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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1993-5-24
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pubmed:abstractText |
For 30 months we have treated 115 non-pretreated non-seminomatous germ cell tumour (NSGCT) patients with poor risk characteristics. Patients were allocated randomly to either arm A: NCI regimen with vinblastine, etoposide (E), bleomycin and double dose cisplatin (P2) (PVeBV) 3 or 4 cycles Q3W, or arm B: modified PVeBV protocol (bleomycin in continuous infusion) Q4W than a cycle of high-dose E + cyclophosphamide + P2 (PEC) and autologous bone marrow transplantation (ABMT). 114 patients are evaluable: 81 testicular, 18 mediastinal and 15 retroperitoneal primaries. Results: Arm A 57 patients: 7 patients did not complete the treatment. There were 15 failures, 9 PR, 33 CR. Seven patients relapsed. The 2-year survival is 82%. Arm B 57 patients: 16 patients did not complete the treatment. There were 26 failures, 7 PR and 24 CR. Nine patients relapsed. The 2-year survival is 60%. Both CR rates and survival are not statistically different. This trial fails to show any benefit of early intensified chemotherapy + ABMT to increase the CR and survival rates in poor risk NSGCT.
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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:issn |
0302-2838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
213-7; discussion 218
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:8386652-Adult,
pubmed-meshheading:8386652-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8386652-Bone Marrow Transplantation,
pubmed-meshheading:8386652-Combined Modality Therapy,
pubmed-meshheading:8386652-Humans,
pubmed-meshheading:8386652-Male,
pubmed-meshheading:8386652-Mediastinal Neoplasms,
pubmed-meshheading:8386652-Neoplasms, Germ Cell and Embryonal,
pubmed-meshheading:8386652-Remission Induction,
pubmed-meshheading:8386652-Retroperitoneal Neoplasms,
pubmed-meshheading:8386652-Risk,
pubmed-meshheading:8386652-Testicular Neoplasms,
pubmed-meshheading:8386652-Tumor Markers, Biological
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pubmed:year |
1993
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pubmed:articleTitle |
Early intensified chemotherapy with autologous bone marrow transplantation in first line treatment of poor risk non-seminomatous germ cell tumours. Preliminary results of a French randomized trial.
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pubmed:affiliation |
Centre Claudius Regaud, Toulouse, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|