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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1999-1-27
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pubmed:abstractText |
Based on the single-agent activity of both paclitaxel and cyclophosphamide in the treatment of non-Hodgkin's lymphoma (NHL), we conducted a phase II study to evaluate the efficacy of the combination of the two drugs in patients with refractory and relapsed aggressive NHL. All patients received 900 mg/m2 bolus of cyclophosphamide intravenously daily for 3 consecutive days with a concurrent infusion of 150 mg/m2 of paclitaxel over 72 h (50 mg/m2/d). 24 h after the completion of chemotherapy, patients received subcutaneous injections of 5 microg/kg of granulocyte-colony stimulating factor (G-CSF) daily until white cell count recovery. Treatment was repeated every 3 weeks. Patients who had at least a partial response (PR) after two courses continued to receive a maximum of four courses. Patients with responding disease were allowed to undergo high-dose chemotherapy followed by stem-cell/bone marrow transplantation if they were eligible. Of the 77 patients who were eligible for the study, 74 (96%) were evaluable for toxicity and treatment response. The overall response rate was 45% (95% CI 33-57%). Patients who received treatment after their disease relapsed from a complete response (CR) had an 81% response rate (38% CRs), whereas those with primary refractory disease had a 22% response rate. Toxicities of > grade 2 included alopecia (100%) and stomatitis (25%). Neutropenic fever of grade > 2 occurred after 18% of the courses, and platelet count of < or = 20 x 10(9)/l developed after 20% of the courses. Thus, the combination of paclitaxel plus high-dose cyclophosphamide is an effective new regimen in the treatment of refractory and relapsed NHL.
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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 |
Dec
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
103
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
678-83
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9858216-Adult,
pubmed-meshheading:9858216-Aged,
pubmed-meshheading:9858216-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:9858216-Chronic Disease,
pubmed-meshheading:9858216-Cyclophosphamide,
pubmed-meshheading:9858216-Disease-Free Survival,
pubmed-meshheading:9858216-Female,
pubmed-meshheading:9858216-Granulocyte Colony-Stimulating Factor,
pubmed-meshheading:9858216-Humans,
pubmed-meshheading:9858216-Infusions, Intravenous,
pubmed-meshheading:9858216-Injections, Intradermal,
pubmed-meshheading:9858216-Lymphoma, Non-Hodgkin,
pubmed-meshheading:9858216-Male,
pubmed-meshheading:9858216-Middle Aged,
pubmed-meshheading:9858216-Paclitaxel,
pubmed-meshheading:9858216-Recurrence,
pubmed-meshheading:9858216-Treatment Outcome
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pubmed:year |
1998
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pubmed:articleTitle |
Paclitaxel plus high-dose cyclophosphamide with G-CSF support in patients with relapsed and refractory aggressive non-Hodgkin's lymphoma.
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pubmed:affiliation |
Department of Lymphoma, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase II
|