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甲基苄肼、环己亚硝脲和长春新碱联合化疗治疗恶性脑肿瘤的II期研究。

Phase II study of procarbazine, CCNU, and vincristine combination chemotherapy in the treatment of malignant brain tumors.

作者信息

Gutin P H, Wilson C B, Kumar A R, Boldrey E B, Levin V, Powell M, Enot K J

出版信息

Cancer. 1975 May;35(5):1398-404. doi: 10.1002/1097-0142(197505)35:5<1398::aid-cncr2820350524>3.0.co;2-c.

DOI:10.1002/1097-0142(197505)35:5<1398::aid-cncr2820350524>3.0.co;2-c
PMID:1122488
Abstract

Forty-eight patients with primary or metastatic malignant tumors of the central nervous system (CNS) were treated with combination chemotherapy, consisting or procarbazine (100 mg/m2 X 14 days), CCNU (75 mg/m2), and vincristine (1.4 mg/m2 X 2, 1 week apart) (PCV) every 4 weeks. Most patients had undergone initial resection of primary tumors, postoperative radiotherapy, and a post irradiation interval of 3 months or more. Other patients harbored unbiopsied, newly-discovered primary or metastatic tumors. All patients were deteriorating neurologically when treatment began. Overall response rate for PCV combination therapy was 44%, no better than results obtained with single agent procarbazine or BCNU, the most effective drugs used alone in previous brain tumor chemotherapy studies.

摘要

48例原发性或转移性中枢神经系统(CNS)恶性肿瘤患者接受了联合化疗,方案为每4周使用丙卡巴肼(100 mg/m²×14天)、洛莫司汀(CCNU,75 mg/m²)和长春新碱(1.4 mg/m²×2次,间隔1周)(PCV方案)。大多数患者已接受原发性肿瘤的初始切除、术后放疗,且放疗后间隔3个月或更长时间。其他患者患有未经活检的新发现的原发性或转移性肿瘤。治疗开始时,所有患者的神经功能均在恶化。PCV联合治疗的总体缓解率为44%,并不优于单用丙卡巴肼或卡莫司汀(BCNU)的效果,而这两种药物是之前脑肿瘤化疗研究中单独使用时最有效的药物。

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