COM colon(45)
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cytoxan......... 300 mg/sqm IV day 1.
vincristine..... 1 mg IV day 1.
methotrexate.... 20 mg/sqm IV day 1.
FREQUENCY....... Repeat cycle weekly.
reference...
Taylor SG 4th. Desai SA. DeWys WD. Phase II trial of a
combination of cyclosphamide, vincristine, and methotrexate in
advanced colorectal carcinoma. Cancer Treatment Reports.
62(8):1203-5, 1978 Aug.
abstract...
Twenty patients with advanced colon cancer were treated with a
combination of low-dose weekly cyclophosphamide, vincristine,
and methotrexate (COM) after demonstrated progression of
disease with 5-fluorouracil (5-FU). Four patients (20%) had
partial responses with a median survival of 15 months, six
(30%) had disease stabilization for 3--16 months (median
survival, 8 months), and ten progressed with a median survival
of 5.5 months. All four partial responses and five of six
stabilizations occurred in patients with a performance status
of 0 or 1. COM appeared well-tolerated and at least as
effective as alternative secondary chemotherapy following 5-FU
failure.
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