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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1979-5-23
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pubmed:abstractText |
The combination of sequential L-asparaginase and methotrexate (MTX) was evaluated in 33 patients with advanced refractory breast cancer. There were nine partial responses and one complete response, giving an overall response rate of 30% and a median duration of response of 8 months. Five of 17 patients (28%) who had received prior MTX at doses of less than 50 mg/m2 responded. Toxicity was acceptable. Moderate-to-severe stomatitis occurred in most patients and was the dose-limiting factor. Myelosuppression was minimal until the dose of MTX was escalated to greater than or equal to 180 mg/m2. The maximum tolerated dose of MTX was 280 mg/m2 and the median toxic dose was 220 mg/m2. These data indicate a selective "rescue" from MTX damage to normal target tissue by L-asparaginase. The antitumor effect observed even in patients who had been previously exposed to conventional doses of MTX suggests a possible improved therapeutic index of MTX given sequentially with L-asparaginase in this combination.
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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 |
Jan
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pubmed:issn |
0361-5960
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
63
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
77-83
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:369695-Adult,
pubmed-meshheading:369695-Aged,
pubmed-meshheading:369695-Asparaginase,
pubmed-meshheading:369695-Blood Cell Count,
pubmed-meshheading:369695-Breast Neoplasms,
pubmed-meshheading:369695-Clinical Trials as Topic,
pubmed-meshheading:369695-Drug Evaluation,
pubmed-meshheading:369695-Drug Therapy, Combination,
pubmed-meshheading:369695-Female,
pubmed-meshheading:369695-Humans,
pubmed-meshheading:369695-Methotrexate,
pubmed-meshheading:369695-Middle Aged,
pubmed-meshheading:369695-Neoplasm Metastasis,
pubmed-meshheading:369695-Time Factors
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pubmed:year |
1979
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pubmed:articleTitle |
Phase II study with sequential L-asparaginase and methotrexate in advanced refractory breast cancer.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.
|