Elias A, Ryan L, Aisner J, Antman K H
Division of Medicine, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Semin Oncol. 1990 Apr;17(2 Suppl 4):41-9.
The mesna, doxorubicin, ifosfamide, dacarbazine regimen produced a 47% response rate (including 10% complete responses) in 105 eligible adults with advanced sarcoma. The major dose-limiting toxicity was granulocytopenia. There was one toxic death from sepsis. Central nervous system and renal toxicity occurred infrequently, perhaps as a result of the continuous-infusion schedule. This regimen is being evaluated further in advanced disease, the adjuvant setting, and in combination with bone marrow colony-stimulating factors.
美司钠、多柔比星、异环磷酰胺、达卡巴嗪方案在105例符合条件的晚期肉瘤成年患者中产生了47%的缓解率(包括10%的完全缓解)。主要剂量限制性毒性为粒细胞减少。有1例因败血症导致的毒性死亡。中枢神经系统和肾脏毒性发生率较低,可能是持续输注方案的结果。该方案正在晚期疾病、辅助治疗以及与骨髓集落刺激因子联合应用方面进行进一步评估。