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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1987-12-28
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pubmed:abstractText |
10 patients with myeloma refractory to alkylating agents were treated with either 4-d pulses of high-dose dexamethasone therapy, or 4-d pulsed high-dose dexamethasone in combination with 4-d continuous infusions of vincristine and adriamycin (VAD). 8 patients were evaluated after a median duration of treatment of 2.3 courses (range 1 to 4). 6 of the 8 evaluable patients achieved reduction in serum and/or urine paraprotein levels with a mean reduction in serum paraprotein of 74.1%. There was a concomitant improvement in wellbeing in these responding patients. 2 evaluable patients failed to show biochemical or clinical response (1 treated with VAD, 1 high-dose dexamethasone). 2 patients currently survive 390 d and 180 d, respectively, on continuing therapy. 8 patients died with a mean duration of survival of 99 d (range 10 to 246 d). We conclude that the use of VAD chemotherapy in patients with refractory myeloma confers both a worthwhile remission of disease symptoms and biochemical evidence of disease regression, and that trials of VAD as primary treatment for myeloma are indicated.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0902-4441
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
203-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3678471-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:3678471-Blood Cell Count,
pubmed-meshheading:3678471-Dexamethasone,
pubmed-meshheading:3678471-Doxorubicin,
pubmed-meshheading:3678471-Drug Evaluation,
pubmed-meshheading:3678471-Humans,
pubmed-meshheading:3678471-Infection,
pubmed-meshheading:3678471-Multiple Myeloma,
pubmed-meshheading:3678471-Vincristine
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pubmed:year |
1987
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pubmed:articleTitle |
Potential value of vintristine-adriamycin-dexamethasone combination chemotherapy (VAD) in refractory and rapidly progressive myeloma.
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pubmed:affiliation |
Department of Haematology, Royal Hallamshire Hospital, Sheffield, U.K.
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pubmed:publicationType |
Journal Article,
Comparative Study
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