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丝裂霉素、顺铂和长春地辛治疗广泛期非小细胞肺癌(MiPE):西南肿瘤协作组研究

Extensive non-small cell lung cancer treated with mitomycin, cisplatin, and vindesine (MiPE): a Southwest Oncology Group Study.

作者信息

Miller T P, Vance R B, Ahmann F R, Rodney S R

出版信息

Cancer Treat Rep. 1986 Sep;70(9):1101-4.

PMID:3527409
Abstract

Ninety-seven previously untreated patients with metastatic non-small cell lung cancer were treated with combination chemotherapy consisting of mitomycin (10 mg/m2) on Day 1, cisplatin (50 mg/m2) on Days 1 and 22, and vindesine (3 mg/m2) on Days 1 and 22 (MiPE). MiPE was repeated at 6-week intervals until disease progression or unacceptable toxicity. The overall response rate was 33%. There were seven complete responses (7%) and 25 partial responses (26%). The median progression-free interval for responding patients was 7 months. Median survival for all patients was 5 months, with 16% surviving 1 year. One patient died from sepsis while neutropenic. The results with MiPE treatment for patients with non-small cell lung cancer compare favorably to other mitomycin-vinca combinations previously tested in the Southwest Oncology Group.

摘要

97例先前未接受过治疗的转移性非小细胞肺癌患者接受了联合化疗,具体方案为第1天给予丝裂霉素(10 mg/m²)、第1天和第22天给予顺铂(50 mg/m²)、第1天和第22天给予长春地辛(3 mg/m²)(MiPE方案)。MiPE方案每6周重复一次,直至疾病进展或出现不可接受的毒性。总缓解率为33%。有7例完全缓解(7%)和25例部分缓解(26%)。缓解患者的无进展生存期中位数为7个月。所有患者的中位生存期为5个月,16%的患者存活1年。1例患者在中性粒细胞减少时死于败血症。MiPE方案治疗非小细胞肺癌患者的结果与西南肿瘤协作组之前测试的其他丝裂霉素-长春花属植物联合方案相比更具优势。

相似文献

1
Extensive non-small cell lung cancer treated with mitomycin, cisplatin, and vindesine (MiPE): a Southwest Oncology Group Study.丝裂霉素、顺铂和长春地辛治疗广泛期非小细胞肺癌(MiPE):西南肿瘤协作组研究
Cancer Treat Rep. 1986 Sep;70(9):1101-4.
2
Trial of the combination of mitomycin, vindesine, and cisplatin in patients with advanced non-small cell lung cancer.丝裂霉素、长春地辛和顺铂联合治疗晚期非小细胞肺癌的试验。
Cancer Treat Rep. 1986 Sep;70(9):1091-6.
3
Cisplatin, vindesine, mitomycin-C and 13-cis retinoic acid in the treatment of advanced non small cell lung cancer. A phase II pilot study.顺铂、长春地辛、丝裂霉素-C和13-顺式维甲酸治疗晚期非小细胞肺癌。一项II期初步研究。
Anticancer Res. 2000 May-Jun;20(3B):1985-90.
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[A randomized trial comparing vindesine plus cisplatin with mitomycin C, vindesine plus cisplatin in patients with advanced non-small cell lung cancer].一项比较长春地辛联合顺铂与丝裂霉素C、长春地辛联合顺铂治疗晚期非小细胞肺癌患者的随机试验
Gan To Kagaku Ryoho. 1987 Sep;14(9):2676-81.
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[Clinical study of combination chemotherapy with mitomycin C, vindesine and cisplatin (MVP therapy) in advanced non-small cell lung cancer].丝裂霉素C、长春地辛和顺铂联合化疗(MVP疗法)治疗晚期非小细胞肺癌的临床研究
Gan To Kagaku Ryoho. 1989 Jul;16(7):2399-403.
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[A pilot study of induction chemotherapy with cisplatin, mitomycin C and vindesine for stage III N2 non-small cell lung cancer].顺铂、丝裂霉素C和长春地辛诱导化疗用于Ⅲ期N2非小细胞肺癌的初步研究
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Dec;31 Suppl:203-11.
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[Chemotherapy of advanced non-small cell bronchial cancer with mitomycin C/ifosfamide versus mitomycin C/vindesine versus cisplatin/etoposide--a prospective randomized study].[丝裂霉素C/异环磷酰胺与丝裂霉素C/长春地辛及顺铂/依托泊苷用于晚期非小细胞支气管癌化疗的前瞻性随机研究]
Pneumologie. 1990 Feb;44 Suppl 1:258-60.
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[Phase II study of a three-drug combination of ifosfamide, cisplatin and vindesine in non-small-cell lung cancer].异环磷酰胺、顺铂和长春地辛三药联合治疗非小细胞肺癌的II期研究
Gan To Kagaku Ryoho. 1988 Jan;15(1):115-9.
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[Combination chemotherapy including cisplatinum, vindesine and mitomycin C for non-small cell lung cancer].[顺铂、长春地辛和丝裂霉素C联合化疗治疗非小细胞肺癌]
Gan To Kagaku Ryoho. 1990 Aug;17(8 Pt 1):1455-60.
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Comparison of vindesine plus cisplatin or vindesine plus mitomycin in the treatment of advanced non-small cell lung cancer.长春地辛联合顺铂或长春地辛联合丝裂霉素治疗晚期非小细胞肺癌的比较。
Cancer Treat Rep. 1985 Sep;69(9):945-51.

引用本文的文献

1
A phase II study of cisplatin, vindesine and continuously infused 5-fluorouracil in the treatment of advanced non-small-cell lung cancer. Osaka Lung Cancer Chemotherapy Study Group.顺铂、长春地辛与持续输注5-氟尿嘧啶治疗晚期非小细胞肺癌的II期研究。大阪肺癌化疗研究组。
Br J Cancer. 1996 May;73(9):1096-100. doi: 10.1038/bjc.1996.211.
2
Combination chemotherapy for advanced adenocarcinoma of the lung. A review.晚期肺癌腺癌的联合化疗。综述。
Cancer Chemother Pharmacol. 1988;21(2):103-16. doi: 10.1007/BF00257355.
3
Mitomycin C, vinblastine and cisplatin combination chemotherapy in the treatment of advanced non-small cell lung cancer.
丝裂霉素C、长春碱和顺铂联合化疗治疗晚期非小细胞肺癌
Cancer Chemother Pharmacol. 1987;20(4):324-6. doi: 10.1007/BF00262585.