AI sarcoma(133)
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adriamycin...... 50 mg/sqm IV push on day 1.
ifosfamide...... 5,000 mg/sqm IV over 24 h, followed by mesna
rescue.
FREQUENCY....... Repeat cycle every 3 weeks.
reference...
Schutte J. Mouridsen HT. Stewart W. Santoro A. van
Oosterom AT. Somers R. Blackledge G. Verweij J.
Dombernowsky P. Thomas D. et al. Ifosfamide plus doxorubicin
in previously untreated patients with advanced soft tissue
sarcoma. The EORTC Soft Tissue and Bone Sarcoma Group.
European Journal of Cancer. 26(5):558-61, 1990.
abstract...
The objective of this phase II trial was to assess the
therapeutic activity and toxicity of doxorubicin plus
ifosfamide in previously untreated patients with advanced soft
tissue sarcoma. Treatment was doxorubicin 50 mg/m2 followed by
a 24 h infusion of ifosfamide 5 g/m2 plus mesna 2.5 g/m2
repeated every 3 weeks until disease progression or
unacceptable toxicity occurred. Of 203 patients entered, 175
were evaluable for response. The response rate was 35% (95% CI
28-42%), with 9% of the patients achieving a complete
remission and 26% a partial remission. The median time to
progression was 29 weeks for all evaluable patients, and 67,
40 and 28 weeks for complete and partial responders and
patients with stable disease, respectively. The median
duration of survival was 58 weeks. Myelosuppression was the
dose-limiting toxicity, resulting in leukopenia (WHO grade 3
and 4) in 73% of evaluable treatment courses. Other
side-effects were rare and usually well manageable.
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