FAM-S pancreas(121)
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fluorouracil.... 600 mg/sqm IV on days 1, 8, 29, and 36.
adriamycin...... 30 mg/sqm IV on days 1, and 29.
mitomycin....... 10 mg/sqm IV day 1.
streptozotocin.. 400 mg/sqm IV on days 1, 8, 29, and 36.
FREQUENCY....... Repeat cycles every 56 days (8 weeks).
reference...
Bukowski RM. Schacter LP. Groppe CW. Hewlett JS. Weick JK.
Livingston RB. Phase II trial of 5-fluorouracil, adriamycin,
mitomycin C, and streptozotocin (FAM-S) in pancreatic
carcinoma. Cancer. 50(2):197-200, 1982 Jul 15.
abstract...
Twenty-five patients with unresectable and metastatic
pancreatic carcinoma were treated with the combination of
5-fluorouracil, Adriamycin, mitomycin C and streptozotocin
(FAM-S). Twelve of 25 patients responded (48%) and four
patients demonstrated stable disease. Median survival of all
patients was 6.75 months, and seven of 25 patients survived
more than 12 months. Hematologic toxicity was moderate, and
the predominant side effect recorded was nausea and vomiting
(80% patients). Combination chemotherapy in pancreatic
carcinoma may provide palliation and randomized trials are
warranted to confirm these results.
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