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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1984-3-19
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pubmed:abstractText |
One-hundred fourteen patients with advanced testicular cancer were randomized to treatment consisting of either high-dose (120 mg/m2, monthly) or low-dose (15 mg/m2, daily X 5 monthly) cisplatin, both combined with vinblastine and bleomycin. There were 60 (53%) complete remissions and 42 partial remissions for an overall response rate of 90%. An additional 11 patients, 4 with carcinoma and 7 with mature teratoma, following surgical cytoreduction, were rendered free of disease. There was a significantly higher complete response rate for high dose induction chemotherapy, 63%, when compared with low dose, 43% (P = 0.03). A survival advantage was also observed for patients receiving high-dose therapy (P = 0.009). For the subgroup of patients with maximal disease and embryonal +/- teratoma +/- seminoma histology there was a clear advantage in favor of high-dose over low-dose therapy both in complete response rate and survival (P = 0.03). There have been only four relapses, all occurring within 1 year of study entry. While there has been a higher frequency of leukopenia, renal, neuromuscular, and mucosal toxicity with high-dose therapy, thus far no irreversible toxicity leading to functional impairment has been seen. The authors have demonstrated a clear-cut relationship for dose of therapy, not only with response and survival, but with the increased potential for cure as well.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0008-543X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
53
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1029-35
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:6198064-Adolescent,
pubmed-meshheading:6198064-Adult,
pubmed-meshheading:6198064-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:6198064-Bleomycin,
pubmed-meshheading:6198064-Cisplatin,
pubmed-meshheading:6198064-Clinical Trials as Topic,
pubmed-meshheading:6198064-Dose-Response Relationship, Drug,
pubmed-meshheading:6198064-Drug Administration Schedule,
pubmed-meshheading:6198064-Humans,
pubmed-meshheading:6198064-Male,
pubmed-meshheading:6198064-Middle Aged,
pubmed-meshheading:6198064-Neoplasm Staging,
pubmed-meshheading:6198064-Neoplasms, Germ Cell and Embryonal,
pubmed-meshheading:6198064-Random Allocation,
pubmed-meshheading:6198064-Testicular Neoplasms,
pubmed-meshheading:6198064-Vinblastine
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pubmed:year |
1984
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pubmed:articleTitle |
Dose-response and dose-survival advantage for high versus low-dose cisplatin combined with vinblastine and bleomycin in disseminated testicular cancer. A Southwest Oncology Group study.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.
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