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表柔比星/达卡巴嗪与异环磷酰胺快速交替用于转移性软组织肉瘤的治疗。

Epirubicin/dacarbazine rapidly alternated with ifosfamide in the treatment of metastatic soft tissue sarcomas.

作者信息

Bokemeyer C, Harstrick A, Schmoll H J, Köhne-Wömpner C H, Schöffski P, Poliwoda H

机构信息

Department of Hematology/Oncology, University of Hannover Medical School, Germany.

出版信息

Ann Oncol. 1992 Jun;3(6):487-8. doi: 10.1093/oxfordjournals.annonc.a058243.

DOI:10.1093/oxfordjournals.annonc.a058243
PMID:1498067
Abstract

Twenty-eight patients with non-pretreated metastatic soft tissue sarcomas were entered on a treatment protocol of rapidly alternating epirubicin/dacarbazine and ifosfamide: Epirubicin 100 mg/m2 d1, dacarbazine 500 mg/m2 d1 + d2, ifosfamide 6000 mg/m2 24-h infusion d15; repeated d29. Eight patients (30%) achieved partial responses, with a median duration of 8.5 months. The median time to progression was 5.5 months. Myelosuppression was the main toxicity. Only 74% of the planned dose intensity could be administered. This rapidly alternating treatment protocol is not superior to anthracycline single agent therapy.

摘要

28例未经预处理的转移性软组织肉瘤患者进入一项快速交替使用表柔比星/达卡巴嗪和异环磷酰胺的治疗方案:表柔比星100mg/m²,第1天;达卡巴嗪500mg/m²,第1天和第2天;异环磷酰胺6000mg/m²,24小时输注,第15天;第29天重复。8例患者(30%)获得部分缓解,中位缓解持续时间为8.5个月。中位疾病进展时间为5.5个月。骨髓抑制是主要毒性。仅能给予计划剂量强度的74%。这种快速交替治疗方案并不优于蒽环类单药治疗。

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引用本文的文献

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Curr Oncol. 2007 Aug;14(4):144-8. doi: 10.3747/co.2007.130.
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Epirubicin. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in cancer chemotherapy.表柔比星。对其药效学和药代动力学特性以及在癌症化疗中的治疗应用的综述。
Drugs. 1993 May;45(5):788-856. doi: 10.2165/00003495-199345050-00011.