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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1984-4-19
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pubmed:abstractText |
One hundred patients with non-small cell lung cancer were entered into a randomized evaluation of two schedules of doxorubicin combined with ftorafur, cyclophosphamide, and cisplatin (FACP). Doxorubicin was given either weekly at 20 mg/m2, or every three weeks (standard) at 60 mg/m2. Fifty-two patients were randomized to the FACP/weekly doxorubicin arm and 48 patients to the FACP/standard doxorubicin arm. The FACP/weekly doxorubicin regimen was associated with higher complete and partial remission rates (31% versus 19%), longer response duration (median, 33 versus 21 weeks), and longer survival duration for responders (median, 58 versus 50 weeks). These differences were not significant. Less neutropenia (p = 0.01) and less infectious morbidity (p = 0.05) were observed in the FACP/weekly doxorubicin arm. Twenty-eight patients underwent 35 endomyocardial biopsies to assess doxorubicin-induced cardiotoxicity. Sixteen biopsies were performed in 12 patients receiving cumulative doxorubicin doses ranging from 250 to 1,190 mg/m2 within the FACP/weekly doxorubicin arm. Nineteen biopsies were performed in 16 patients receiving cumulative doxorubicin doses ranging from 250 to 540 mg/m2 within the FACP/standard doxorubicin regimen. The FACP/weekly doxorubicin regimen was associated with significantly lower cardiotoxicity scores (p = 0.01). This study indicates that weekly administered doxorubicin is as effective and less cardiotoxic than the standard schedule.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0732-183X
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
2
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
207-14
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:6321689-Adenocarcinoma,
pubmed-meshheading:6321689-Adult,
pubmed-meshheading:6321689-Aged,
pubmed-meshheading:6321689-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:6321689-Bone Marrow,
pubmed-meshheading:6321689-Carcinoma, Small Cell,
pubmed-meshheading:6321689-Carcinoma, Squamous Cell,
pubmed-meshheading:6321689-Cisplatin,
pubmed-meshheading:6321689-Clinical Trials as Topic,
pubmed-meshheading:6321689-Cyclophosphamide,
pubmed-meshheading:6321689-Dose-Response Relationship, Drug,
pubmed-meshheading:6321689-Doxorubicin,
pubmed-meshheading:6321689-Drug Administration Schedule,
pubmed-meshheading:6321689-Female,
pubmed-meshheading:6321689-Heart,
pubmed-meshheading:6321689-Humans,
pubmed-meshheading:6321689-Lung Neoplasms,
pubmed-meshheading:6321689-Male,
pubmed-meshheading:6321689-Middle Aged,
pubmed-meshheading:6321689-Prospective Studies,
pubmed-meshheading:6321689-Random Allocation,
pubmed-meshheading:6321689-Tegafur
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pubmed:year |
1984
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pubmed:articleTitle |
Increased therapeutic index of weekly doxorubicin in the therapy of non-small cell lung cancer: a prospective, randomized study.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial
|