meshheading:3134694-Mitomycins,
pubmed-meshheading:3134694-Ovarian Neoplasms
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pubmed:year |
1988
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pubmed:articleTitle |
Phase II trial of mitomycin C plus 5-FU in the treatment of drug-refractory ovarian cancer.
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pubmed:affiliation |
Department of Medicine, University of Arizona, Tucson.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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