CVB esophagus(53)
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cisplatin....... 3 mg/kg or 120 mg/sqm (whichever is less) IV
day 1.
vindesine....... 3 mg/sqm IV on days 1, 8, 15, and 22.
bleomycin....... 10 U/sqm IV (loading dose) on day 1; then 10
U/sqm/day by continuous IV on days 3 to 6.
FREQUENCY....... Repeat above regimen once at four weeks.
Thereafter, discontinue bleomycin, and
administer vindesine every 2 weeks and
cisplatin every 6 weeks.
reference...
Kelsen DP. Bains M. Hilaris B. Chapman R. McCormack P.
Alexander J. Hopfan S. Martini N. Combination chemotherapy of
esophageal carcinoma using cisplatin, vindesine, and
bleomycin. Cancer. 49(6):1174-7, 1982 Mar 15.
abstract...
Sixty-one patients with epidermoid carcinoma of the esophagus
have been treated with a three drug combination of cisplatin,
vindesine, and bleomycin. Of 53 patients currently evaluable
for response, 29 (55%) have had partial remissions: 7/16 with
metastatic, and 22/37 with local-regional disease. The median
duration of response in metastatic patients is eight months.
Of 28 patients treated preoperatively, 23 (82%) had resectable
disease. The major toxicities seen were nephrotoxicity and
myelosuppression. Cisplatin, vindesine and bleomycin is an
effective combination in the treatment of esophageal
carcinoma. Effects on long-term survival cannot yet be
evaluated.
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