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达卡巴嗪治疗转移性恶性黑色素瘤:一种简化的剂量方案。

DTIC therapy in metastatic malignant melanoma: a simplified dose schedule.

作者信息

Pritchard K I, Quirt I C, Cowan D H, Osoba D, Kutas G J

出版信息

Cancer Treat Rep. 1980 Oct-Nov;64(10-11):1123-6.

PMID:7459898
Abstract

Ninety-seven patients with metastatic malignant melanoma were treated with DTIC, 850 mg/m2 given in single doses at 3--6 week intervals, either alone or in combination with cyclophosphamide (750 mg/m2) and vincristine (2 mg/m2) (DCV). Eighteen patients (19%) had objective disease regression, with a median response duration of 151 days. There was no difference in response rate, response duration, or survival between the group treated with DTIC alone and the group treated with DCV but there was greater gastrointestinal and hematopoietic toxicity in the DCV group. Tumor regression with this single-dose DTIC regimen is similar to that obtained with 5-day courses of DTIC and toxicity is not increased.

摘要

97例转移性恶性黑色素瘤患者接受了达卡巴嗪治疗,剂量为850mg/m²,每3 - 6周单剂量给药,可单独使用或与环磷酰胺(750mg/m²)和长春新碱(2mg/m²)联合使用(DCV方案)。18例患者(19%)出现客观疾病缓解,缓解持续时间中位数为151天。单独使用达卡巴嗪治疗组与DCV治疗组在缓解率、缓解持续时间或生存率方面无差异,但DCV组胃肠道和血液系统毒性更大。这种单剂量达卡巴嗪方案的肿瘤缓解情况与5天疗程的达卡巴嗪相似,且毒性未增加。

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引用本文的文献

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[Therapy of malignant melanoma at the stage of distant metastasis].[远处转移阶段恶性黑色素瘤的治疗]
Hautarzt. 2004 Feb;55(2):195-213. doi: 10.1007/s00105-003-0684-1.
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Recombinant interferon alpha-2a in combination with dacarbazine in the treatment of metastatic malignant melanoma: analysis of long-term responding patients.
重组干扰素α-2a联合达卡巴嗪治疗转移性恶性黑色素瘤:长期缓解患者分析
Cancer Immunol Immunother. 1993 Jul;37(1):61-6. doi: 10.1007/BF01516943.
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Sequential administration of varying doses of dacarbazine and fotemustine in advanced malignant melanoma.在晚期恶性黑色素瘤中序贯给予不同剂量的达卡巴嗪和福莫司汀。
Br J Cancer. 1993 Jun;67(6):1356-60. doi: 10.1038/bjc.1993.251.
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Phase I trial with pharmacokinetics of CB10-277 given by 24 hours continuous infusion.CB10 - 277通过24小时持续输注给药的I期药代动力学试验。
Br J Cancer. 1993 Feb;67(2):369-73. doi: 10.1038/bjc.1993.67.
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A phase II study of combined administration of dacarbazine and carboplatin with home therapy of recombinant interleukin-2 and interferon-alpha 2a in patients with advanced malignant melanoma.达卡巴嗪与卡铂联合重组白细胞介素-2及α-2a干扰素居家治疗晚期恶性黑色素瘤患者的II期研究
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