AC/ACMF breast(17,18)
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adriamycin...... 40 mg/sqm IV day 1.
cytoxan......... 1 g/sqm IV day 1.
FREQUENCY....... Repeat cycle every 21 days.
adriamycin...... 40 mg/sqm IV day 1.
cytoxan......... 1 g/sqm IV day 1.
methotrexate.... 30 to 40 mg/sqm IV days 21, 28 and 35.
fluorouracil.... 400 to 600 mg/sqm IV days 21, 28 and 35.
FREQUENCY....... Repeat cycle every 42 days.
17. Boston B, et.al. Combination vs. combination sequential
non-hormonal chemotherapy in advanced breast cancer. Proc Am
Soc Clin Oncol 17:247, 1976.
reference...
Kennealey GT. Boston B. Mitchell MS. Knobf MK. Bobrow SN.
Pezzimenti JF. Lawrence R. Bertino JR. Combination
chemotherapy for advanced breast cancer: two regimens
containing adriamycin. Cancer. 42(1):27-33, 1978 Jul.
abstract...
Forty-eight women with advanced metastatic carcinoma of the
breast were treated with one of two combination chemotherapy
regimens: 1) adriamycin and cyclophosphamide or 2) adriamycin,
cyclophosphamide, methotrexate and 5-fluorouracil. The
response rate in the two-drug treatment group was 50% and in
the four-drug treatment group, 55%. The median duration of
response was ten months in both treatment groups. Dramatic
responses were seen in patients with visceral metastases.
Patients who responded to chemotherapy had a significantly
longer survival than nonresponders (p less than 0.01). The
long interval between adriamycin doses (six weeks) in the four
drug regimen did not adversely effect the response rate--an
important finding in view of the dose-related cardiac toxicity
of this agent.
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