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CAP
Abstract: Cyclophosphamide, doxorubicin, and cisplatin (CAP)
in the treatment of urothelial malignancy: a pilot study of the Southeastern
Cancer Study Group.
Thirty-four patients with urothelial malignancy were treated with a chemotherapy
regimen of cyclophosphamide, doxorubicin, and cisplatin. The objective response
rate was 38% (13 of 34 patients), with
three patients achieving a complete remission. Objective responders had
a significantly longer median survival time than nonresponders (225
vs 137 days [P less than or equal to 0.04]). The median duration
of remission was 177 days. Hematologic
toxic effects were initially severe, with three episodes of sepsis and one
death, but were acceptable after dose modification. This study demonstrates
that the regimen of cyclophosphamide, doxorubicin, and cisplatin is effective
in metastatic urothelial malignancy. Although response duration was short
(25 weeks), responders clearly lived longer than nonresponders.
References
Troner MB. Hemstreet GP 3d. Cyclophosphamide, doxorubicin, and cisplatin
(CAP) in the treatment of urothelial malignancy: a pilot study of the Southeastern
Cancer Study Group. Cancer Treatment Reports. 65(1-2):29-32, 1981 Jan-Feb.

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| Regimen |
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cytoxan......... 400 mg/sqm IV day 1.
adriamycin...... 40 mg/sqm IV day 1.
cisplatin....... 50 mg/sqm IV day 1.
FREQUENCY....... Repeat cycle every 21 days. |
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Summary |
The role
of CAP in the treatment of metastatic bladder cancer |
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Response Rate |
38% |
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Progression
Free Survival |
5.9 months |
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Median Survival |
7.5 months |
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Toxicity |
Hematologic
toxicity |
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