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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1996-11-7
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pubmed:abstractText |
Sixty-five patients with advanced melanoma treated in phase II trials with interferon-alpha and high dose interleukin-2 were analysed for pretreatment prognostic parameters. Three levels of response were used: objective remission [three complete response (CR)/14 partial response (PR)], stable disease and progression. Elevated lactate dehydrogenase (LDH), impaired performance status and high tumor load were associated with poor response. Multivariate analysis considering two levels of response [CR/PR vs stable disease (SD)/progressive disease (PD)] did not reveal any model with more than one significant factor. Considering survival, LDH was also a strong factor. Additional prognostic factors here were performance status, metastatic sites, alkaline phosphatase and tumor load. A Cox regression analysis revealed LDH, performance status and metastatic sites as independent factors. The prognostic values of these parameters will have to be confirmed in a larger patient cohort. Using the landmark method, it was estimated whether the response obtained after two cycles of treatment predicted survival. Patients with PD at this time had a median further survival of 6 months, SD of 27 months, and PR/CR of more than 31 months. This observation may help making decisions at this time.
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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:month |
Apr
|
pubmed:issn |
0960-8931
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
173-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8791276-Dose-Response Relationship, Drug,
pubmed-meshheading:8791276-Female,
pubmed-meshheading:8791276-Humans,
pubmed-meshheading:8791276-Immunotherapy,
pubmed-meshheading:8791276-Interferon-alpha,
pubmed-meshheading:8791276-Interleukin-2,
pubmed-meshheading:8791276-Male,
pubmed-meshheading:8791276-Melanoma,
pubmed-meshheading:8791276-Middle Aged,
pubmed-meshheading:8791276-Prognosis,
pubmed-meshheading:8791276-Survival Analysis
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pubmed:year |
1996
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pubmed:articleTitle |
Prognostic factors for response and survival in patients with metastatic melanoma receiving immunotherapy.
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pubmed:affiliation |
Medizinische Klinik und Poliklinik, Abteilung V, University of Heidelberg, Germany.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Clinical Trial, Phase II
|