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[阿霉素与甲环亚硝脲联合化疗治疗进展期胃癌:一项随机对照研究。上海阿霉素协作研究组]

[ACNU and methyl-CCNU in combination chemotherapy for advanced gastric cancer: a randomized comparative study. Shanghai ACNU Collaborative Study Group].

作者信息

Xiao S, Li D, Zhang D

出版信息

Zhonghua Zhong Liu Za Zhi. 1996 Jan;18(1):30-3.

PMID:8732108
Abstract

The study was conducted to compare the efficacy between a combined chemotherapy of ACNU (Nimustine hydrochloride, brand name Nidran), a new nitrosourea agent, and a combined chemotherapy of methyl-CCNU for advanced gastric cancer. One hundred and three cases of advanced gastric cancer were randomly allocated into Group A (Me-CCNU, 5-Fu and ADM) and Group B (ACNU, 5-Fu and ADM). The results showed that in Group A there was no CR or PR, while in Group B, although no CR, there were 8 PR (8/64 cases), denoting the response rate of 0% in Group A and 17.4% in Group B. The median survival period in Group A was 108 days and in Group B 112 days. Both groups well tolerated the treatment and there were no serious adverse effects. Quality of life (QOL) was better in Group B than in Group A. It is concluded that ACNU combination is superior to Me-CCNU combination for advanced gastric cancer.

摘要

本研究旨在比较新型亚硝基脲类药物ACNU(盐酸尼莫司汀,商品名尼氮芥)联合化疗与甲环亚硝脲联合化疗对晚期胃癌的疗效。103例晚期胃癌患者被随机分为A组(甲环亚硝脲、5-氟尿嘧啶和阿霉素)和B组(ACNU、5-氟尿嘧啶和阿霉素)。结果显示,A组无完全缓解(CR)或部分缓解(PR),而B组虽无CR,但有8例PR(8/64例),A组缓解率为0%,B组为17.4%。A组中位生存期为108天,B组为112天。两组对治疗耐受性良好,均未出现严重不良反应。B组生活质量(QOL)优于A组。结论是,ACNU联合化疗对晚期胃癌优于甲环亚硝脲联合化疗。

相似文献

1
[ACNU and methyl-CCNU in combination chemotherapy for advanced gastric cancer: a randomized comparative study. Shanghai ACNU Collaborative Study Group].[阿霉素与甲环亚硝脲联合化疗治疗进展期胃癌:一项随机对照研究。上海阿霉素协作研究组]
Zhonghua Zhong Liu Za Zhi. 1996 Jan;18(1):30-3.
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Multicenter randomized study on Me-CCNU, 5-FU and ADM vs ACNU, 5-FU and ADM for treatment of advanced gastric cancer.甲环亚硝脲、5-氟尿嘧啶和阿霉素与嘧啶亚硝脲、5-氟尿嘧啶和阿霉素治疗晚期胃癌的多中心随机研究。
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Phase I--II study of the combination of 5-FU, doxorubicin, mitomycin, and semustine (FAMMe) in the treatment of adenocarcinoma of the stomach, gastroesophageal junction, and pancreas.
Cancer Treat Rep. 1982 Aug;66(8):1613-7.
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Phase II-III chemotherapy studies in advanced gastric cancer. Eastern Cooperative Oncology Group.
Cancer Treat Rep. 1979 Nov-Dec;63(11-12):1863-9.
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Gan To Kagaku Ryoho. 1996 Aug;23(9):1161-8.

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Chemotherapy for advanced gastric cancer.晚期胃癌的化疗
Cochrane Database Syst Rev. 2017 Aug 29;8(8):CD004064. doi: 10.1002/14651858.CD004064.pub4.