Chauvergne J, Cappelaere P, Carton M, Gary-Bobo J, Klein T
Bull Cancer. 1978;65(1):19-24.
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).
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)。