Sequential combination chemotherapy consisting of vincristine, peplomycin, methotrexate, cis-diamminedichloroplatinum (II) and adriamycin in urothelial cancer

The VPM-CisA (vincristine (VCR), peplomycin (PLM), methotrexate (MTX), cisplatin (CDDP) and doxorubicin (ADM), regimen was used to treat 33 patients with urothelial tract tumors. Twenty-two patients had bi-dimensionally measurable disease parameters and 11 patients with locally advanced tumors were...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 35(1989), 2 vom: 16. Feb., Seite 231-7
1. Verfasser: Konami, T (VerfasserIn)
Weitere Verfasser: Wakabayashi, Y, Kim, T, Ishida, A, Arai, Y, Konishi, T, Pak, K, Takeuchi, H, Tomoyoshi, T, Watanabe, J
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1989
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:English Abstract Journal Article Bleomycin 11056-06-7 Peplomycin 56H9L80NIZ Vincristine 5J49Q6B70F Doxorubicin 80168379AG mehr... Cisplatin Q20Q21Q62J Methotrexate YL5FZ2Y5U1
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100 1 |a Konami, T  |e verfasserin  |4 aut 
245 1 0 |a Sequential combination chemotherapy consisting of vincristine, peplomycin, methotrexate, cis-diamminedichloroplatinum (II) and adriamycin in urothelial cancer 
264 1 |c 1989 
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500 |a Date Revised 19.11.2015 
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520 |a The VPM-CisA (vincristine (VCR), peplomycin (PLM), methotrexate (MTX), cisplatin (CDDP) and doxorubicin (ADM), regimen was used to treat 33 patients with urothelial tract tumors. Twenty-two patients had bi-dimensionally measurable disease parameters and 11 patients with locally advanced tumors were given postoperative adjuvant chemotherapy. The protocol consisted of 0.6 mg/m2 VCR on days 1 and 3, 3 mg/m2 PLM on days 1 to 4, 3 mg/m2 MTX on days 2 and 4, 35 mg/m2 CDDP on day 4, and 20 mg/m2 ADM on day 5. These doses were adjusted for each case: the above mentioned dose x [(80/(40+Age]2 +[(Karnofsky's performance status/100)2]. Of these patients, 28 (86 percent) were treated adequately, including 8 (36 per cent) who achieved a complete (2) or partial (6) remission. The mean duration of survival was 65.2 weeks for complete and partial responders, and 48.8 weeks for non-responders, which was not a statistically significant difference. Of 11, who were given post-operative adjuvant chemotherapy (mean observation period: 83.5 weeks) 9 were alive without evidence of disease, 1 had a recurrence 8 months after first chemotherapy, 1 died due to pulmonary and liver metastasis 2 years after the chemotherapy. Toxicity included mild myelosupression, moderate anorexia, vomiting, and severe gastric ulcer, pulmonary fibrosis 
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650 7 |a Vincristine  |2 NLM 
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650 7 |a Doxorubicin  |2 NLM 
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650 7 |a Cisplatin  |2 NLM 
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650 7 |a Methotrexate  |2 NLM 
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700 1 |a Wakabayashi, Y  |e verfasserin  |4 aut 
700 1 |a Kim, T  |e verfasserin  |4 aut 
700 1 |a Ishida, A  |e verfasserin  |4 aut 
700 1 |a Arai, Y  |e verfasserin  |4 aut 
700 1 |a Konishi, T  |e verfasserin  |4 aut 
700 1 |a Pak, K  |e verfasserin  |4 aut 
700 1 |a Takeuchi, H  |e verfasserin  |4 aut 
700 1 |a Tomoyoshi, T  |e verfasserin  |4 aut 
700 1 |a Watanabe, J  |e verfasserin  |4 aut 
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