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一项关于静脉推注与持续输注异环磷酰胺和多柔比星联合口服依托泊苷治疗小细胞肺癌的随机研究。

A randomised study of intravenous bolus versus continuous infusion of ifosfamide and doxorubicin with oral etoposide for small-cell lung cancer.

作者信息

Anderson H, Prendiville J, Thatcher N, Radford J A, Swindell R

机构信息

CRC Department of Medical Oncology, Christie Hospital, Manchester, UK.

出版信息

J Cancer Res Clin Oncol. 1991;117 Suppl 4(Suppl 4):S139-40. doi: 10.1007/BF01613219.

DOI:10.1007/BF01613219
PMID:1665490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12201368/
Abstract

159 "poor risk" patients with previously untreated small cell lung cancer were entered into a randomised study of intravenous bolus versus continuous infusion chemotherapy with doxorubicin on weeks 1, 3, 5 and ifosfamide with mesna on weeks 2, 4, 6. Oral etoposide was given on days 1-5, 15-19, and 29-33. There was no difference in response rate or survival. However, patients treated with continuous infusion therapy had significantly less haematological toxicity (P = 0.0007), and less nausea and vomiting (P = 0.03).

摘要

159例既往未接受过治疗的小细胞肺癌“高危”患者进入一项随机研究,比较第1、3、5周静脉推注多柔比星与持续输注多柔比星,以及第2、4、6周异环磷酰胺与美司钠持续输注化疗的效果。第1 - 5天、15 - 19天和29 - 33天给予口服依托泊苷。缓解率或生存率无差异。然而,接受持续输注治疗的患者血液学毒性明显较小(P = 0.0007),恶心和呕吐也较少(P = 0.03)。

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