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[柔红霉素苯腙(22050RP):临床研究。实体瘤和淋巴瘤的II期试验(作者译)]

[Rubidazone (22 050 RP): clinical study. Phase II trial in solid tumors and lymphomas (author's transl)].

作者信息

Chauvergne J, Cappelaere P, Carton M, Gary-Bobo J, Klein T

出版信息

Bull Cancer. 1978;65(1):19-24.

PMID:667371
Abstract

Rubidazone is a semisynthetic antibiomitotic close to daunorubicin and doxorubicin. Fifty two patients with various advanced cancers received rubidazone intravenously at the initial unitary dose of 200 mg/m2 in a single injection at three week intervals; this base line dosage had been adapted in function of leuko-platelet variations observed between the injections. An objective improvement was noted in 18 patients out of 51 evaluable patients (34% of the cases), 6 times the regression of tumoral volume was greater than 50 per cent but not complete (3 breast adenocarcinomas and 3 lymphomas). Manifestations of intolerance-toxicity were minor on the haematologic side (32%); however, they were relatively frequent from the digestive (63%) and general (82%) point of view; symptoms of cardiac disturbances (21%), responsible for the discontinuation of the chemotherapy, necessitate careful attention in the management of the treatment. The comparison of the results of this trial with those obtained by trials using other drugs belonging to the same chemical family don't show, for solid tumors, any difference in efficacy between rubidazone, daunorubicin or duborimycin; however, the difference is very striking with doxorubicin which showed more efficacy (6.5% as 29% of regression greater than 50%). Owing to the conditions of admission and the very strict criteria of analysis in this study, it would seem useful to go into details regarding the interest of rubidazone in lymphomas (only one failure has been recorded out of 6 treated cases).

摘要

柔红霉素苯腙是一种半合成的抗生素,与柔红霉素和阿霉素相近。52例患有各种晚期癌症的患者静脉注射柔红霉素苯腙,初始单次剂量为200mg/m²,每三周注射一次;该基线剂量根据两次注射之间观察到的白细胞和血小板变化进行调整。在51例可评估的患者中,有18例(34%)出现了客观改善,6例肿瘤体积缩小超过50%但未完全消退(3例乳腺腺癌和3例淋巴瘤)。血液学方面的不耐受毒性表现较轻(32%);然而,从消化系统(63%)和全身(82%)的角度来看,这些表现相对较为频繁;心脏紊乱症状(21%)导致化疗中断,在治疗管理中需要密切关注。将该试验结果与使用同一化学家族其他药物的试验结果进行比较,对于实体瘤而言,柔红霉素苯腙、柔红霉素或阿霉素之间在疗效上没有差异;然而,与阿霉素的差异非常显著,阿霉素显示出更高的疗效(6.5%,而大于50%消退的比例为29%)。由于本研究的入选条件和非常严格的分析标准,详细探讨柔红霉素苯腙在淋巴瘤中的应用价值似乎是有必要的(6例治疗病例中仅记录了1例失败)。

相似文献

1
[Rubidazone (22 050 RP): clinical study. Phase II trial in solid tumors and lymphomas (author's transl)].[柔红霉素苯腙(22050RP):临床研究。实体瘤和淋巴瘤的II期试验(作者译)]
Bull Cancer. 1978;65(1):19-24.
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Clinical trial of rubidazone in solid tumors and malignant lymphomas.鲁比达唑在实体瘤和恶性淋巴瘤中的临床试验。
Cancer Treat Rep. 1978 Jul;62(7):1053-8.
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[Anticancerous chemotherapy trial with duborimycin. Analysis of 151 cases].[柔红霉素抗癌化疗试验。151例分析]
Bull Cancer. 1976 Jan-Mar;63(1):41-58.
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Cancer Treat Rep. 1978 Oct;62(10):1599-601.
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Randomized phase II trial of rubidazone and adriamycin in women with advanced breast cancer.
Cancer Treat Rep. 1979 Nov-Dec;63(11-12):1701-5.
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Liposomal doxorubicin (Caelyx) in advanced pretreated soft tissue sarcomas: a phase II study of the Italian Sarcoma Group (ISG).脂质体阿霉素(楷莱)用于晚期经预处理的软组织肉瘤:意大利肉瘤研究组(ISG)的一项II期研究
Anticancer Res. 2000 Jan-Feb;20(1B):485-91.
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Rubidazone in adults with previously treated acute leukemia and blast cell phase of chronic myelocytic leukemia: a Southwest Oncology Group Study.鲁比达唑用于曾接受过治疗的成人急性白血病和慢性粒细胞白血病原始细胞期患者:一项西南肿瘤协作组研究
Cancer Treat Rep. 1981 May-Jun;65(5-6):427-30.
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[Survey of anthracyclines derivatives in haematology (author's transl)].血液学中蒽环类衍生物的研究(作者译)
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A phase I/II study of sequential doxorubicin and paclitaxel in the treatment of advanced breast cancer.多柔比星与紫杉醇序贯治疗晚期乳腺癌的I/II期研究
Semin Oncol. 1996 Oct;23(5 Suppl 11):16-22.

引用本文的文献

1
Phase II evaluation of rubidazone (NSC-164011) in advanced carcinoma of the breast. A Southwest Oncology Group study.柔红霉素酮(NSC-164011)用于晚期乳腺癌的II期评估。西南肿瘤学组的一项研究。
Invest New Drugs. 1983;1(4):315-9. doi: 10.1007/BF00177415.