CHEMOTHERAPY OF ADVANCED SMALL-CELL ANAPLASTIC CARCINOMA - SUPERIORITY OF A 4-DRUG COMBINATION TO A 3-DRUG COMBINATION

被引:116
作者
HANSEN, HH [1 ]
DOMBERNOWSKY, P [1 ]
HANSEN, M [1 ]
HIRSCH, F [1 ]
机构
[1] BISPEBJERG HOSP, DEPT MED C, DK-2400 COPENHAGEN, DENMARK
关键词
D O I
10.7326/0003-4819-89-2-177
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A controlled clinical trial compared three-drug and four-drug combination chemotherapy in 109 patients with advanced small-cell anaplastic carcinoma of the lung. The combination of vincristine, 1-(2-chloroethyl)-3-cyclohexyl- 1-nitrosourea (CCNU), cyclophosphamide, and methotrexate was significantly superior to the combination of the last three drugs alone with regard to median survival (230 versus 176 days) (P<0.01) and to duration of response (186 versus 112 days) (P<0.01). Objective response occurred in 78% and 75%, respectively. No significant difference in these values was observed in the comparison of the three subtypes of small-cell anaplastic carcinoma using the World Health Organization's classification.
引用
收藏
页码:177 / 181
页数:5
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